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Published on: August 7, 2017

Clinical predictors of admission in infants with acute bronchiolitis

M Marlais1, J Evans, E Abrahamson

  • 1Department of Paediatric Emergency Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London, UK.

Archives of Disease in Childhood
|February 23, 2011
PubMed

Insights

A new scoring system can predict hospital admission for infants with bronchiolitis. This tool uses key clinical factors to help emergency departments make faster, more accurate decisions for infant care.

Area of Science:

  • Pediatrics
  • Emergency Medicine
  • Clinical Prediction Models

Background:

  • Bronchiolitis is a common cause of infant hospitalization.
  • No validated scoring system exists for predicting bronchiolitis admission in emergency departments.

Purpose of the Study:

  • Identify clinical predictors of hospital admission in infants with acute bronchiolitis.
  • Develop a simple clinical risk score for emergency department use.

Main Methods:

  • Retrospective review of 449 infants with acute bronchiolitis (April 2009-March 2010).
  • Logistic regression analysis to identify admission predictors.
  • Development of a risk scoring system using significant predictors.

Main Results:

  • 36% of infants were admitted.
  • Key predictors identified: age, respiratory rate, heart rate, oxygen saturation, symptom duration.
  • The developed scoring system demonstrated good diagnostic accuracy (AUC 0.81).

Conclusions:

  • Clinical predictors for bronchiolitis admission have been identified.
  • A simple, accurate clinical risk score can aid emergency department decision-making for infant bronchiolitis.
Abstract

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