- Low oxygen saturation, nasal flaring, and retractions are among several strong predictors of admission plus airway support among infants with bronchiolitis in emergency department (ED).
- Prospective validation of risk score is needed.
Why this matters
- Early ED risk stratification is difficult in this population.
- Previous studies of infant bronchiolitis did not focus on ED.
- 261 (9.6%) infants received escalated care.
- On multivariate analysis, significant predictors of escalated care were:
- Oxygen saturation upon triage
- Nasal flaring and/or grunting (OR, 3.76; P<.0001>
- Retractions (OR, 3.02; P=.0007);
- Apnea (OR, 3.01; P<.0001>
- Dehydration (OR, 2.13; P=.0007);
- Age ≤2 months (OR, 2.10; P<.0001>
- Poor feeding (OR, 1.85; P=.0015).
- Planned secondary analysis of retrospective multinational cohort study through Pediatric Emergency Research Networks.
- Participants were 2722 infants aged
- Primary outcome: escalated care, defined as hospitalization plus high-flow nasal cannula, noninvasive or invasive ventilation, or intensive care.
- Funding: None.
- Some present variables may have gone undocumented in chart.
- Infants with comorbidities excluded.