Abdulkader et al identified factors predictive of hospital admission for a pediatric patient with Cyclic Vomiting Syndrome. The authors are from Nationwide Children's Hospital and the Ohio State University in Columbus, Ohio.
Patient selection: pediatric patient with cyclic vomiting syndrome
Predictors for hospitalization:
(1) male sex (OR 4)
(2) younger age (mean age for hospitalized patients was 9.6 years vs 12.2 for those not admitted)
(3) presentation to the ED > 24 hours after onset (odds ratio 11.8)
(4) longer waiting time in the ED prior to starting antiemetic therapy (OR 1.7; 2.9 hours for those admitted vs 2.1 for those not admitted)
The risk of hospitalization increases with number of risk factors present.
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