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Predictors of Inappropriate Use of Diagnostic Tests and Management of Bronchiolitis

Lorena Sarmiento1, Gladys E Rojas-Soto2, Carlos E Rodríguez-Martínez3,4

  • 1Department of Pediatrics, Clinica Universitaria Colombia, Fundacion Universitaria Sanitas, Bogota, Colombia.

Biomed Research International
|August 1, 2017
PubMed

Insights

Inappropriate diagnostic tests and treatment for bronchiolitis are common in hospitalized infants. Infants with atopic dermatitis, longer hospital stays, and more siblings face higher risks.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Clinical Medicine

Background:

  • Bronchiolitis is a common respiratory infection in infants, often leading to hospitalization.
  • Inappropriate diagnostic testing and management can increase healthcare costs and negatively impact patient outcomes.
  • Identifying predictors of inappropriate care is crucial for improving bronchiolitis management.

Purpose of the Study:

  • To identify independent predictors of inappropriate diagnostic test use and management in hospitalized infants with bronchiolitis.
  • To establish a composite outcome score to quantify the extent of inappropriate care.

Main Methods:

  • An analytical cross-sectional study design was employed.
  • Data were collected from 303 hospitalized infants diagnosed with bronchiolitis.
  • A composite outcome score was defined to measure inappropriate diagnostic tests and management.

Main Results:

  • A high prevalence of inappropriate care was observed, affecting 71.3% of the study population.
  • Independent predictors identified include atopic dermatitis (OR 5.30), longer hospital stay (OR 1.48), and a higher number of siblings (OR 1.92).
  • Statistical significance was established for all identified predictors (p < 0.05).

Conclusions:

  • Inappropriate diagnostic tests and treatment for bronchiolitis are highly prevalent in hospitalized infants.
  • Infants with atopic dermatitis, extended hospital stays, and more siblings are at significantly increased risk.
  • These findings highlight the need for targeted interventions to optimize bronchiolitis care and reduce unnecessary interventions.
Abstract

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