Clinical Factors Associated with Chest Imaging Findings in Hospitalized Infants with Bronchiolitis

Joanne M. Nazif, Benjamin H. Taragin, Gabriella Azzarone, Michael L. Rinke, Sheila Liewehr, Jaeun Choi, Nora Esteban-Cruciani

Research output: Contribution to journalArticle

Abstract

Despite recommendations against routine imaging, chest radiography (CXR) is frequently performed on infants hospitalized for bronchiolitis. We conducted a review of 811 infants hospitalized for bronchiolitis to identify clinical factors associated with imaging findings. CXR was performed on 553 (68%) infants either on presentation or during hospitalization; 466 readings (84%) were normal or consistent with viral illness. Clinical factors significantly associated with normal/viral imaging were normal temperature (odds ratio = 1.66; 95% CI = 1.03-2.67) and normal oxygen saturation (odds ratio = 1.77; 95% CI = 1.1-2.83) on presentation. Afebrile patients with normal oxygen saturations were nearly 3 times as likely to have a normal/viral CXR as patients with both fever and hypoxia. Our findings support the limited role of radiography in the evaluation of hospitalized infants with bronchiolitis, especially patients without fever or hypoxia.

Original languageEnglish (US)
Pages (from-to)1054-1059
Number of pages6
JournalClinical Pediatrics
Volume56
Issue number11
DOIs
StatePublished - Oct 1 2017

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Keywords

  • bronchiolitis
  • fever
  • hypoxia
  • imaging
  • infant
  • radiography

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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