%0 Journal Article
%T Impact on parents of bronchiolitis hospitalization of full-term, preterm and congenital heart disease infants
%A Alexandre Lapillonne
%A Antoine Regnault
%A V¨¦ronique Gournay
%A Jean-Bernard Gouyon
%A H¨¦l¨¨ne Gilet
%A Daniela Anghelescu
%A Tatiana Miloradovich
%A Benoit Arnould
%A Guy Moriette
%J BMC Pediatrics
%D 2012
%I BioMed Central
%R 10.1186/1471-2431-12-171
%X Four hundred sixty-three infants aged less than 1 year and hospitalized for bronchiolitis were included in a French observational study during the 2008¨C2009 season. Parents were asked to complete the IBHQ at hospital discharge and 3 months later. IBHQ scores, ranging from 0 (no impact) to 100 (highest impact), were compared according to gestational age (full-term, 33¨C36 wGA, ¡Ü 32 wGA) and the presence of congenital heart disease (CHD). The potential drivers of impact were explored using multivariate linear regressions.The study included 332 full-terms, 71 infants born at 33¨C36 wGA, and 60 at ¡Ü 32 wGA; 28 infants had a CHD. At hospital discharge, 9 of the 12 IBHQ mean scores were above 40, indicating a marked impact on parents. Three months later, all mean scores were lower but 5 were still greater than 40. At discharge, the length of hospitalization had a significant effect on IBHQ worries and distress, fear for future, guilt and impact on daily organization scores (p<0.01); the parents¡¯ educational level had a significant effect on IBHQ worries and distress, fear for future, impact on daily organization and financial impact scores (p<0.05). The only statistically significant difference found between the parents of preterm and full-term infants was for the physical impact score at discharge (p=0.004).Bronchiolitis hospitalization has conspicuous emotional, physical and organizational consequences on parents and siblings, which persist 3 months after hospital discharge. The main drivers of the impact were length of hospital stay and parents¡¯ educational level, while infants¡¯ gestational age or the presence of a CHD had little influence.Bronchiolitis is a viral obstructive bronchial disease occurring in epidemics in infants aged 1¨C24 months, and manifesting as dyspnoea with tachypnoea, restricted expiration, chest hyperinflation and respiratory distress potentially interfering with feeding; auscultation is dominated by crepitant or subcrepitant rales, rapidly followed
%K Bronchiolitis
%K Family
%K Infant care
%K Hospitalization
%U http://www.biomedcentral.com/1471-2431/12/171