Table 3.
Multivariable predictors of hospital length-of-stay ≥3 days among children with severe bronchiolitis associated with respiratory syncytial and/or human rhinovirus (n=1,866)
| Characteristics | Odds Ratio (95%CI) | P-value |
|---|---|---|
| Age in months | ||
| <1 month | 2.57 (1.73–3.82) | <0.001 |
| 1–1.9 | 1.75 (1.14–2.69) | 0.01 |
| 2–3.9 | 1.21 (0.89–1.66) | 0.22 |
| 4–5.9 | 1.37 (0.94–2.00) | 0.11 |
| 6–11.9 | 0.99 (0.69–1.43) | 0.95 |
| ≥12 | 1.00 (reference) | |
| Female | 1.12 (0.91–1.37) | 0.30 |
| Race | ||
| White | 1.00 (reference) | |
| Black | 0.79 (0.62–1.01) | 0.06 |
| Other or missing | 1.07 (0.75–1.53) | 0.70 |
| Maternal smoking during pregnancy | 1.15 (0.86–1.55) | 0.35 |
| Gestational age, weeks | ||
| <32 | 2.57 (1.44–4.57) | 0.001 |
| 32–36 | 1.26 (0.94–1.68) | 0.12 |
| ≥37 or ‘full term’ | 1.00 (reference) | |
| History of eczema | ||
| No | 1.00 (reference) | |
| Yes | 1.15 (0.83–1.59) | 0.41 |
| Missing | 0.59 (0.26–1.33) | 0.20 |
| History of intubation | 0.95 (0.71–1.28) | 0.75 |
| Major, relevant comorbid medical disorder | 1.14 (0.86–1.49) | 0.36 |
| Presence of apnea (chart) | 1.14 (0.77–1.71) | 0.51 |
| Respiratory rate per minute | 1.00 (0.99–1.01) | 0.95 |
| Retractions | ||
| None | 1.00 (reference) | |
| Mild | 1.62 (1.23–2.12) | 0.001 |
| Moderate or severe | 2.05 (1.45–2.91) | <0.001 |
| Missing | 1.64 (0.94–2.86) | 0.08 |
| Oxygen saturation by pulse ox or ABG | ||
| <90 | 2.06 (1.45–2.93) | <0.001 |
| 90–93.9 | 1.26 (0.98–1.62) | 0.07 |
| ≥94 | 1.00 (reference) | |
| Oral intake | ||
| Adequate | 1.00 (reference) | |
| Inadequate | 1.31 (0.93–1.84) | 0.12 |
| Missing | 1.19 (0.81–1.72) | 0.37 |
| ICU | 5.33 (3.01–9.44) | <0.001 |
| RSV/HRV status | ||
| RSV only infection | 1.00 (reference) | |
| HRV only infection | 0.36 (0.20–0.63) | <0.001 |
| RSV + HRV | 1.33 (1.02–1.73) | 0.04 |
| RSV + any other non-HRV pathogen | 1.06 (0.67–1.69) | 0.79 |
| HRV + any other non-RSV pathogen | 0.39 (0.23–0.66) | <0.001 |
Abbreviations: IQR indicates interquartile range; ABG, arterial blood gas; ICU, intensive care unit; RSV, respiratory syncytial virus; HRV, human rhinovirus.