Publication: Comparison of KRS and WBSS Clinical Scores to Assess the Severity of Bronchiolitis: Single centre Prospective Observational study
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Perinatal Society of Nepal (PESON)
Abstract
Abstract:
Introduction: Various scoring system has been proposed to assess the severity of bronchiolitis, most common scores being Wang Bronchiolitis Severity Score (WBSS) and Kristjansson Respiratory Score (KRS). None of these scoring systems are standardised in assessing severity. The present study was aimed to compare WBSS and KRS scores in assessing severity of bronchiolitis.
Methods: Present study is a prospective observational study. Children aged less than two years, diagnosed as bronchiolitis, were included. WBSS and KRS were calculated at admission. These scores were co related with severity of bronchiolitis and duration of hospital stay.
Results: A total of 69 participants were included in the study. The two scores significantly corelates with the severity of bronchiolitis (P - 0.0001), with accuracy 89.86% and 85.51% respectively for KRS and WBSS respectively. Both scores have good sensitivity {KRS (CI= 96.6 – 100%) and WANG score (96.6- 100%)}. The two scores were significantly correlated with the duration of hospital stay, with a correlation coefficient of r2 of 0.6818 (P < 0.001) for WBSS and r2 of 0.6622 (p < 0.001) for KRS.
Conclusion: Both WBSS and KRS scores were accurate in predicting the severity of bronchiolitis at admission and also duration of hospital stay.
Description
Ashwini Sankannavar
Assistant professor, : Department of Paediatrics, SDM College of Medical Sciences and Hospital, Shri Dharmastala Manjunatheshwara University, Dharwad - 580009, Karnataka, India.
Divyashree Puttalinga
Assistant professor, Department of Paediatrics, SDM College of Medical Sciences and Hospital, Shri Dharmastala Manjunatheshwara University, Dharwad - 580009, Karnataka, India.
Sushank Kembavi
Resident, Department of Paediatrics, SDM College of Medical Sciences and Hospital, Shri Dharmastala Manjunatheshwara University, Dharwad - 580009, Karnataka, India.
Kavyashree D Shivalingaiah
Assistant professor, Department of Paediatrics, SDM College of Medical Sciences and Hospital, Shri Dharmastala Manjunatheshwara University, Dharwad - 580009, Karnataka, India.
Keywords
accuracy, acute bronchiolitis, infants, severity score, validity