Bronchiolitis Score of Sant Joan de Déu: BROSJOD Score, validation and usefulness

Abstract

There is a high inter-rater reliability, showing the BROSJOD score to be reliable and valid, even when different observers apply it. Pediatr Pulmonol. 2017;52:533-539. © 2016 Wiley Periodicals, Inc.

Modified Tal Score: Validated score for prediction of bronchiolitis severity

“…In previous studies, bronchiolitis or asthma severity scores have been determined by nurses, respiratory therapists, or by two physicians . Balaguer et al recently attempted to validate the bronchiolitis score of Sant Joan De Deu when used by two physicians. However, the Sant Joan De Deu score is a complex scoring system comprising six parameters with stratification for different age groups, which is difficult for untrained physicians to use.…”

Benefits of the humidified low‐flow oxygen therapy in infants with mild–moderate bronchiolitis

“…Finally, to follow infants’ clinical evolution more accurately, we strongly recommend registering distress scores daily, because this measure seems to be a good predictor of clinical outcomes, as highlighted by Balaguer et al. ().…”

“…The Sant Joan de Déu Bronchiolitis Score (BROSJOD score) was originally developed in 1999 (Balaguer et al., ), and it was recently validated as a diagnostic severity tool in infants aged less than 2 years, mean age 52.5 days, admitted to Hospital Sant Joan de Déu with acute bronchiolitis (Emergency Department, ward, or PICU) (Balaguer et al., ). At admission, the BROSJOD showed good internal consistency (Cronbach's alpha .75 [95% CI: 0.71 to 0.82]), high inter‐rater reliability (Concordance Correlation Coefficient, CCC 0.96 [95% CI: 0.94 to 0.97]) and good discriminative validity (Volume Under Surface, VUS 0.80 [95% CI: 0.70 to 0.90]).…”

“…Severity score values ranged from 1–16. Higher scores indicate a more serious condition, with cases classified as mild crises (values 0–5), moderate crises (values 6–10) or severe crises (values 11–16) (Balaguer et al., ) (Table ).…”

Pediatric Pulmonology year in review 2017: Part 3

“…Acute viral bronchiolitis, particularly due to RSV or rhinovirus, is known to be associated with subsequent recurrent wheeze . Balaguer et al found the clinical severity score known as Bronchiolitis Score of Sant Joan de Déu (BROSJOD) to be a reliable indicator of disease severity for acute bronchiolitis between independent observers. Another scoring system, the modified Respiratory Index Score (RIS), was found to be a reasonable predictor of the need for hospital admission in a single‐center study in Singapore .…”