Research Article

Predictors of Outcome of Bronchiolitis in Children Using Children Hospital of Wisconsin Respiratory Score: An Experience of a Tertiary Care Hospital

Saher Gul Ahdi, Tariq Nadeem, Huma Farrukh, Furqan Saleem, Rafia Gul, Hina Khalid

Pakistan Armed Forces Medical Journal · Vol. 73, No. 1 · Published February 28, 2023 · DOI: 10.51253/pafmj.v73i1.4857

iD ORCID iD: https://orcid.org/0000-0002-0605-7089 · View All Publications by Dr. Rafia Gul

In Brief

Bronchiolitis is a common chest infection in babies and young children, and doctors need a simple way to tell early which children will need a longer stay in hospital. This study tested whether the Children’s Hospital of Wisconsin Respiratory (CHWR) score, checked when a child is admitted, can predict how long the child will stay.

Key Points

• A cross-sectional analytical study of 138 children aged 2 to 24 months with bronchiolitis, at the Department of Pediatrics, Combined Military Hospital, Lahore, from November 2018 to April 2019.
• A higher CHWR score on admission went with a longer hospital stay (r = 0.831, p < 0.001). The average stay was about 40 hours, and 85 children (61.6%) stayed longer than average.
• A CHWR score above 10.5 predicted a longer stay (over 24 hours) in the ICU, with 80.0% sensitivity and 73.6% specificity.
• The authors concluded that the CHWR score is an easy, safe and effective way to classify how severe bronchiolitis is and to predict length of stay.

BronchiolitisCHWR ScoreLength of Stay

Published in the Pakistan Armed Forces Medical Journal, Vol. 73, No. 1 (February 2023), Original Articles. PDF shared by the authors.