Pediatr Emerg Med J.  2018 Dec;5(2):49-53. 10.22470/pemj.2018.00234.

Factors associated with hospitalization via emergency department in children with acute bronchiolitis

• Lee TK
• Kyong YY
• Woo SH
• Park JT
• Oh YM
• Jung HH
• Choi SM

• KMID: 2435120
• DOI: http://doi.org/10.22470/pemj.2018.00234

Abstract

PURPOSE
In infants and young children, acute bronchiolitis is a leading cause of hospitalization via emergency departments (EDs). We aimed to investigate factors associated with hospitalization via ED in children with acute bronchiolitis.
METHODS
We reviewed medical records of children aged 36 months or younger with acute bronchiolitis who visited the ED from January to December 2017. The following clinical data were collected and analyzed: age, sex, premature birth history, symptoms, fever duration, presence of respiratory distress and radiographic lesion, and inflammatory markers.
RESULTS
Of 780 children enrolled, 463 (59.4%) were hospitalized via the ED. The factor associated with the hospitalization were age ≤ 12 months (odd ratio [OR], 45.34; confidence interval [CI], 17.50-117.44), fever lasting ≥ 3 days (OR, 13.66; 95% CI, 6.46-28.87), respiratory rate ≥ 24 breaths per minute (OR, 6.88; 95% CI, 4.21-11.26), radiographic lesion (OR, 5.70; 95% CI, 2.62-12.40), and chest retraction (OR, 2.45; 95% CI, 1.11-5.41).
CONCLUSION
In children with acute bronchiolitis who visit EDs, those having younger age, longer fever duration, respiratory distress or radiographic lesion may need hospitalization.

Keyword

Bronchiolitis; Emergency Medicine; Hospitalization; Infant, Premature; Pediatrics

MeSH Terms

Bronchiolitis*
Child*
Emergencies*
Emergency Medicine
Emergency Service, Hospital*
Fever
Hospitalization*
Humans
Infant
Infant, Newborn
Infant, Premature
Medical Records
Pediatrics
Premature Birth
Respiratory Rate
Thorax