| Prospective multicenter bronchiolitis study: predicting intensive care unit admissions. | |
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MedLine Citation:
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PMID: 18795902 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The authors sought to identify predictors of intensive care unit (ICU) admission among children hospitalized with bronchiolitis for > or =24 hours. METHODS: The authors conducted a prospective cohort study during two consecutive bronchiolitis seasons, 2004 through 2006, in 30 U.S. emergency departments (EDs). All included patients were aged <2 years and had a final diagnosis of bronchiolitis. Regular floor versus ICU admissions were compared. RESULTS: Of 1,456 enrolled patients, 533 (37%) were admitted to the regular floor and 50 (3%) to the ICU. Comparing floor and ICU admissions, multivariate ED predictors of ICU admission were age <2 months (26% vs. 53%; odds ratio [OR] = 4.1; 95% confidence interval [CI] = 2.1 to 8.3), an ED visit the past week (25% vs. 40%; OR = 2.2; 95% CI = 1.1 to 4.4), moderate/severe retractions (31% vs. 48%; OR = 2.6; 95% CI = 1.3 to 5.2), and inadequate oral intake (31% vs. 53%; OR = 3.3; 95% CI = 1.6 to 7.1). Unlike previous studies, no association with male gender, socioeconomic factors, insurance status, breast-feeding, or parental asthma was found with ICU admission. CONCLUSIONS: In this prospective multicenter ED-based study of children admitted for bronchiolitis, four independent predictors of ICU admission were identified. The authors did not confirm many putative risk factors, but cannot rule out modest associations. |
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Authors:
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Dorothy Damore; Jonathan M Mansbach; Sunday Clark; Maria Ramundo; Carlos A Camargo |
Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't Date: 2008-09-15 |
Journal Detail:
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Title: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Volume: 15 ISSN: 1553-2712 ISO Abbreviation: Acad Emerg Med Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-10-14 Completed Date: 2008-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9418450 Medline TA: Acad Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 887-94 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, New York Presbyterian Hospital/Weill Cornell Medial Center, New York, NY, USA. djt2001@med.cornell.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Bronchiolitis / epidemiology, pathology* Chi-Square Distribution Female Humans Infant Infant, Newborn Intensive Care Units / statistics & numerical data* Length of Stay / statistics & numerical data Male Patient Admission / statistics & numerical data* Prospective Studies Regression Analysis Risk Factors United States / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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