Wood´s modified scale concordance with management location of patients with acute bronchiolitis

Main Article Content

Johanna Ramirez
Laura Jimena Hernández-Corredor
Jorge Luis Córdoba-Gravini
José Luis Junco-González

Abstract

Introduction: Modified Wood's clinical asthma severity scale (M-WCAS), a validated scale in Colombia, is a useful tool to measure severity in acute bronchiolitis. The scale could prevent interobserver variability, and support better patients' management location (ambulatory, hospitalization, intensive care unit). Objective: To estimate the concordance between the severity of acute bronchiolitis measured by M-WCAS, management location, and hospital stay days of patients with acute bronchiolitis in a pediatric referral center. Methods: In a retrospective concordance study, 364 medical records of patients with acute bronchiolitis were reviewed. Researchers calculated the M-WCAS score. Concordance was estimated between the scale score at admission, management location, and hospital stay days of patients who required in-hospital treatment. Results: We found a kappa index of -0.51 between clinical severity by M-WCAS scale and management location. A Lin concordance coefficient of 0.03 between M-WCAS score and hospital stay days. Conclusions: We found no correlation between the clinical severity of bronchiolitis measured by the M-WCAS scale with the patient´s management location. We identified a slight concordance between the M-WCAS score, and hospital stay days.

Downloads

Download data is not yet available.

Article Details

How to Cite
Ramirez, J., Hernández-Corredor, L. J., Córdoba-Gravini , J. L., & Junco-González, J. L. (2020). Wood´s modified scale concordance with management location of patients with acute bronchiolitis. Pediatría, 53(2), 42–48. https://doi.org/10.14295/rp.v53i2.182
Section
Originals

References

Piñero FJ, Alfayate MS, Menasalvas RA, et al. Características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis. AnPediatr. 2012; 77(6):391–6.

Ricci V, Delgado Nunes V, Murphy MS, Cunningham S. Bronchiolitis in children: summary of NICE guidance. Bmj. 2015; 350(14): 2305–2305.

Ralston S, Lieberthal A, Meissner H, et al. American Academy of Pediatrics. Clinical Practice Guideline: The Diagnosis,Management, and Prevention of Bronchiolitis. Pediatrics. 2014; 134:1474-1502.

Ministerio de salud y protección social. Guía de práctica clínica del ministerio de salud para la evaluación del riesgo y manejo inicial de la neumonía en niñas y niños menores de 5 años y bronquiolitis en niñas y niños menores de 2 años. 2014; 42:13-56.

Ricart S, Marcos M, Sarda M, Anton A, Muñoz-Almagro C, Pumarola T, et al. Clinical risk factors are more relevant than respiratory viruses inpredicting bronchiolitis severity. Pediatr Pulmonol. 2013; 48(5):456–63.

Riese J, McCulloh RJ, Koehn KL, Alverson BK. Demographic Factors Associated with Bronchiolitis Readmission. Hosp Pediatr. 2014; 4(3):147–52.

Yusuf S, Caviness AC, Adekunle-Ojo AO. Risk Factors for Admission in Children with Bronchiolitis From Pediatric Emergency Department Observation Unit. Pediatr Emerg Care. 2012; 28(11):1132–1135.

Corneli HM, Zorc JJ, Holubkov R, Bregstein JS, Brown KM, Mahajan P, et al. Bronchiolitis: clinical characteristics associated with hospitalization and length of stay. Pediatr Emerg Care. 2012; 28(2): 99–103.

García C, Bhore R, Soriano-Fallas A. Risk Factors for Admission in Children with Bronchiolitis From Pediatric Emergency Department Observation Unit. Pediatrics. 2010; 126(6):1132-1135.

Corneli HM, Zorc JJ, Holubkov R, Bregstein JS, Brown KM, Mahajan P, et al. Bronchiolitis: clinical characteristics associated with hospitalization and length of stay. Pediatr Emerg Care. 2012; 28(2):99–103.

Mallory M, Shay D, Garrett J, Bordley C. Bronchiolitis management preferences and the influence of pulse oximetry and respiratory rate on the decision to admit. Pediatrics. 2003; 111:45–51.

Ramos J, Cordón A, Galindo R, Urda A. Validación de una escala clínica de

severidad de la bronquiolitis aguda. AnPediatr, 2014; 81(1):3-8.

Bekhof J, Reimink P, Brand P. Systematic review: Insufficient validation of clinical scores for the assessment of acute dyspnoea in wheezing children. Pediatric Respiratory Reviews. 2014; 15: 98-112.

Luarte Martinez S, Rodriguez I, Astudillo P, Manterola C. Psychometric properties of scales used for grading the severity of bronchial obstruction in pediatrics: A systematic review and meta-analysis. Arch Argent Pediatr. 2017;115(3):241-248.

Rodriguez C, Sossa M, Nino G. Systematic review of instruments aimed at evaluating the severity of bronchiolitis. Paediatr Respir Rev. 2018; 25:43-57.

Duarte-Dorado DM, Madero-Orostegui DS, Rodriguez-Martinez CE, Nino G. Validation of a scale to assess the severity of bronchiolitis in a population of hospitalized infants. J. Asthma. 2013; 50(10):1056–61.

Carrasco J, Jover L. Métodos estadísticos para evaluar la concordancia. Med Clin. Elsevier; 2004;122(1):28–34.

Cerda J, Villaroel del P. Evaluación de la concordancia inter-observador en investigación pediátrica: Coeficiente de Kappa. Rev Chil Pediatr. 2008; 79 (1): 54-58.

McCallum G, Morris P, Wilson C, Versteegh L, Ward L, Chatfield M, et al. Severity scoring systems: are they internally valid, reliable and predictive of oxygen use in children with acute bronchiolitis? Pediatr Pulmonol. 2013; 48(8):797–803.

Rodríguez D, Rodríguez-Martínez C, Cárdenas A, Quilaguy I, Mayorga L, Falla L, et al. Predictors of severity and mortality in children hospitalized with respiratory syncytial virus infection in a tropical region. Pediatr Pulmonol. 2014; 49 (3): 269–76.

Hervás D, Reina J, Yanez A, Del Valle JM, Figuerola J, Hervás J, Epidemiology of hospitalization for acute bronchiolitis in children: Differences between RSV and non-RSV bronchiolitis. Eur J Clin Microbiol Infect Dis. 2012; 31(8):1975–81.

Sala K, Moore A, Desai S, Welch K, Bhandari S, Carroll C. Factors associated with disease severity in children with bronchiolitis. 2015; 52 (3):268-272.

Similar Articles

<< < 5 6 7 8 9 10 11 12 > >> 

You may also start an advanced similarity search for this article.