title: Suctioning and length of stay in infants hospitalized with bronchiolitis.
abstract: OBJECTIVE
  Hospitalizations of infants for bronchiolitis are common and costly. Despite the high incidence and resource burden of bronchiolitis, the mainstay of treatment remains supportive care, which frequently includes nasal suctioning.
  
  
  OBJECTIVE
  To examine the association between suctioning device type and suctioning lapses greater than 4 hours within the first 24 hours after hospital admission on length of stay (LOS) in infants with bronchiolitis.
  
  
  METHODS
  Retrospective cohort study. Data were extracted from the electronic health record.
  
  
  METHODS
  Main hospital and satellite facility of a large quaternary care children's hospital from January 10, 2010, through April 30, 2011.
  
  
  METHODS
  A total of 740 infants aged 2 to 12 months and hospitalized with bronchiolitis.
  
  
  METHODS
  Hospital LOS.
  
  
  RESULTS
  In the multivariable model adjusted for inverse weighting for propensity to receive deep suctioning, increased deep suction as a percentage of suction events was associated with increased LOS with a geometric mean of 1.75 days (95% CI, 1.56-1.95 days) in patients with no deep suction and 2.35 days (2.10-2.62 days) in patients with more than 60% deep suction. An increased number of suctioning lapses was also associated with increased LOS in a dose-dependent manner with a geometric mean of 1.62 days (95% CI, 1.43-1.83 days) in patients with no lapses and 2.64 days (2.30-3.04 days) in patients with 3 or 4 lapses.
  
  
  CONCLUSIONS
  For patients admitted with bronchiolitis, the use of deep suctioning in the first 24 hours after admission and lapses greater than 4 hours between suctioning events were associated with longer LOS.
authors: Divisions of Hospital Medicine, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229, USA. grant.mussman@cchmc.org
authors: Grant M
authors: GM
authors: Mussman
authors: Michelle W
authors: MW
authors: Parker
authors: Angela
authors: A
authors: Statile
authors: Heidi
authors: H
authors: Sucharew
authors: Patrick W
authors: PW
authors: Brady
mesh_terms: D001988:Bronchiolitis / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008297:Male; D015999:Multivariate Analysis; D009820:Ohio; D010507:Periodicity; D057216:Propensity Score; D012138:Respiratory Therapy / Q000295:instrumentation* / Q000379:methods; D012189:Retrospective Studies; D013396:Suction / Q000295:instrumentation* / Q000379:methods