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BioMed Research International
Volume 2017, Article ID 9730696, 6 pages
https://doi.org/10.1155/2017/9730696
Research Article

Predictors of Inappropriate Use of Diagnostic Tests and Management of Bronchiolitis

1Department of Pediatrics, Clinica Universitaria Colombia, Fundacion Universitaria Sanitas, Bogota, Colombia
2Department of Pediatric Respiratory Medicine, Hospital El Pino, University of Santiago de Chile (USACH), Santiago, Chile
3Department of Pediatrics, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
4Department of Pediatric Pulmonology and Pediatric Critical Care Medicine, School of Medicine, Universidad El Bosque, Bogota, Colombia

Correspondence should be addressed to Carlos E. Rodríguez-Martínez; oc.ude.lanu@ramzeugirdorerac

Received 19 February 2017; Accepted 28 May 2017; Published 3 July 2017

Academic Editor: Luis Martinez-Sobrido

Copyright © 2017 Lorena Sarmiento et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The aim of the present study was to determine predictors of inappropriate use of diagnostic tests and management of bronchiolitis in a population of hospitalized infants. Methods. In an analytical cross-sectional study, we determined independent predictors of the inappropriate use of diagnostic tests and management of bronchiolitis in a population of hospitalized infants. We defined a composite outcome score as the main outcome variable. Results. Of the 303 included patients, 216 (71.3%) experienced an inappropriate use of diagnostic tests and treatment of bronchiolitis. After controlling for potential confounders, it was found that atopic dermatitis (OR 5.30; CI 95% 1.14–24.79; ), length of hospital stay (OR 1.48; CI 95% 1.08–2.03; ), and the number of siblings (OR 1.92; CI 95% 1.13–3.26; ) were independent predictors of an inappropriate use of diagnostic tests and treatment of the disease. Conclusions. Inappropriate use of diagnostic tests and treatment of bronchiolitis was a highly prevalent outcome in our population of study. Participants with atopic dermatitis, a longer hospital stay, and a greater number of siblings were at increased risk for inappropriate use of diagnostic tests and management of the disease.