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KMID : 1035620130010040377
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Allergy Asthma & Respiratory Disease
2013 Volume.1 No. 4 p.377 ~ p.382
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Association between the clinical index and disease severity in infants with acute bronchiolitis
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Kim Kyung-Hoon
Hwang Jin-Sol
Song Jun-Hyuk
Lee Yun-Sik
Kwon Ji-Won
Suh Dong-In
Park June-Dong
Koh Young-Yull
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Abstract
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Purpose: We aimed to verify whether the formal clinical index derived from infants and toddlers have a good association with the disease severity when we confine subjects to only infants, who undergo profound changes physically and immunologically.
Methods: We retrospectively reviewed the medical records of hospitalized infants with acute bronchiolitis caused by respiratory syncytial virus between January 1, 2010 and December 31, 2011 in three hospitals. The age, respiratory rate, presentation of chest retraction, and percutaneous oxygen saturation upon admission; presentation of fever, use of oxygen therapy and inhaled corticosteroid within 24 hours after admission were investigated. We then examined the effect of clinical index on severity of acute bronchiolitis; the mean length of stay, mean duration of fever and oxygen therapy.
Results: A total of 172 infants were studied. The mean length of stay was longer in patients younger than 3 months (P=0.015), in those with fever (P=0.028) and chest retraction (P=0.014), and in those who needed oxygen supplement (P=0.000). In the patients with fever, the mean duration of fever was longer in those who needed the oxygen supplement than those who did not (P=0.046).
Conclusion: Younger than 3 months of age, chest retraction upon admission; fever, need of oxygen supplement within 24 hours after admission may predict the severe course of infants with acute bronchiolitis.
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KEYWORD
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Acute bronchiolitis, Clinical index, Infant, Respiratory syncytial virus
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