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Bronchiolitis: Can objective criteria predict eligibility for brief hospitalization?

Published online by Cambridge University Press:  21 May 2015

Lance Brown ,
David G. Reiley ,
Aaron Jeng  and
Steven M. Green
Lance Brown*
Affiliation:
Loma Linda University Medical Center and Children’s Hospital, Loma Linda, Calif.
David G. Reiley
Affiliation:
Loma Linda University Medical Center and Children’s Hospital, Loma Linda, Calif.
Aaron Jeng
Affiliation:
Loma Linda University School of Allied Health Sciences, Loma Linda, Calif.
Steven M. Green
Affiliation:
Loma Linda University Medical Center and Children’s Hospital, Loma Linda, Calif.
*
Department of Emergency Medicine, A-108 Loma Linda University Medical Center and Children’s Hospital, 11234 Anderson St., Loma Linda CA 92354; 909 558-4344, fax 909 558-0121, LBROWNMD@AOL.com

Abstract

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Objective:

To determine if 3 objective criteria – pulse oximetry, respiratory syncytial virus (RSV) testing, and age – could be used to predict which children hospitalized with bronchiolitis will have brief (<36 hour) hospitalizations and therefore be potential candidates for admission to short-stay observation units.

Methods:

This was a retrospective medical record review of medically uncomplicated children 3 to 24 months of age with emergency department and hospital discharge diagnoses consistent with bronchiolitis who were admitted to a general pediatric ward in our university-based, tertiary care hospital between Jan. 1, 1992, and Nov. 12, 2002. Multiple logistic regression was used to assess the predictor variables.

Results:

Our study consisted of 225 patients (45% female) with a median age of 7 months (interquartile range [IQR], 4–11 mo; range, 3–22 mo). Median pulse oximetry value was 94% (IQR 91%–96%; range 76%–100%), and 71% of the patients tested positive for RSV. Thirty children (13%) had brief hospitalizations <36 hours, and the median hospital length of stay for the entire study group was 70 hours (IQR 46–108 h; range 6–428 h). None of the 3 predictor variables were independently associated with brief hospitalization.

Conclusions:

Pulse oximetry, RSV testing and age do not predict which children will have brief hospitalizations and are appropriate candidates for admission to short-stay observation units.

Keywords

pulse oximetryrespiratory syncytial virusobservation unit
Type
Pediatric EM • Pédiatrie d’urgence
Information
Canadian Journal of Emergency Medicine , Volume 5 , Issue 4 , July 2003 , pp. 239 - 244
Copyright
Copyright © Canadian Association of Emergency Physicians 2003

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