Predictors of Outcome of Bronchiolitis in Children Using Children Hospital of Wisconsin Respiratory Score: An Experience of a Tertiary Care Hospital

Objective: To study the correlation of CHWR score and its various clinical markers with the length of stay in hospital bronchiolitis. Study Design: Cross-sectional analytical study. Place and Duration of Study: Department of Pediatrics Combined Military Hospital, Lahore Pakistan, from Nov 201...

Full description

Bibliographic Details
Main Authors: Saher Gul Ahdi, Tariq Nadeem, Huma Farrukh, Furqan Saleem, Rafia Gul, Hina Khalid
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-02-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/4857
_version_ 1797856270117502976
author Saher Gul Ahdi
Tariq Nadeem
Huma Farrukh
Furqan Saleem
Rafia Gul
Hina Khalid
author_facet Saher Gul Ahdi
Tariq Nadeem
Huma Farrukh
Furqan Saleem
Rafia Gul
Hina Khalid
author_sort Saher Gul Ahdi
collection DOAJ
description Objective: To study the correlation of CHWR score and its various clinical markers with the length of stay in hospital bronchiolitis. Study Design: Cross-sectional analytical study. Place and Duration of Study: Department of Pediatrics Combined Military Hospital, Lahore Pakistan, from Nov 2018 to Apr 2019. Methodology: This study included children aged 2 to 24 months, clinically diagnosed with bronchiolitis. The Receiver Operator Characteristic (ROC) was used to determine the discriminative validity of the CHWR score in predicting the length of stay. Results: One hundred thirty-eight children of either gender were enrolled in the study. The median age of the study population was 10.8 (9) months. ROC curve showed significant discriminate validity of CHWR score and its component criterion on admission. CHWR score of >10.5 predicted a longer stay (>24 hours) in ICU. Pearson correlation showed a statistically significant positive correlation between CHWR score at admission and length of stay (r=0.831, p=<0.001). Conclusion: CHWR scoring system on admission is an easy, safe and effective way to classify bronchiolitis severity and thus help predict the length of stay.
first_indexed 2024-04-09T20:37:42Z
format Article
id doaj.art-38d8c137208f4591aea0762842d9c6e1
institution Directory Open Access Journal
issn 0030-9648
2411-8842
language English
last_indexed 2024-04-09T20:37:42Z
publishDate 2023-02-01
publisher Army Medical College Rawalpindi
record_format Article
series Pakistan Armed Forces Medical Journal
spelling doaj.art-38d8c137208f4591aea0762842d9c6e12023-03-30T06:25:05ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-02-0173110.51253/pafmj.v73i1.4857Predictors of Outcome of Bronchiolitis in Children Using Children Hospital of Wisconsin Respiratory Score: An Experience of a Tertiary Care HospitalSaher Gul Ahdi0Tariq Nadeem1Huma Farrukh2Furqan Saleem3Rafia Gul4Hina Khalid5Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital, Lahore/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital, Lahore/National University of Medical Sciences (NUMS) PakistanFatima Memorial Hospital, Lahore PakistanFatima Memorial Hospital, Lahore PakistanCombined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan Objective: To study the correlation of CHWR score and its various clinical markers with the length of stay in hospital bronchiolitis. Study Design: Cross-sectional analytical study. Place and Duration of Study: Department of Pediatrics Combined Military Hospital, Lahore Pakistan, from Nov 2018 to Apr 2019. Methodology: This study included children aged 2 to 24 months, clinically diagnosed with bronchiolitis. The Receiver Operator Characteristic (ROC) was used to determine the discriminative validity of the CHWR score in predicting the length of stay. Results: One hundred thirty-eight children of either gender were enrolled in the study. The median age of the study population was 10.8 (9) months. ROC curve showed significant discriminate validity of CHWR score and its component criterion on admission. CHWR score of >10.5 predicted a longer stay (>24 hours) in ICU. Pearson correlation showed a statistically significant positive correlation between CHWR score at admission and length of stay (r=0.831, p=<0.001). Conclusion: CHWR scoring system on admission is an easy, safe and effective way to classify bronchiolitis severity and thus help predict the length of stay. https://www.pafmj.org/index.php/PAFMJ/article/view/4857BronchioilitisChildren's hospital of wisconsin respiratory score (CHWRS)Length of stay
spellingShingle Saher Gul Ahdi
Tariq Nadeem
Huma Farrukh
Furqan Saleem
Rafia Gul
Hina Khalid
Predictors of Outcome of Bronchiolitis in Children Using Children Hospital of Wisconsin Respiratory Score: An Experience of a Tertiary Care Hospital
Pakistan Armed Forces Medical Journal
Bronchioilitis
Children's hospital of wisconsin respiratory score (CHWRS)
Length of stay
title Predictors of Outcome of Bronchiolitis in Children Using Children Hospital of Wisconsin Respiratory Score: An Experience of a Tertiary Care Hospital
title_full Predictors of Outcome of Bronchiolitis in Children Using Children Hospital of Wisconsin Respiratory Score: An Experience of a Tertiary Care Hospital
title_fullStr Predictors of Outcome of Bronchiolitis in Children Using Children Hospital of Wisconsin Respiratory Score: An Experience of a Tertiary Care Hospital
title_full_unstemmed Predictors of Outcome of Bronchiolitis in Children Using Children Hospital of Wisconsin Respiratory Score: An Experience of a Tertiary Care Hospital
title_short Predictors of Outcome of Bronchiolitis in Children Using Children Hospital of Wisconsin Respiratory Score: An Experience of a Tertiary Care Hospital
title_sort predictors of outcome of bronchiolitis in children using children hospital of wisconsin respiratory score an experience of a tertiary care hospital
topic Bronchioilitis
Children's hospital of wisconsin respiratory score (CHWRS)
Length of stay
url https://www.pafmj.org/index.php/PAFMJ/article/view/4857
work_keys_str_mv AT sahergulahdi predictorsofoutcomeofbronchiolitisinchildrenusingchildrenhospitalofwisconsinrespiratoryscoreanexperienceofatertiarycarehospital
AT tariqnadeem predictorsofoutcomeofbronchiolitisinchildrenusingchildrenhospitalofwisconsinrespiratoryscoreanexperienceofatertiarycarehospital
AT humafarrukh predictorsofoutcomeofbronchiolitisinchildrenusingchildrenhospitalofwisconsinrespiratoryscoreanexperienceofatertiarycarehospital
AT furqansaleem predictorsofoutcomeofbronchiolitisinchildrenusingchildrenhospitalofwisconsinrespiratoryscoreanexperienceofatertiarycarehospital
AT rafiagul predictorsofoutcomeofbronchiolitisinchildrenusingchildrenhospitalofwisconsinrespiratoryscoreanexperienceofatertiarycarehospital
AT hinakhalid predictorsofoutcomeofbronchiolitisinchildrenusingchildrenhospitalofwisconsinrespiratoryscoreanexperienceofatertiarycarehospital