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

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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.

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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
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Originals

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