Concordancia entre el puntaje de la escala modificada de Wood y el lugar de manejo de los pacientes con bronquiolitis aguda

Abstract

Introduction: Modified Wood's clinical asthma severity scale (M-WCAS), a validated scale in Colombia, is a useful tool to measure severity in acute bronchiolitis. The scale could prevent interobserver variability, and support better patients' management location (ambulatory, hospitalization, intensive care unit). Objective: to estimate the concordance between the severity of acute bronchiolitis measured by M-WCAS, management location, and hospital stay days of patients with acute bronchiolitis in a pediatric referral center. Methods: In a retrospective concordance study, 364 medical records of patients with acute bronchiolitis were reviewed. Researchers calculated the M-WCAS score. Concordance was estimated between the scale score at admission, management location, and hospital stay days of patients who required in-hospital treatment. Results: We found a kappa index of -0.51 between clinical severity by M-WCAS scale and management location. A Lin concordance coefficient of 0.03 between M-WCAS score and hospital stay days. Conclusions: We found no correlation between the clinical severity of bronchiolitis measured by the M-WCAS scale with the patient´s management location. We identified a slight concordance between the M-WCAS score, and hospital stay days.