Open Access Research article

Impact on parents of bronchiolitis hospitalization of full-term, preterm and congenital heart disease infants

Alexandre Lapillonne12, Antoine Regnault34*, Véronique Gournay5, Jean-Bernard Gouyon6, Hélène Gilet3, Daniela Anghelescu7, Tatiana Miloradovich7, Benoit Arnould3 and Guy Moriette89

Author Affiliations

1 Université Paris Descartes, Paris, 75006, France

2 APHP Necker Hospital, Paris, 75015, France

3 MAPI Consultancy, Lyon, 69003, France

4 EA4275 SPHERE Biostatistique, Pharmacoépidémiologie et Mesures Subjectives en Santé, Université de Nantes, Nantes, 44035, France

5 Service de cardiologie pédiatrique, Centre Hospitalier Universitaire, Nantes, 44093, France

6 Centre Hospitalier Universitaire de la Réunion, Groupe Hospitalier Sud Réunion, Centre d'Etudes Périnatales de l'Océan Indien, Saint-Pierre, 97448, La Réunion

7 Medical Department, Abbott France, Rungis, 94528, France

8 Service de Médecine Néonatale de Port-Royal, Groupe Hospitalier Cochin, AP-HP, Paris, 75014, France

9 Faculté de Médecine, Université Paris Descartes, Paris, 75006, France

For all author emails, please log on.

BMC Pediatrics 2012, 12:171  doi:10.1186/1471-2431-12-171

Published: 31 October 2012

Abstract

Background

The objective of this work was to explore the impact on parents of the bronchiolitis hospitalization of their infant using the Impact of Bronchiolitis Hospitalization Questionnaire (IBHQ©).

Methods

Four hundred sixty-three infants aged less than 1 year and hospitalized for bronchiolitis were included in a French observational study during the 2008–2009 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, 33–36 wGA, ≤ 32 wGA) and the presence of congenital heart disease (CHD). The potential drivers of impact were explored using multivariate linear regressions.

Results

The study included 332 full-terms, 71 infants born at 33–36 wGA, and 60 at ≤ 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).

Conclusions

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.

Keywords:
Bronchiolitis; Family; Infant care; Hospitalization