作者
Gabrielle Freire, Nathan Kuppermann, Roger Zemek, Amy C Plint, Franz E Babl, Stuart R Dalziel, Stephen B Freedman, Eshetu G Atenafu, Derek Stephens, Dale W Steele, Ricardo M Fernandes, Todd A Florin, Anupam Kharbanda, Mark D Lyttle, David W Johnson, David Schnadower, Charles G Macias, Javier Benito, Suzanne Schuh
发表日期
2018/9/1
期刊
Pediatrics
卷号
142
期号
3
出版商
American Academy of Pediatrics
简介
METHODS:
We conducted a retrospective cohort study of previously healthy infants aged< 12 months with bronchiolitis. Our primary outcome was escalated care (ie, hospitalization with high-flow nasal cannula, noninvasive or invasive ventilation, or intensive care admission). The predictors evaluated were age, prematurity, day of illness, poor feeding, dehydration, apnea, nasal flaring and/or grunting, respiratory rate, oxygen saturation, and retractions.
RESULTS:
Of 2722 patients, 261 (9.6%) received escalated care. Multivariable predictors of escalated care were oxygen saturation< 90%(odds ratio [OR]: 8.9 [95% confidence interval (CI) 5.1–15.7]), nasal flaring and/or grunting (OR: 3.8 [95% CI 2.6–5.4]), apnea (OR: 3.0 [95% CI 1.9–4.8]), retractions (OR: 3.0 [95% CI 1.6–5.7]), age≤ 2 months (OR: 2.1 [95% CI 1.5–3.0]), dehydration (OR 2.1 [95% CI 1.4–3.3]), and poor feeding (OR: 1.9 [95% CI 1.3–2.7]). One of 217 (0 …
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G Freire, N Kuppermann, R Zemek, AC Plint, FE Babl… - Pediatrics, 2018