Table 2.
ED Presentation and Clinical Course of Children Treated in the ED for Bronchiolitis and Discharged to Home, According to Unscheduled Visits Within 2 Weeks of ED Discharge
| No Unscheduled Visits (n = 596) |
Unscheduled Visits (n = 121) |
p-value | |
|---|---|---|---|
| Respiratory rate (breaths/min) | 43 ± 13 | 46 ± 15 | 0.10 |
| Respiratory rate < normal for age* | 48 | 46 | 0.68 |
| Retractions | 0.04 | ||
| None/mild | 91 | 84 | |
| Moderate/severe | 9 | 16 | |
| Oxygen saturation on room air | 98 ± 2 | 97 ± 2 | 0.23 |
| Lowest room air oxygen saturation | 97 ± 2 | 97 ± 3 | 0.07 |
| Presence of cough | 83 | 87 | 0.35 |
| Presence of wheeze | 76 | 76 | 0.92 |
| Number of inhaled beta-agonist treatments over entire ED stay |
1 (1–2) | 1 (1–2) | 0.73 |
| Number of epinephrine treatments over entire ED stay |
0 (0–0) | 0 (0–0) | 0.35 |
| Given corticosteroids | 19 | 17 | 0.56 |
| Given antibiotics | 11 | 8 | 0.47 |
| Any laboratory tests | 64 | 63 | 0.74 |
| Oral intake | 0.11 | ||
| Adequate oral intake | 84 | 84 | |
| Inadequate oral intake | 10 | 6 | |
| Unknown | 6 | 10 | |
| Viral test results† | |||
| RSV positive | 15 | 22 | 0.04 |
| Influenza A positive | 1 | 1 | 0.99 |
| Influenza B positive | 0.2 | 0 | 0.65 |
| Adenovirus positive | 0.2 | 0 | 0.65 |
| Abnormal x-ray findings‡ | 60 | 46 | 0.06 |
| ED length of stay (minutes) | 165 (123–231) | 180 (130–280) | 0.78 |
| Received discharge medication | 93 | 89 | 0.11 |
Values are reported as mean (±SD), percentages, or median (IQR).
IQR = interquartile range; RSV = respiratory syncytial virus.
Normal values for age groups (in months): age 0–1.9, 45 breaths/min; age 2–5.9, 43 breaths/min; age 6–11.9, 40 breaths/min; and age 12–23.9, 40 breaths/min.
Among 255 children with viral testing.
Abnormal x-ray findings include atelectasis, infiltrate, hyperinflated, or other findings (n = 330 children with chest x-ray).