Evidence map›Paper›PMID 39421108›Full record

ArticleCureus2024

Modified Tal Score as a Predictor of Outcome in Bronchiolitis: A Cross-Sectional Study in Nepal.

Madan Kumar Timalsena, Baburam Pandey, Milan Dhungana, Gurbi Khanal, Dinesh Neupane, Bibek Parajuli, Ritika Shrestha

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Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Madan Kumar TimalsenaPediatrics, Kist Medical College, Lalitpur, NPL.
Baburam PandeyPediatrics, Kist Medical College, Lalitpur, NPL.
Milan DhunganaPediatrics, Universal College of Medical Sciences, Bhairahawa, NPL.
Gurbi KhanalPediatrics, Chitwan Medical College, Bharatpur, NPL.
Dinesh NeupanePediatrics, Universal College of Medical Sciences, Bhairahawa, NPL.
Bibek ParajuliInternal Medicine, Gandaki Medical College, Pokhara, NPL.
Ritika ShresthaInternal Medicine, Universal College of Medical Sciences, Bhairahawa, NPL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Bronchiolitis is a leading cause of respiratory distress and hospitalizations among infants and young children worldwide. Despite its prevalence, predicting the severity and outcomes of bronchiolitis remains challenging. Standardized criteria for severity assessment are essential for improving patient care and resource allocation. The modified Tal score is a reliable tool for assessing the severity of bronchiolitis. This study examines the relationship between the modified Tal score at presentation and key clinical outcomes in children with bronchiolitis. Methods This cross-sectional study classified children with bronchiolitis into mild, moderate, and severe groups using the modified Tal score at presentation. Patients were followed to record the length of hospital stay, duration of oxygen therapy, and the need for pediatric intensive care unit (PICU) or escalated care. Results Of the 121 children analyzed, the majority (71.9%) were aged three to 11 months, with a mean age of 9.09 months, and 73.6% were male. Oxygen supplementation was required by 60.3% of participants, 10.7% needed PICU admission, and 2.5% required escalated care. The mean duration of oxygen therapy was significantly longer in the severe group compared to the mild and moderate groups (p<0.001). Hospital stays also increased with severity (p<0.001). Linear regression showed that each unit increase in the modified Tal score resulted in a 0.746-day rise in hospital stay, a 10.19-hour increase in oxygen requirement, and a 0.35-day increase in PICU stay (all p<0.001). The score accounted for 66.1% of the variability in hospital stay, 63.0% in oxygen requirement, and 53.3% in PICU stay, but only 9.5% in escalated care. Conclusion A higher modified Tal score at admission was associated with prolonged hospitalization, increased oxygen requirement duration, and greater need for PICU admission in bronchiolitis. However, the modified Tal score was not a strong determinant of the requirement for escalated care.

Indexed as

bronchiolitisescalated carelength of hospital staymodified tal scorepicu admission

Identifiers

PMID39421108
PMCPMC11484886

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