Franklin et al reported a simple score for predicting intensive care for an infant with bronchiolitis. This can help to identify an infant that requires more aggressive management. The authors are from multiple institutions in Australia and New Zealand.
Patient selection: infant with bronchiolitis
Parameters:
(1) number of days since onset
(2) SpO2 in percent on admission
(3) history of previous PICU admission
(4) heart rate in beats per minute
(5) age in months
Parameter
Finding
Points
number of days since onset
<= 4 days
1
> 4 days
0
SpO2 on admission
> 87%
0
<= 87%
2
previous PICU admission
no
0
yes
1
heart rate
<= 160 beats per minute
0
> 160 beats per minute
1
age in months
< 2 months
2
>= 2 months
0
total score =
= SUM(points for all of the parameers)
Interpretation:
• minimum score: 0
• maximum score: 7
Total Score
PICU Admission
0
2%
1
5%
2
8%
3
14%
4
16%
>=5
29%
Performance:
• The area under the ROC curve was 0.69.
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