RT Journal Article
T1 [Criteria heterogeneity in the diagnosis of acute bronchiolitis in Spain].
T2 Heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en España.
A1 Cano-Garcinuño, Alfredo
A1 Praena-Crespo, Manuel
A1 Mora-Gandarillas, Isabel
A1 Carvajal-Urueña, Ignacio
A1 Callén-Blecua, María Teresa
A1 García-Merino, Águeda
A1 Grupo de Expertos para el Diagnóstico de la Bronquiolitis, 
A1 Listado de colaboradores (Grupo de Expertos para el Diagnóstico de la Bronquiolitis), 
K1 Bronchiolitis viral
K1 Bronquiolitis viral
K1 Clinical decision-making
K1 Cross-sectional studies
K1 Delphi technique
K1 Estudios transversales
K1 Infant
K1 Lactante
K1 Toma de decisiones clínicas
K1 Técnica Delphi
AB Acute viral bronchiolitis (AB) is one of the most common respiratory diseases in infants. However, diagnostic criteria for AB are heterogeneous and not very well known. To identify the diagnostic criteria for AB used by experts and clinical paediatricians in Spain. Delphi study with Spanish AB experts, looking for the points of agreement about AB diagnosis. A subsequent cross-sectional study was conducted by means of an on-line questionnaire addressed to all Spanish paediatricians, reached through electronic mail messages sent by nine paediatric scientific societies. Descriptive and factorial analyses were carried out, looking for any association of diagnostic criteria with demographic or geographic variables, or with paediatric subspecialty. Agreement was reached by 40 experts in many issues (first episode of respiratory distress and high respiratory frequency, diagnosis in any season of the year, and usefulness of virus identification in making diagnosis), but opposite views were maintained on key characteristics such as the maximum age for diagnosis. The on-line questionnaire was completed by 1297 paediatricians. Their diagnostic criteria were heterogeneous and strongly associated with their paediatric sub-specialty. Their agreement with the Spanish expert consensus and with international standards was very poor. Diagnostic criteria for AB in Spain are heterogeneous. These differences could cause variability in clinical practice with AB patients.
YR 2018
FD 2018-08-29
LK http://hdl.handle.net/10668/12891
UL http://hdl.handle.net/10668/12891
LA es
DS RISalud
RD Apr 6, 2025