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

Affiliations
  • 1Department of Emergency Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. primebee@catholic.ac.kr
  • 2Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.

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
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