PMID: 9535251Apr 16, 1998Paper

Sepsis evaluations in hospitalized infants with bronchiolitis

The Pediatric Infectious Disease Journal
J A AntonowCarrie L Byington

Abstract

To define variation in the decision to perform a sepsis evaluation in hospitalized infants with bronchiolitis, to define predictors of the decision and to measure the clinical and cost outcomes. Retrospective chart review of all nonintensive care unit infants < or = 60 days with any discharge diagnosis of bronchiolitis (n = 282 from 1993 to 1995 in a 232-bed pediatric hospital. Process variables included temperature at sepsis work-up or Tmax if no sepsis workup. Outcome variables were charges, length of stay, sepsis workup and serious bacterial infection. There was no difference in mean temperature between groups with or without sepsis evaluation (38.1 degrees C, P = 0.75). Of 282 infants 140 had a sepsis workup; 5 (1.8%) had serious bacterial infection. Infants with sepsis workup had an average total charge of $4507 and length of stay of 3.4 days compared with $2998 and 2.8 days for those without (P = 0.0001 and P = 0.002, respectively). A multivariate logistic regression model was constructed with sepsis workup as the dichotomous dependent variable. Significant (P < or = 0.05) predictor variables with a positive coefficient were: higher bronchiolitis score and normal chest roentgenogram. Significant variables with a negative ...Continue Reading

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Citations

Nov 5, 1998·The Pediatric Infectious Disease Journal·N Kuppermann
Aug 21, 2002·Pediatric Emergency Care·Daniel J IsaacmanSuzanne Schuh
Dec 23, 2003·The Pediatric Infectious Disease Journal·Elliot Melendez, Marvin B Harper
Oct 28, 2003·Pediatric Emergency Care·Pinar Oray-SchromYaw Amoateng-Adjepong
Nov 17, 2009·The Pediatric Infectious Disease Journal·Jeffrey M BenderCarrie L Byington
Nov 2, 2012·Pediatric Emergency Care·Shabana YusufAderonke O Adekunle-Ojo
Jan 26, 2007·BMC Pediatrics·W James KingDavid Moher
Sep 7, 2011·Italian Journal of Pediatrics·Soumya PatraJagdish Chandra
Jul 25, 2003·Expert Opinion on Pharmacotherapy·Federico Martinón-Torres
Jun 21, 2011·Clinical Pediatrics·Havatzelet Yarden-BilavskyEfraim Bilavsky
Dec 19, 2007·Pediatric Pulmonology·Martin C J KneyberUNKNOWN Dutch Antibiotics in RSV Trial (DART) Research Group
Oct 3, 2009·Pediatrics in Review·Tamara Wagner
Apr 4, 2015·Pediatric Emergency Care·Marsha A Elkhunovich, Vincent J Wang
Jan 10, 2020·Hospital Pediatrics·Timothy M KloudaJeffrey P Yaeger
Dec 23, 1999·The Pediatric Infectious Disease Journal·N Le SauxC Pitters
Sep 29, 2015·Pediatric Emergency Care·Aaron S MillerRana E El Feghaly
Aug 26, 2019·BMC Pulmonary Medicine·Danilo BuonsensoPiero Valentini
Jul 16, 2015·Paediatrics & Child Health·Mohamed A HendausPrem Chandra
Nov 21, 2002·The Pediatric Infectious Disease Journal·Carrie L ByingtonLawrence Corey
Oct 16, 2014·Deutsches Ärzteblatt International·Jens Christian KrausePhilipp Henneke
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Apr 11, 2012·Emergency Medicine Clinics of North America·Joseph Choi, Gary L Lee

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