Based on patient volumes, respiratory treatments and staffing needs, the magnitude of the 2014 enterovirus D68 outbreak was much greater than previously estimated at a Colorado pediatric hospital, according to a recent research letter.
In their observational retrospective study, researchers observed resource utilization at Children’s Hospital Colorado during the outbreak that occurred from Aug 1 through Sept 30. According to results, both respiratory patient volumes and asthma medication use increased more than they anticipated:
- Respiratory ED visits increased by 36%
- Respiratory hospital admissions increased by 80%
- Respiratory pediatric ICU admissions grew by 79%
- Albuterol sulfate use increased by 86%
- Steroid use increased by 72%
- Second-line asthma medications increased by 101%
- Respiratory equipment use and respiratory therapist demands increased significantly
- Days spent on the ventilator (+27%)
- Intermittent positive airway pressure therapy (+30%)
- Administered inhaled medication doses (+54%) and
- Respiratory therapist procedures for every hour worked (+70%).