Use of clinical scores for acute viral bronchiolitis as predictors for invasive ventilation and hospitalization time in Pediatric Intensive Care Unit
DOI:
https://doi.org/10.51723/hrj.v7i33.1105Keywords:
Acute viral bronchiolitis, Hospitalization time, Clinical scoresAbstract
Objective: to analyze the accuracy of two clinical scores, Wang Bronchiolitis Severity Score – WBSS and Kristjansson Respiratory Score – KRS, regarding the need for mechanical ventilation (MV) and prediction of hospitalization time in the Pediatric Intensive Care Unit (PICU). Methods: descriptive retrospective cohort study. Data from patients aged 29 days to 2 years old, hospitalized with Acute viral bronchiolitis (AVB) from January 2022 to May 2022 in the PICU of a tertiary hospital in Brasília, were used, respecting the inclusion and exclusion criteria for selection of the sample. Results: no statistically significant values were found in the correlation between the WBSS and KRS values and the use of IMV, nor was it found in the correlation of the scales with the average hospitalization time of children in the PICU. Conclusion: this study attempts to use emergency care scores for the first time to evaluate patients in the PICU. However, it was observed that they present low accuracy for this assessment.
References
De Rose DU, Caoci S, Auriti C, Maddaloni C, Capolupo I, Salvatori G et al. Lessons from SARS-CoV-2 Pandemics: How Restrictive Measures Impacted the Trend of Respiratory Infections in Neonates and Infants up to Three Months of Age. Pathogens. 2022;11(10). DOI: https://doi.org/10.3390/pathogens11101086
De Rose DU, Maddaloni C, Martini L, Braguglia A, Dotta A, Auriti C. Comparison of three clinical scoring tools for bronchiolitis to predict the need for respiratory support and length of stay in neonates and infants up to three months of age. Front Pediatr. 2023;11:1040354. DOI: https://doi.org/10.3389/fped.2023.1040354
Pereira EQ, Santos M, Uchimura TT, Menezes E. Temporal-spatial analysis of hospitalizations for bronchiolitis in Brazil: prediction of epidemic regions and periods for immunization against the Respiratory Syncytial Virus. Rev Paul Pediatr. 2023;41:e2021304. DOI: https://doi.org/10.1590/1984-0462/2023/41/2021304
Caballero MT, Polack FP, Stein RT. Viral bronchiolitis in young infants: new perspectives for management and treatment. J Pediatr (Rio J). 2017;93 Suppl 1:75-83. DOI: https://doi.org/10.1016/j.jped.2017.07.003
Wang EE, Milner RA, Navas L, Maj H. Observer agreement for respiratory signs and oximetry in infants hospitalized with lower respiratory infections. Am Rev Respir Dis. 1992;145(1):106-9. DOI: https://doi.org/10.1164/ajrccm/145.1.106
Pinto FR, Correia-Costa L, Azevedo I. Comparison of Kristjansson Respiratory Score and Wang Respiratory Score in infants with bronchiolitis in a hospital emergency department. Hong Kong Physiother J. 2020;40(2):145-53. DOI: https://doi.org/10.1142/S1013702520500146
Scotta MC, Stein RT. Current strategies and perspectives for active and passive immunization against Respiratory Syncytial Virus in childhood. J Pediatr (Rio J). 2023;99 Suppl 1(Suppl 1):S4-s11. DOI: https://doi.org/10.1016/j.jped.2022.10.004
Mount MC, Ji X, Kattan MW, Slain KN, Clayton JA, Rotta AT et al. Derivation and Validation of the Critical Bronchiolitis Score for the PICU. Pediatr Crit Care Med. 2022;23(1):e45-e54. DOI: https://doi.org/10.1097/PCC.0000000000002808
Pollack MM, Holubkov R, Funai T, Dean JM, Berger JT, Wessel DL et al. The Pediatric Risk of Mortality Score: Update 2015. Pediatr Crit Care Med. 2016;17(1):2-9. DOI: https://doi.org/10.1097/PCC.0000000000000558
Ralston SL, Lieberthal AS, Meissner HC, Alverson BK, Baley JE, Gadomski AM et al. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics. 2014;134(5):e1474-502. DOI: https://doi.org/10.1542/peds.2014-2742
Kristjánsson S, Lødrup Carlsen KC, Wennergren G, Strannegård IL, Carlsen KH. Nebulised racemic adrenaline in the treatment of acute bronchiolitis in infants and toddlers. Arch Dis Child. 1993;69(6):650-4. DOI: https://doi.org/10.1136/adc.69.6.650
Field A. Descobrindo a estatística usando o SPSS-5: Penso Editora; 2020.
Pediatria SBd. Diretrizes para o manejo da infecção causada pelo vírus sincicial respiratório (VSR). SBP Rio de Janeiro; 2011.
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. DOI: https://doi.org/10.3109/02770903.2013.834504
Ferres J. [Inhalation therapy in the newborn]. An Esp Pediatr. 1992;36 Suppl 49:160-3.
Granda E, Urbano M, Andrés P, Corchete M, Cano A, Velasco R. Comparison of severity scales for acute bronchiolitis in real clinical practice. Eur J Pediatr. 2023;182(4):1619-26. DOI: https://doi.org/10.1007/s00431-023-04840-5
da Fonseca JG, Sette AML, Oliveira ARF. Avaliação e manejo inicial da insuficiência respiratória aguda na criança. Rev Med Minas Gerais. 2013;23(2):196-203.
Burns DAR, Júnior DC, Silva LR, Borges WG, Blank D. Tratado de Pediatria: Sociedade Brasileira de Pediatria. Barueri, SP. 2017.
Martins MA, Viana MR, de Vasconcellos MC, Ferreira RA. Semiologia da criança e do adolescente: Medbook; 2020
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