PT  - JOURNAL ARTICLE
AU  - Jon Olav Gjengstø Hunderi
AU  - Håvard Ove Skjerven
AU  - Leif Bjarte Rolfsjord
AU  - Bente Kvenshagen
AU  - Petter Mowinckel
AU  - Kai- Håkon Carlsen
AU  - Karin C Lødrup Carlsen
TI  - Late-breaking abstract: Assessing infants with acute bronchiolitis
DP  - 2014 Sep 01
TA  - European Respiratory Journal
PG  - P3453
VI  - 44
IP  - Suppl 58
4099  - http://erj.ersjournals.com/content/44/Suppl_58/P3453.short
4100  - http://erj.ersjournals.com/content/44/Suppl_58/P3453.full
SO  - Eur Respir J2014 Sep 01; 44
AB  - BackgroundAcute bronchiolitis is a frequent cause of hospitalisation in infants. Appropriate recognition of disease severity also by parents may reduce unnecessary hospitalisations. In the present study we aimed to investigate the agreement between parents and nurses subjective score and doctor´s partially objective scores of acute bronchiolitis in infants on admission and during hospital stay.MethodsIn the Bronchiolitis ALL-study, SE-Norway(1) 404 infants(0-12, 4.2 months of age were assessed daily from admission. Scores (all 0-10, 10 worst) were completed by doctors(five items) and a four and three item visual analogue scales by nurses and parents, respectively at admission, and daily through the hospital stay. A doctor score ≥4 was required for study inclusion. Comparisons for the present study was conducted for the items; general condition(nurse) and how sick the child was(Parents). Data were analyzed longitudinally using mixed models.ResultsThe mean mean length of stay was 80,2 hours. All scored the infant significantly higher on admission compared to the remaining days (p<0,0001). The parents score was sign. higher than that of nurses. The declines in the doctor and nurse score from admission to day 3 were in good agreement, whereas parental scores declined more rapidly(fig1).ConclusionParents, nurses and doctor identified all disease improvement during hospital stay, but nurses and doctor scores were in better agreement.1Skjerven et.al. NEJM 2013;368(24):2286-93