Validation of an acute bronchiolitis severity scale

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

doi:10.1016/j.anpede.2013.06.001

Cited by 9 publications

(9 citation statements)

References 7 publications

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“…Due to the fact that the most recent systematic review of clinical scores for the assessment of acute dyspnea in children that present with wheezing concluded that instead of developing new scores, it would more useful to validate existing dyspnea scores in a more comprehensive and proper way[3], and that new studies with a more rigorous evaluation of the instrument’s measurement properties have been reported since then [8–10], the present review will allow busy clinicians and researchers to make a well-balanced and up-to-date decision with respect to which bronchiolitis severity scoring instrument will be most suitable for their specific purposes. This decision is particularly important when treating a patient with bronchiolitis, because it is a very common disease with few proven effective therapeutic options.…”

Section: Discussionmentioning

confidence: 99%

“…Identifying the correct and optimal measurement instrument for evaluating the severity of bronchiolitis probably will ultimately contribute to good clinical management and to the recognition of optimal outcomes in clinical trials. However, although there are previous reports of such reviews, the most recent search for these reviews was conducted almost five years ago [3], and new instruments with a more rigorous evaluation of their measurement properties have been reported after their publication [8–10]. Additionally, although these reviews have provided valuable data on the available instruments for assessing the severity of bronchiolitis as well as their measurement properties, they haven’t provided specific recommendations for the busy clinician or for researchers on which could be the best instruments for use in clinical practice or which are those that make it worthwhile to perform additional validation studies.…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of instruments aimed at evaluating the severity of bronchiolitis

Rodríguez‐Martínez

Sossa-Briceño

Niño

2018

Paediatric Respiratory Reviews

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Summary Objective No recent studies have performed a systematic review of all available instruments aimed at evaluating the severity of bronchiolitis. The objective of the present study was to perform a systematic review of instruments aimed at evaluating the severity of bronchiolitis and to evaluate their measurement properties. Methods A systematic search of the literature was performed in order to identify studies in which an instrument for evaluating the severity of bronchiolitis was described. Instruments were evaluated based on their reliability, validity, utility, endorsement frequency, restrictions in range, comprehension, and lack of ambiguity. Results A total of 77 articles, describing a total of 32 different instruments were included in the review. The number of items included in the instruments ranged from 2 to 26. Upon analyzing their content, respiratory rate turned out to be the most frequently used item (in 26/32, 81.3% of the instruments), followed by wheezing (in 25/32, 78.1% of the instruments). In 18 (56.3%) instruments, there was a report of at least one of their measurement properties, mainly reliability and utility. Taking into consideration the information contained in the instruments, as well as their measurement properties, one was considered to be the best one available. Conclusions Among the 32 instruments aimed at evaluating the severity of bronchiolitis that were identified and systematically examined, one was considered to be the best one available. However, there is an urgent need to develop better instruments and to validate them in a more comprehensive and proper way.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systematic review of instruments aimed at evaluating the severity of bronchiolitis

Rodríguez‐Martínez

Sossa-Briceño

Niño

2018

Paediatric Respiratory Reviews

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“…Severity at admission was determined by means of a validated scale. 10 The scale consists of five cumulative discontinuous scoring items, with a maximum of 13 and a minimum of 0 points. The items included are wheezing, crackles, effort, inspiration/ expiration ratio, heart rate, and respiratory rate.…”

Section: Methodsmentioning

confidence: 99%

Procalcitonin-Guided Therapy for Reduction of Antibiotic Use in Patients with Bronchiolitis

Güven

Bayoğlu

Eker

2018

J Pediatr Infect Dis

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Objective Procalcitonin (PCT)-guided treatment could reduce antibiotic use in viral lower respiratory tract infections. We evaluated the impact of PCT-guided treatment on antibiotic use in patients hospitalized with bronchiolitis. Study Design A total of 100 patients aged 1 to 24 months old who were hospitalized with bronchiolitis were included in the study. Patients were randomized into two groups: PCT-guided group received an antibiotic treatment based on PCT levels and control group received an antibiotic treatment according to the physician decision. Results Antibiotic use on first day in the PCT-guided group (12%) was found to be statistically significantly lower than in the control group (80%) (p = 0.001; p < 0.05; relative risk [RR]: 29.33; 95% confidence interval [CI]: 9.77–88.03). On the third day, antibiotic use was statistically significantly lower in the PCT-guided group (16%) than in the control group (40%) (p = 0.014; p < 0.05; RR: 3.5; 95% CI: 1.36–9). Conclusion We suggested that PCT guidance will have important contributions to reduce antibiotic use in children with bronchiolitis. Particularly in countries with higher antibiotic prescription rates, this strategy may have implication for reducing the development of antibiotic resistance and side effects due to disturbance of microbiota.

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“…Finally, Ramos Fernández et al. created and validated an acute bronchiolitis severity scale and showed that this scale can be a reliable tool for measuring the severity of acute bronchiolitis . Taken together, these studies show that some scales have demonstrated their ability to detect clinically important changes over time and to measure different levels of bronchiolitis severity, making them useful tools for determining an objective method of response to bronchodilators.…”

Section: The 2006 Aap Bronchiolitis Guidelines Versus the 2014 Versionmentioning

confidence: 99%

Bronchodilators should be considered for all patients with acute bronchiolitis, but closely monitored for objectively measured clinical benefits

Rodríguez‐Martínez

Castro-Rodriguez

2015

Acta Paediatr

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Validation of an acute bronchiolitis severity scale

Cited by 9 publications

References 7 publications

Systematic review of instruments aimed at evaluating the severity of bronchiolitis

Systematic review of instruments aimed at evaluating the severity of bronchiolitis

Procalcitonin-Guided Therapy for Reduction of Antibiotic Use in Patients with Bronchiolitis

Bronchodilators should be considered for all patients with acute bronchiolitis, but closely monitored for objectively measured clinical benefits

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