Results
A total of 665 cases were included and 85 infants received escalated
care. The variables included risk score for escalated care within 5 days
of admission to the emergency room including prematurity, poor feeding,
nasal flaring and/or grunting, and previous wheezing episodes requiring
hospitalization, The model has a high specificity (99.6%) with
acceptable AUC of 0.70 (CI 95% 0.60- 0.74).
Conclusion :
A clinical risk score was created based on the odds ratio of each of the
identified variables, which appears to be useful for estimating the
absolute risk of escalated care within 5 days of admission to the ED.
However, external validation is required before this clinical score is
applied in general practice in any ED setting.
Keywords: bronchiolitis, asthma, risk, prediction rule