Related Experiment Video
Updated: Jun 16, 2026

Breath Collection from Children for Disease Biomarker Discovery
Published on: February 14, 2019
Insights into epidemiological and clinical burden of bronchiolitis among hospitalized children: a call for preventive
Rahaf Abughosh1, Fatmah Almesmari1, Noora Alattar1
1Pediatric Residency Program, Education Institute, Abu Dhabi, United Arab Emirates.
Insights
Bronchiolitis hospitalization in infants is common, with hypoxia and comorbidities predicting longer stays. Early identification of these risk factors is key for better resource management during peak seasons.
Area of Science:
- Pediatrics
- Infectious Diseases
- Healthcare Management
Background:
- Bronchiolitis is a major cause of infant hospitalization, straining healthcare systems during seasonal surges.
- Current management is primarily supportive, with limited tools to predict disease severity or length of stay.
- Understanding risk factors and economic impact is crucial for resource allocation.
Purpose of the Study:
- To analyze the clinical epidemiology of bronchiolitis hospitalizations.
- To identify seasonal trends and risk factors for prolonged length of stay (LOS) and pediatric intensive care unit (PICU) escalation.
- To estimate the economic burden of bronchiolitis hospitalizations.
Main Methods:
- Retrospective cross-sectional study of infants (0-24 months) admitted with bronchiolitis.
- Data collected: demographics, clinical features, comorbidities, lab findings, oxygen needs, and care escalation.
- Multivariable regression models analyzed LOS, PICU escalation, and hospitalization costs.
Main Results:
- 598 infants hospitalized; 47% tested positive for Respiratory Syncytial Virus (RSV).
- Hypoxia, hypercapnia, comorbidities, shorter symptom duration, and secondary pneumonia predicted prolonged LOS.
- RSV infection, hypoxia, hypercapnia, comorbidities, and secondary pneumonia predicted PICU escalation.
Conclusions:
- Early identification of infants with hypoxia, hypercapnia, comorbidities, or secondary pneumonia is critical.
- Anticipating prolonged hospitalization aids resource planning and targeted prevention during seasonal peaks.
- This data can optimize management strategies for severe bronchiolitis cases.
Background:
Bronchiolitis is a leading cause of hospitalization in infants under 2 years, with seasonal surges that strain healthcare systems. Despite its prevalence, management remains largely supportive, and predictive tools for disease severity are limited. This study aimed to characterize the clinical epidemiology, seasonal trends, and risk factors for bronchiolitis hospitalization and prolonged length of stay (LOS) at Sheikh Khalifa Medical City (SKMC), and to estimate the associated economic burden.
Methods:
A retrospective cross-sectional study included children aged 0-24 months admitted with bronchiolitis to SKMC between September 2023 and August 2024. Demographics, clinical features, comorbidities, laboratory findings, oxygen requirements, and escalation of care were collected from the electronic medical record. LOS, escalation to pediatric intensive care unit (PICU), and hospitalization costs were analyzed using multivariable regression models.
Results:
A total of 598 patients were included, representing 10.4% of pediatric admissions. The mean age was 7.8 ± 5.5 months; 59% were male, and 71% had no significant comorbidities. Respiratory syncytial virus (RSV) was identified in 47% of cases. Most were admitted for respiratory distress with normoxia (44%) or hypoxia (37%). Overall, 79.1% were managed on the ward and 14.9% in PICU; 10.8% required escalation from ward to PICU. Median LOS was 2.7 days (IQR 1.5-5), with a median cost of 21,776 United Arab Emirates Dirham (AED). Prolonged LOS was significantly associated with hypoxia, hypercapnia, comorbidities, shorter symptom duration, and secondary pneumonia. The same factors, along with RSV infection, significantly predicted PICU escalation.
Conclusion:
Early identification of infants with hypoxia, hypercapnia, comorbidities, or secondary pneumonia is critical to anticipate prolonged hospitalization, optimize resource planning, and guide targeted preventive strategies during seasonal peaks.
Related Concept Videos
Respiratory Syncytial Virus Disease
Asthma I: Introduction
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Asthma-I: Introduction
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.