Factors associated with hospitalization via emergency department in children with acute bronchiolitis
- Author:
Tak Keun LEE
1
;
Yeon Young KYONG
;
Seon Hee WOO
;
Jung Taek PARK
;
Young Min OH
;
Hyun Ho JUNG
;
Se Min CHOI
Author Information
- Publication Type:Original Article
- Keywords: Bronchiolitis; Emergency Medicine; Hospitalization; Infant, Premature; Pediatrics
- MeSH: Bronchiolitis; Child; Emergencies; Emergency Medicine; Emergency Service, Hospital; Fever; Hospitalization; Humans; Infant; Infant, Newborn; Infant, Premature; Medical Records; Pediatrics; Premature Birth; Respiratory Rate; Thorax
- From:Pediatric Emergency Medicine Journal 2018;5(2):49-53
- CountryRepublic of Korea
- Language:Korean
- 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.
