Validación de una escala clínica de severidad de la bronquiolitis aguda

Fernández, J.M. Ramos; Martínez, Ana Almansa; Zavala, Rocío Galindo; Cardona, Alberto

doi:10.1016/j.anpedi.2013.06.020

Cited by 25 publications

(12 citation statements)

References 10 publications

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“…We used acute bronchiolitis severity score (Table 1) given by Fernández et al, to measure the severity of bronchiolitis in this patient objectively. 7 This score was observed every 4 hourly in the control group and in study group score was observed before performing nasal suction and after the nasal suction. The patients were monitored and followed till the time they fulfilled the criteria for discharge which are as follows:…”

Section: Methodsmentioning

confidence: 99%

Effect of nasal suction on reliving feeding difficulty in children affected with bronchiolitis

Joshi

Parihar

Singh

2019

Int J Contemp Pediatr

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Background: Bronchiolitis is the most common disease of the lower respiratory tract during the first year of life. Although bronchiolitis is a prevalent illness in India, very few studies are performed in India regarding management of bronchiolitis. Supportive care is the mainstay of treatment concentrating on fluid replacement and gentle suctioning of nasal secretions, oxygen therapy, and respiratory support if necessary. Infants affected with bronchiolitis also have feeding difficulty which will lead to dehydration and also increase the severity of disease.Methods: A prospective randomized control study was performed in the department of Pediatrics SSMC Rewa. Nasal suction was performed in 75 patients classified under the case group. Feeding difficulty was assessed before and after the suction for 24 hours.Results: We noted that after the first episode of nasal suction which is at 0th hour feeding difficulty was persisted in most of the patients. The p-value was 0.1148 which is not significant. But from 4th hour till the 16th hour the difficulty in feeding decreased after the nasal suction, and by Chi-square test this improvement was statistically. From 20th hour difficulty in feeding still improved after nasal suction but this change was not statistically significant.Conclusions: Nasal suction is an effective supportive treatment in the patients with bronchiolitis and by its use it improves the feeding in the infants suffering from bronchiolitis.

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Section: Methodsmentioning

confidence: 99%

Effect of nasal suction on reliving feeding difficulty in children affected with bronchiolitis

Joshi

Parihar

Singh

2019

Int J Contemp Pediatr

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“…[7][8][9] On its side, acute obstructive bronchitis is characterized by acute bronchial obstruction and wheezing and, sometimes, crackles and rhonchi that mostly affect children younger than 3 years. 7 Different clinical scoring scales [10][11][12][13] have been designed to determine the severity of bronchial obstruction in these diseases. In Chile, the Ministry of Health has recommended the modified Tal score, which was obtained from the…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the modified Tal score in Chilean children. A multicenter study

2019

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Introduction: In pediatrics, it is decisive to assess the severity of bronchial obstruction; to this end, different clinical scoring scales have been developed, including the modified Tal score. The objective of this study was to determine its validity and reliability in children seen at two emergency departments of Concepción, Chile. Population and methods: Prospective, cohort study. Children younger than 36 months old diagnosed with bronchitis and/or bronchiolitis during the winter and spring months of 2015 were included. Concurrent criterion validity was determined based on the correlation between the score and oxygen saturation, as a reference standard. Predictive validity was assessed based on the association between the score and the probability of a new visit to the emergency department in the following 7 days. The area under the ROC curve was estimated. Reliability between kinesiologists and physicians was established based on the intraclass correlation coefficient (ICC). A p value < 0.05 was considered statistically significant. Results: A total of 102 children were assessed; a weak correlation between the score and oxygen saturation was observed among kinesiologists (Rho =-0.41). An association was observed between the score and the probability of a new visit to the emergency department. The area under the curve measured by both health care providers was > 0.80. Inter-observer reliability between physicians and kinesiologists showed a weak correlation (ICC = 0.17). Conclusions: The modified Tal score shows an adequate predictive validity, but a poor validity when correlated to oxygen saturation, and a weak inter-observer reliability.

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“…Por este motivo, se han desarrollado diversas escalas de puntuación clínica, construidas considerando distintos dominios representativos de los signos y síntomas que caracterizan estas patologías y dan origen al constructo GOB. 7 Entre estas, se encuentran la escala de gravedad de bronquiolitis aguda, 8 15 Las propiedades de estas deben considerar íntegramente el constructo GOB y presentar asociación entre el resultado de la medición y la GOB, lo cual permite categorizar a los individuos y direccionar las estrategias terapéuticas. 16 D i v e r s o s e s t u d i o s h a n e v a l u a d o l a s propiedades psicométricas de las escalas de GOB y mostraron resultados discrepantes en cuanto a su validez y confiabilidad.…”

Section: Introductionunclassified

Propiedades psicométricas de las escalas de gravedad de obstrucción bronquial en pediatría. Revisión sistemática y metaanálisis

et al. 2017

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Validación de una escala clínica de severidad de la bronquiolitis aguda

Cited by 25 publications

References 10 publications

Effect of nasal suction on reliving feeding difficulty in children affected with bronchiolitis

Effect of nasal suction on reliving feeding difficulty in children affected with bronchiolitis

Validity and reliability of the modified Tal score in Chilean children. A multicenter study

Propiedades psicométricas de las escalas de gravedad de obstrucción bronquial en pediatría. Revisión sistemática y metaanálisis

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