What question did this study set out to answer?

To identify clinical markers associated with length of stay in infants with bronchiolitis and construct an early prediction model for prolonged hospitalization.

May 1, 2011Journal of Hospital Medicine

Factors predicting prolonged hospital stay for infants with bronchiolitis

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Authors

MWMichael WeisgerberMedical College of Wisconsin PLPatricia S. LyeMedical College of Wisconsin SLShun‐Hwa LiChildren's Hospital of Wisconsin

Discussion

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Implication

Retrospective cohort study demonstrates early clinical markers predict prolonged hospital stay in infants with bronchiolitis, highlighting opportunities for targeted interventions.

Key Points

To identify clinical markers associated with length of stay in infants with bronchiolitis and construct an early prediction model for prolonged hospitalization.
Retrospective cohort study of 272 infants under 365 days of age admitted with bronchiolitis to the Children's Hospital of Wisconsin between November 1, 2004, and April 15, 2005.
Evaluated hospital day 2 clinical markers, including oxygen therapy, respiratory status, suction frequency, and caloric intake.
Applied recursive partitioning analysis to develop decision-tree models classifying hospital stay as short versus prolonged (≥108 hours).
On hospital day 2, infants with prolonged hospital stays (≥108 hours) had significantly higher supplemental oxygen requirements, higher maximum respiratory rates, higher mean respiratory scores, more frequent suctioning, lower minimum oxygen saturation, and lower caloric intake.
A five-variable decision tree (hours of supplemental oxygen, maximum respiratory rate, minimum supplemental oxygen use, gestational age, and caloric intake) predicted prolonged stay with an area under the receiver-operator characteristic curve of 0.89 in learning trees and 0.72 in test trees, achieving 0.85 sensitivity and 0.82 specificity.

Cite This Study

Weisgerber et al. (2011) studied this question.

synapsesocial.com/papers/6a01654fb124fe58198666ca https://doi.org/10.1002/jhm.903

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May 1, 2011Journal of Hospital Medicine

Factors predicting prolonged hospital stay for infants with bronchiolitis

View Full Paper

Ask AI

Bookmark

Authors

MWMichael WeisgerberMedical College of Wisconsin PLPatricia S. LyeMedical College of Wisconsin SLShun‐Hwa LiChildren's Hospital of Wisconsin

Discussion

Member takes

Implication

Retrospective cohort study demonstrates early clinical markers predict prolonged hospital stay in infants with bronchiolitis, highlighting opportunities for targeted interventions.

Key Points

To identify clinical markers associated with length of stay in infants with bronchiolitis and construct an early prediction model for prolonged hospitalization.
Retrospective cohort study of 272 infants under 365 days of age admitted with bronchiolitis to the Children's Hospital of Wisconsin between November 1, 2004, and April 15, 2005.
Evaluated hospital day 2 clinical markers, including oxygen therapy, respiratory status, suction frequency, and caloric intake.
Applied recursive partitioning analysis to develop decision-tree models classifying hospital stay as short versus prolonged (≥108 hours).
On hospital day 2, infants with prolonged hospital stays (≥108 hours) had significantly higher supplemental oxygen requirements, higher maximum respiratory rates, higher mean respiratory scores, more frequent suctioning, lower minimum oxygen saturation, and lower caloric intake.
A five-variable decision tree (hours of supplemental oxygen, maximum respiratory rate, minimum supplemental oxygen use, gestational age, and caloric intake) predicted prolonged stay with an area under the receiver-operator characteristic curve of 0.89 in learning trees and 0.72 in test trees, achieving 0.85 sensitivity and 0.82 specificity.

Cite This Study

Weisgerber et al. (2011) studied this question.

synapsesocial.com/papers/6a01654fb124fe58198666ca https://doi.org/10.1002/jhm.903

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