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Parametric correlation of arterial blood gas status with the duration of stay in hospital in cases of acute severe asthmatic children

Deepa B Chandra, Siddharth Kulkarni, Hetal T Desai.

Abstract
Background: Asthma is one of the common causes of chronic illness in early childhood having frequent admitting diagnosis in pediatric ward. It needs proper evaluation for their treatment and management. Determination of arterial blood gas (ABG) analysis plays important role as pulmonary function test; it is important laboratory test for critically ill asthmatic patients where acid-base status interpretation is needed for their hospital admission and proper management.

Aims and Objectives: The aims of the study were to assess the severity of disorders with the parameters of ABG report with their hospital stay of severe asthmatics pediatric patients during their acute exacerbations.

Materials and Methods: A hospital-based prospective study conducted in forty-three severe acute bronchial asthmatic patients of 1–17 years done using automated ABG analyzer machine (COMBISYS-II), analysis of ABG report done using mean, median, and standard deviation.

Results: Their comparison with the dysfunction of ABG report with their hospital stay showed positive correlation.

Conclusion: Our study supported the hypothesis of enhanced hospital stay with abnormal and mixed type of ABG report.

Key words: Acute Bronchial Asthma Exacerbations; Arterial Blood Gas Analysis; Acid-base Status; Hypoxemia


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