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Table 4 Factors affecting the decision to admit children to the hospital

From: Management of acute respiratory diseases in the pediatric population: the role of oral corticosteroids

  Possible discharge Brief observation Hospitalization
Respiratory effort None or mild chest wall retraction Tracheal tug, nasal flare, Moderate chest wall retraction Moderate-to-severe respiratory distress, apnea
Oxygen saturation No supplemental oxygen requirement, saturations > 95% Saturations 90–95% Saturations persistently < 90–92%, O2 requirement
Feeding Normal to slightly decreased 50–75% of normal feeds <50% of feeds, unable to feed, dehydration
Gestational age Gestational age >37 weeks, birth age >12 weeks   Gestational age <37 weeks, birth age <6–12 weeks
Responsivity and alertness Reactive, vigilant   Less or not responsive
Social factors Good parent compliance, hospital easily accessible   Non-collaborative parents, Distant from hospital
Preexisting risk factors No risk factors BPD, cystic fibrosis, cyanogenic congenital heart disease, immunodeficiency, neuromuscular disease BPD, cystic fibrosis, cyanogenic congenital heart disease, immunodeficiency, neuromuscular disease
  1. BPD bronchopulmonary dysplasia