Hospital course and discharge criteria for children hospitalized with bronchiolitis.

ABSTRACT:

Background

For children hospitalized with bronchiolitis, there is uncertainty about the expected inpatient clinical course and when children are safe for discharge.

Objectives

Examine the time to clinical improvement, risk of clinical worsening after improvement, and develop discharge criteria.

Design

Prospective multiyear cohort study.

Setting

Sixteen US hospitals.

Participants

Consecutive hospitalized children age <2 years with bronchiolitis.

Measurement

We defined clinical improvement using: (1) retraction severity, (2) respiratory rate, (3) room air oxygen saturation, and (4) hydration status. After meeting improvement criteria, children were considered clinically worse based on the inverse of ≥1 of these criteria or need for intensive care.

SUBMITTER: Mansbach JM 

PROVIDER: S-EPMC4390446 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature