Utility of the Global Respiratory Severity Score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.

<h4>Background</h4>Respiratory syncytial virus (RSV) is a common cause of acute respiratory infection in children. One of the most important strategies for treatment of an RSV infection is to decide whether the patient needs respiratory support. This study aimed to assess the validity an...

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Autores principales:	Jun Kubota, Daishi Hirano, Shiro Okabe, Kento Yamauchi, Rena Kimura, Haruka Numata, Takayuki Suzuki, Daisuke Kakegawa, Akira Ito
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/01a94ec81b8b436da8a5edc941904f9f
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spelling	oai:doaj.org-article:01a94ec81b8b436da8a5edc941904f9f2021-12-02T20:09:49ZUtility of the Global Respiratory Severity Score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.1932-620310.1371/journal.pone.0253532https://doaj.org/article/01a94ec81b8b436da8a5edc941904f9f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253532https://doaj.org/toc/1932-6203<h4>Background</h4>Respiratory syncytial virus (RSV) is a common cause of acute respiratory infection in children. One of the most important strategies for treatment of an RSV infection is to decide whether the patient needs respiratory support. This study aimed to assess the validity and clinical benefit of the Global Respiratory Severity Score (GRSS) and the Wang bronchiolitis severity score (WBSS) for clinical decision-making regarding providing respiratory support (high-flow nasal cannula, nasal continuous positive airway pressure, or ventilator) in infants with an RSV infection.<h4>Study design and methods</h4>This retrospective cohort study enrolled 250 infants aged under 10 months who were admitted to Atsugi City Hospital with an RSV infection between January 2012 and December 2019. The utility of these scores was evaluated for assessing the need for respiratory support through decision curve analysis by calculating the optimal GRSS and WBSS cut-offs for predicting the need for respiratory support.<h4>Results</h4>Twenty-six infants (10.4%) received respiratory support. The optimal cut-offs for the GRSS and the WBSS were 4.52 and 7, respectively. Decision curve analysis suggested that the GRSS was a better predictive tool than the WBSS if the probability of needing respiratory support was 10-40%.<h4>Conclusions</h4>The GRSS was clinically useful in determining the need for respiratory support in infants aged under 10 months with an RSV infection.Jun KubotaDaishi HiranoShiro OkabeKento YamauchiRena KimuraHaruka NumataTakayuki SuzukiDaisuke KakegawaAkira ItoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0253532 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jun Kubota Daishi Hirano Shiro Okabe Kento Yamauchi Rena Kimura Haruka Numata Takayuki Suzuki Daisuke Kakegawa Akira Ito Utility of the Global Respiratory Severity Score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.
description	<h4>Background</h4>Respiratory syncytial virus (RSV) is a common cause of acute respiratory infection in children. One of the most important strategies for treatment of an RSV infection is to decide whether the patient needs respiratory support. This study aimed to assess the validity and clinical benefit of the Global Respiratory Severity Score (GRSS) and the Wang bronchiolitis severity score (WBSS) for clinical decision-making regarding providing respiratory support (high-flow nasal cannula, nasal continuous positive airway pressure, or ventilator) in infants with an RSV infection.<h4>Study design and methods</h4>This retrospective cohort study enrolled 250 infants aged under 10 months who were admitted to Atsugi City Hospital with an RSV infection between January 2012 and December 2019. The utility of these scores was evaluated for assessing the need for respiratory support through decision curve analysis by calculating the optimal GRSS and WBSS cut-offs for predicting the need for respiratory support.<h4>Results</h4>Twenty-six infants (10.4%) received respiratory support. The optimal cut-offs for the GRSS and the WBSS were 4.52 and 7, respectively. Decision curve analysis suggested that the GRSS was a better predictive tool than the WBSS if the probability of needing respiratory support was 10-40%.<h4>Conclusions</h4>The GRSS was clinically useful in determining the need for respiratory support in infants aged under 10 months with an RSV infection.
format	article
author	Jun Kubota Daishi Hirano Shiro Okabe Kento Yamauchi Rena Kimura Haruka Numata Takayuki Suzuki Daisuke Kakegawa Akira Ito
author_facet	Jun Kubota Daishi Hirano Shiro Okabe Kento Yamauchi Rena Kimura Haruka Numata Takayuki Suzuki Daisuke Kakegawa Akira Ito
author_sort	Jun Kubota
title	Utility of the Global Respiratory Severity Score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.
title_short	Utility of the Global Respiratory Severity Score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.
title_full	Utility of the Global Respiratory Severity Score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.
title_fullStr	Utility of the Global Respiratory Severity Score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.
title_full_unstemmed	Utility of the Global Respiratory Severity Score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.
title_sort	utility of the global respiratory severity score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/01a94ec81b8b436da8a5edc941904f9f
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Utility of the Global Respiratory Severity Score for predicting the need for respiratory support in infants with respiratory syncytial virus infection.

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