Evidence map›Paper›PMID 41867162›Full record

Observational studyNursing in critical care2026

Clinical Interventions During Inter-hospital Transfer of Infants With Moderate-to-Severe Bronchiolitis: Implications for Advanced Nursing Practice.

Arthur Gaudaire, Christophe Milesi, Alexia Morel, Julien Baleine, Maliha Badr, Alexandra Deveze, Sylvain Paulhac, Marion Palpacuer, Gilles Cambonie, Arthur Gavotto

Abstract readObservational Study
In one paragraph

Observational study in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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

10 authors.

Arthur GaudaireDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.ORCID https://orcid.org/0009-0002-8582-5951
Christophe MilesiDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.ORCID https://orcid.org/0000-0001-7714-5054
Alexia MorelDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.
Julien BaleineDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.ORCID https://orcid.org/0000-0001-6514-0571
Maliha BadrDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.
Alexandra DevezeDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.
Sylvain PaulhacDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.
Marion PalpacuerDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.
Gilles CambonieDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.ORCID https://orcid.org/0000-0002-1360-7915
Arthur GavottoDepartment of Neonatal Medicine, Paediatric Intensive Care and Paediatric Emergency Transport Service, Arnaud de Villeneuve Hospital, Montpellier University Hospital Centre, University of Montpellier, Montpellier, France.ORCID https://orcid.org/0000-0001-6485-7634

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBronchiolitis is a leading cause of hospitalisation and paediatric intensive care admissions in infants. Moderate-to-severe cases often require inter-hospital transfer for respiratory support, usually organised by specialised paediatric emergency transport services (PETS). The optimal composition of transport teams, whether nurse-led or medicalised, remains uncertain.

aimTo identify predictive factors available during the regulation call that can help determine when an inter-hospital transfer of infants with moderate-to-severe bronchiolitis can be safely conducted by a nurse-led team without a paediatrician, by predicting the need for clinical intervention during transport. STUDY

designA retrospective observational study was conducted from 2021 to 2023 within the PETS of a French University Hospital. Infants under 2 years transferred for moderate-to-severe bronchiolitis were included. The primary outcome was the occurrence of a clinical intervention during transport, defined as any event requiring physician-level management: apnoea requiring manual ventilation, fluid bolus, initiation of two-level non-invasive ventilation or endotracheal intubation. Clinical and paraclinical parameters available at the regulation call-particularly ventilatory support mode, FiO

resultsAmong 167 included infants (mean age 157 ± 169 days; weight 5.9 ± 2.7 kg), 20 (12%) required a clinical intervention. Higher FiO

conclusionsMost inter-hospital transfers of infants with moderate-to-severe bronchiolitis can be safely undertaken by nurse-led teams when predefined respiratory or blood gas thresholds are not exceeded. RELEVANCE TO CLINICAL PRACTICE: This study provides objective criteria to guide decision-making regarding team composition during the regulation of inter-hospital transfers for infants with moderate-to-severe bronchiolitis. FiO

Indexed as

Advanced Practice NursingBronchiolitisPatient TransferFemaleFranceHumansInfantInfant, NewbornMaleRetrospective StudiesSeverity of Illness Indexbronchiolitisclinical decision‐makinginter‐hospital transportnurse‐led teamPaediatric critical care nursingrespiratory support

Identifiers

PMID41867162
PMCPMC13006931

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.