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Updated: Jun 30, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Prospective multicenter bronchiolitis study: predicting intensive care unit admissions.

Dorothy Damore1, Jonathan M Mansbach, Sunday Clark

  • 1Department of Emergency Medicine, New York Presbyterian Hospital/Weill Cornell Medial Center, New York, NY, USA. djt2001@med.cornell.edu

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|September 18, 2008
PubMed
Summary
This summary is machine-generated.

Young children with bronchiolitis are more likely to need intensive care unit (ICU) admission if they are under two months old, recently visited the emergency department, have severe breathing difficulty, or poor oral intake. These factors predict ICU admission in pediatric patients.

Related Experiment Videos

Last Updated: Jun 30, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Area of Science:

  • Pediatrics
  • Critical Care Medicine
  • Epidemiology

Background:

  • Bronchiolitis is a common respiratory infection in infants and young children.
  • Predicting intensive care unit (ICU) admission is crucial for resource allocation and timely intervention.

Purpose of the Study:

  • To identify predictors of ICU admission in children hospitalized with bronchiolitis.

Main Methods:

  • Prospective cohort study conducted in 30 U.S. emergency departments over two bronchiolitis seasons (2004-2006).
  • Included patients were under 2 years old with a confirmed diagnosis of bronchiolitis.
  • Compared characteristics of patients admitted to regular floor versus ICU.

Main Results:

  • Of 1,456 enrolled patients, 3% were admitted to the ICU.
  • Key predictors for ICU admission included age <2 months (OR=4.1), recent ED visit (OR=2.2), moderate/severe retractions (OR=2.6), and inadequate oral intake (OR=3.3).
  • No association found with male gender, socioeconomic factors, insurance status, breastfeeding, or parental asthma.

Conclusions:

  • Four independent predictors of ICU admission for bronchiolitis were identified in this multicenter study.
  • Several previously suggested risk factors were not confirmed as significant predictors.
  • Modest associations with other factors cannot be entirely ruled out.