Rendimiento de la broncoscopia flexible en pacientes pediátricos en el Hospital Santa Clara
Rendimiento de la broncoscopia flexible en pacientes pediátricos en el Hospital Santa Clara
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Background. Currently, the flexible bronchoscopy is widely used in our environment for the diagnosis and treatment of a great variety of pediatric respiratory pathologies. Nevertheless, in spite of its broad use, there are no studies about its performance in our setting.
Objective. The objective of this study was to determine the performance of the flexible bronchoscopy in pediatric patients to whom this procedure is executed in Santa Clara Hospital.
Design. A cross sectional analytical study.
Patients and methods. We examined the data oft 36 consecutive flexible bronchoscopies performed in patients younger than 18 years in Hospital Santa Clara between August 2003 and December 2003. The indication for the procedure, findings of the airway inspection, results of the bronchoalveolar lavage (BAL) cytology and its microbiological analysis were recorded, determining through the preestablished criteria if the three ultimate contributed to the clinical management of the cause originating the execution of the fiber-bronchoscopy.
Results. By performing the fiber-bronchoscopy, the inspection contributed significantly in 23 patients (63.9%). On those cases in which additionally to the inspection the differential cellular count of BAL was taken into account, significant findings were obtained in 35 patients (97.2%). This performance (97.2%) was not altered by the addition of the BAL microbiological analysis findings.
Conclusions. The conduction of the flexible bronchoscopy significantly contributed to the clinical management of the cause originating its indication in 97.2% of the investigations, for which we consider that the execution of this procedure for the study of a great variety of pediatric respiratory pathologies is justified. When comparing the performance of the fiberbronchoscopy with that of other centers it is necessary to consider the patients’ age and pathology to who this procedure is performed.
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