ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2010
Prospective multicenter study of bronchiolitis: predictors of an unscheduled visit after discharge from the emergency department.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Nasal Suctioning Therapy Among Infants With Bronchiolitis Discharged Home From the Emergency Department: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Article
- Stakeholder Perspectives on Hospitalization Decisions and Shared Decision-Making in Bronchiolitis.Hospital pediatrics · 2022Article
- Article
- Frequency, Timing, Risk Factors, and Outcomes of Desaturation in Infants With Acute Bronchiolitis and Initially Normal Oxygen Saturation.JAMA network open · 2020Article
- Appropriateness of Hospital Admission for Emergency Department Patients with Bronchiolitis: Secondary Analysis.JMIR medical informatics · 2018Article
- Observational
- Implementing an Oxygen Supplementation and Monitoring Protocol on Inpatient Pediatric Bronchiolitis: An Exercise in Deimplementation.International journal of pediatrics · 2017Article
- Unplanned reattendances at the paediatric emergency department within 72 hours: a one-year experience in KKH.Singapore medical journal · 2016Article
- Predicting Appropriate Admission of Bronchiolitis Patients in the Emergency Department: Rationale and Methods.JMIR research protocols · 2016Article
- Olfactomedin 4 Serves as a Marker for Disease Severity in Pediatric Respiratory Syncytial Virus (RSV) Infection.PloS one · 2015Article
- Virologic testing in bronchiolitis: does it change management decisions and predict outcomes?European journal of pediatrics · 2014Observational
- Multicenter study of viral etiology and relapse in hospitalized children with bronchiolitis.The Pediatric infectious disease journal · 2014Article
- CD4+ T-cell counts and interleukin-8 and CCL-5 plasma concentrations discriminate disease severity in children with RSV infection.Pediatric research · 2013Article
- Use of MMP-8 and MMP-9 to assess disease severity in children with viral lower respiratory tract infections.Journal of medical virology · 2012Article
- Common pediatric respiratory emergencies.Emergency medicine clinics of North America · 2012Review
- Article
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Authors and funding
5 authors.
Funding
Abstract
objectivesThere is little evidence about which children with bronchiolitis will have worsened disease after discharge from the emergency department (ED). The objective of this study was to determine predictors of post-ED unscheduled visits.
methodsThe authors conducted a prospective cohort study of patients discharged from 2004 to 2006 at 30 EDs in 15 U.S. states. Inclusion criteria were diagnosis of bronchiolitis, age <2 years, and discharge home; the exclusion criterion was previous enrollment. Unscheduled visits were defined as urgent visits to an ED/clinic for worsened bronchiolitis within 2 weeks.
resultsOf 722 patients eligible for the current analysis, 717 (99%) had unscheduled visit data, of whom 121 (17%; 95% confidence interval [CI] = 14% to 20%) had unscheduled visits. Unscheduled visits were more likely for children age <2 months (11% vs. 6%; p = 0.04), males (70% vs. 57%; p = 0.007), and those with history of hospitalization (27% vs. 18%; p = 0.01). The two groups were similar in other demographic and clinical factors (all p > 0.10). Using multivariable logistic regression, independent predictors of unscheduled visits were age <2 months, male, and history of hospitalization.
conclusionsIn this study of children age younger than 2 years with bronchiolitis, one of six children had unscheduled visits within 2 weeks of ED discharge. The three predictors of unscheduled visits were age under 2 months, male sex, and previous hospitalization.
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