Clinical Trajectory and Development of Children Diagnosed with Bronchiolitis Transferred to a Tertiary Hospital

Authors

DOI:

https://doi.org/10.36489/saudecoletiva.2025v16i103p18702-18719

Keywords:

Bronchiolitis, Hospitalization, Childhood, Clinical Procedures

Abstract

Objective: To identify and analyze the clinical trajectory and development of children diagnosed with bronchiolitis and transferred to a tertiary hospital. Method: This was a retrospective, observational, descriptive, cross-sectional study with a quantitative approach. It was conducted in an emergency room in a municipality in northwestern São Paulo state, through medical record review. Children aged 0 to 11 years and 29 days, transferred to a tertiary hospital between January 1, 2025, and May 31, 2025, were included. Results: Approximately 105 children were diagnosed with bronchiolitis and transferred to a tertiary hospital. The largest number of transfers occurred between the ages of 1 and 5 months. Symptom onset was between 1 and 3 days, and cough was present in 94.3% of cases. The diagnostic test for respiratory syncytial virus detection was positive in 61 (58.1%) patients. Conclusion: Bronchiolitis continues to be a pathology that causes a significant level of emergency room visits and hospital admissions, generating considerable healthcare demands.

References

Prado SI, Novais MAP. Internações pediátricas por bronquiolite no Brasil: caracterização longitudinal e gastos hospitalares. Acta Paulista de Enfermagem. 2024;37:eAPE00876. DOI: https://doi.org/10.37689/acta-ape/2024ao00008766

Santos DS, Neves SAS, Moccellin AS. Morbiletalidade por bronquite e bronquiolite aguda em crianças menores de um ano: estudo nacional de série histórica, 2013-2022. Research, Society and Development. 2023;12(9):e0512943143–e0512943143. DOI: https://doi.org/10.33448/rsd-v12i9.43143

Lima R. Bronquiolite aguda. Life Saving: Separata Científica. 2021;8(19):50–5.

Carvalho WB, Johnston C, Fonseca MC. Bronquiolite aguda, uma revisão atualizada. Rev Assoc Med Bras. 2007;53:182–8. DOI: https://doi.org/10.1590/S0104-42302007000200027

Bonnet D, Schmaltz AA, Feltes TF. Infection by the respiratory syncytial virus in infants and young children at high risk. Cardiol Young. 2005;15(3):256–65. DOI: https://doi.org/10.1017/S1047951105000545

Ferlini R, Pinheiro FO, Andreolio C, Carvalho PRA, Piva JP. Características e evolução de crianças com bronquiolite viral aguda submetidas à ventilação mecânica. Rev Bras Ter Intensiva. 2016;28:55–61.

Lubrano R, Cecchetti C, Elli M, Tomasello C, Guido G, Di Nardo M, Maciangelo R, Pasotti E, et al. Prognostic value of extravascular lung water index in critically ill children with acute respiratory failure. Intensive Care Med. 2011;37:124–31. DOI: https://doi.org/10.1007/s00134-010-2047-6

Miron D, Srugo I, Kra-Oz Z, Keness Y, Wolf D, Amirav I, Kassis I. Sole pathogen in acute bronchiolitis: is there a role for other organisms apart from respiratory syncytial virus? Pediatr Infect Dis J. 2010;29(1):e7–10. DOI: https://doi.org/10.1097/INF.0b013e3181c2a212

Zalm MM, Uiterwaal CSPM, Wilbrink B, de Jong BM, Verheij TJM, Kimpen JLL, Ent CV. Respiratory pathogens in respiratory tract illnesses during the first year of life: a birth cohort study. Pediatr Infect Dis J. 2009;28(6):472–6. DOI: https://doi.org/10.1097/INF.0b013e318195e26e

Barbosa AVA, Talim AT, Porto VS, Freitas CM. Bronquite e Bronquiolite Aguda em crianças do Sul: Epidemiologia das internações entre 2019 e 2023. Brazilian Journal of Implantology and Health Sciences. 2024;6(9):753–64. DOI: https://doi.org/10.36557/2674-8169.2024v6n9p753-764

Albernaz EP, Menezes AMB, César JA, Victora CG, Barros FC. Hospitalização por bronquiolite aguda como fator de risco para sibilância recorrente. Cad Saude Publica. 2000;16:1049–57. DOI: https://doi.org/10.1590/S0102-311X2000000400023

Flores D, Bachi A, França CN, Konstantyner T. Epidemiologic evaluation of acute viral bronchiolitis (AVB) in infants hospitalized. Brazilian Journal of Global Health. 2020;1(1):29–34. DOI: https://doi.org/10.56242/globalhealth;2020;1;1;29-34

Nogueira FGSB. Características clínico-epidemiológicas e fatores de risco associados a desfechos desfavoráveis em crianças hospitalizadas com síndrome respiratória aguda grave no estado do Amapá [tese]. Recife: Instituto de Medicina Integral Prof. Fernando Figueira – IMIP, 2024;

Reis BAC, Maynard LG. A Sazonalidade da bronquiolite em recém-nascidos e lactentes jovens como suporte diagnóstico e terapêutico. Revista JRG de Estudos Acadêmicos. 2024;7(14):e141080–e141080. DOI: https://doi.org/10.55892/jrg.v7i14.1080

Peixoto FG, Filho JEBA, Medina AB, Silva GCB, Pedro IG, Carvalho ACV, Neves JPC, Stolerman TRC, et al. Bronquiolite viral aguda. Revista Eletrônica Acervo Médico. 2023 Dec 22;23(11):e14836. DOI: https://doi.org/10.25248/reamed.e14836.2023

Pinheiro FER, Araujo EO, Tavares GC, Furtado AFM, Rodrigues B de AN, Rizzi VB, Araújo HVS, Pio ARM, et al. Abordagens clínicas da bronquiolite aguda no âmbito atual pediátrico. Brazilian Journal of Health Review. 2024;7(1):5837–60. DOI: https://doi.org/10.34119/bjhrv7n1-472

Pediatría SA, Subcomisiones C. Recomendaciones para el manejo de las infecciones respiratorias agudas bajas en menores de 2 años. Resumen ejecutivo. Arch Argent Pediatr. 2015;113(4):373–4. DOI: https://doi.org/10.5546/aap.2015.373

Dallabrida CP, Arraes FC, Ahn FMD, Pereira ME, Darte VMV, Silva Lima UT. Perfil epidemiológico da mortalidade infantil por doenças respiratórias no brasil: bronquiolite, bronquite, asma e pneumonia. Revista Ibero-Americana de Humanidades, Ciências e Educação. 2025;11(7):453–65. DOI: https://doi.org/10.51891/rease.v11i7.20153

Prado SI, Novais MAP. Bronquiolite viral aguda no Brasil: caraterísticas de tempo de internação e gastos hospitalares. Cien Saude Colet. 2025 Apr;30(4). DOI: https://doi.org/10.1590/1413-81232025304.07402023en

Ganan CS, Carpi MF, Correia GF, Martin JG. Avaliação do tratamento utilizado nos casos de bronquiolite viral aguda diagnosticados no pronto-socorro pediátrico. Acesso em. 2021;30(08):2024.

Debiaggi M, Canducci F, Ceresola ER, Clementi M. The role of infections and coinfections with newly identified and emerging respiratory viruses in children. Virol J. 2012;9(1):247. DOI: https://doi.org/10.1186/1743-422X-9-247

Vieira NA, Müller SD. Bronquiolite na primeira infância: fisiopatologia e tratamento. Revista Ibero-Americana de Humanidades, Ciências e Educação. 2025 Jun 16;11(6):3397–421. DOI: https://doi.org/10.51891/rease.v11i6.19936

Ganan C, Carpi M, Correia G, Martin J. Evaluation of the treatment used in cases of acute viral bronchiolitis diagnosed in the pediatric emergency room. Residência Pediátrica. 2022;12(4). DOI: https://doi.org/10.25060/residpediatr-2022.v12n4-572

Souza e Silva LL, Soares LP, Xavier AFV, Brandão MM, Simões SC, Chaves LP, Watanabe LH, MAcedo AGF, et al. Bronquiolite viral: aspectos epidemiológicos, fisiopatológicos e manejo terapêutico. Brazilian Journal of Development. 2023 Mar 29;9(3):12351–61. DOI: https://doi.org/10.34117/bjdv9n3-222

Lisboa DDJ, Niederauer F, Maraschin R. A influência da fisioterapia respiratória nos sinais clínicos em lactentes com bronquiolite viral aguda.

Published

2025-12-23

How to Cite

Vitalino, K. D., Ferreira, M. dos S., Ribeiro, J. C. P., Júnior, L. A. D., Lopes, K. de O., Carvalho, R. G., Sakamoto, S. R., & Bentin, L. A. T. (2025). Clinical Trajectory and Development of Children Diagnosed with Bronchiolitis Transferred to a Tertiary Hospital. Sa´úde Coletiva (Barueri), 16(103), 18702–18719. https://doi.org/10.36489/saudecoletiva.2025v16i103p18702-18719

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Section

Scientfic Articles