Table 1

Adherence of care, by clinical indicator, 2012–2013, Australia

Indicator
ID		Indicator descriptionNumber of
children		Number of
visits		Proportion adherent,
% (95% CI)
BRON01Infants (aged <12 months) presenting with acute bronchiolitis had the duration and progression of their symptoms recorded40464679.3 (68.1 to 88.0)
BRON02Infants (aged <12 months) presenting with acute bronchiolitis had the presence of apnoea recorded40364510.3 (6.3 to 15.5)
BRON03Infants (aged <12 months) presenting with acute bronchiolitis had their feeding history recorded40464667.7 (57.2 to 77.1)
BRON04Infants (aged <12 months) presenting with acute bronchiolitis had the presence of previous episodes of bronchiolitis recorded40264242.5 (26.0 to 60.2)
BRON05Infants (aged <12 months) presenting with acute bronchiolitis had their family history of atopy or asthma recorded40364527.2 (20.1 to 35.2)
BRON06Infants (aged <12 months) presenting with acute bronchiolitis had the presence of pre-existing conditions recorded40064154.2 (37.9 to 69.8)
BRON07Infants (aged <12 months) presenting with acute bronchiolitis had their general appearance and basic observations (Temp, RR, HR, SpO₂) examined40464628.8 (22.0 to 36.4)
BRON08Infants (aged <12 months) presenting with acute bronchiolitis had their hydration status reviewed40464650.5 (38.3 to 62.6)
BRON09Infants (aged <12 months) presenting with acute bronchiolitis received a respiratory examination (work of breathing, recession, auscultation)40464674.5 (58.0 to 87.1)
BRON10Infants (aged <12 months) presenting with acute bronchiolitis had their feeding (duration and volume, oxygen saturations while feeding) examined40063513.1 (9.2 to 17.9)
BRON11Infants (aged <12 months) who had any of the following signs/symptoms: * appear well * mild tachypnoea (RR<60/min) * normal or mildly increased work of breathing (WOB) that is, no nasal flaring/grunting * wheeze at end expiratory or crackles * no cyanosis * SaO₂>93% on air * no tachycardia * normal/slightly decreased feeding or may take longer to feed, intermittently stops feeding were diagnosed with mild acute bronchiolitis32243712.5 (2.7 to 32.2)
BRON12Infants (aged <12 months) who had two or more of the following signs/symptoms: * appear mildly unwell * moderate tachypnoea (RR>60/min) * mild to moderate WOB * no cyanosis * SaO₂ 90%–95% on air * mild tachycardia * difficult feeding but able to take >50% of normal feed, frequent stops were diagnosed with moderate acute bronchiolitis12418222.2 (10.8 to 37.8)
BRON13Infants (aged <12 months) who had two or more of the following signs: * appear unwell (lethargic, restless) * severe tachypnoea>70 * bradypnoea<30 * moderate to severe WOB * may be cyanosed or pale * SaO₂<90% on air, <92% on oxygen * tachycardia >180 * difficult feeding taking <50% of normal feed, not interested * poor capillary refill >3 s were diagnosed with severe/life-threatening acute bronchiolitis253033.0 (9.5 to 65.3)
BRON14Children diagnosed with acute mild/moderate bronchiolitis did not have a chest X-ray33350393.6 (89.3 to 96.6)
BRON15Children diagnosed with acute mild/moderate bronchiolitis did not have routine blood tests33350797.7 (95.6 to 98.9)
BRON16Children diagnosed with acute mild/moderate bronchiolitis did not have an ABG33350899.2 (98.0 to 99.8)
BRON17Children diagnosed with acute mild/moderate bronchiolitis did not have chest physiotherapy33551099.9 (99.0 to 100)
BRON18Infants (aged less than 12 months) with mild bronchiolitis did not receive prescribed oxygen32844799.4 (98.1 to 99.9)
BRON19Infants (aged less than 12 months) with mild bronchiolitis did not receive further investigations (ie, blood tests, chest X-ray)32744897.1 (95.1 to 98.5)
BRON20Infants (aged <12 months) with moderate bronchiolitis were prescribed oxygen to maintain saturation levels of greater than or equal to 93%9014073.5 (60.2 to 84.2)
BRON21Infants (aged <12 months) with moderate bronchiolitis were provided with frequent feeds or NG feeds were considered9915582.3 (75.4 to 88.0)
BRON22Infants (aged <12 months) with moderate bronchiolitis and prescribed oxygen had continuous saturation monitoring and hourly observations6610096.6 (90.9 to 99.2)
BRON23Infants (aged <12 months) with moderate bronchiolitis did not have further investigations performed (ie, blood tests, chest X-ray)9514659.4 (47.1 to 71.0)
BRON24Infants (aged <12 months) with moderate bronchiolitis had 2 hourly observations performed9815491.7 (83.7 to 96.5)
BRON25Infants (aged <12 months) with mild to moderate bronchiolitis caused by a viral infection were not prescribed antibiotics33448486.1 (74.8 to 93.7)
BRON26Infants (aged <12 months) with severe bronchiolitis were prescribed oxygen to maintain saturation levels of greater than or equal to 93%243196.3 (82.6 to 99.9)
BRON27Infants (aged <12 months) with severe bronchiolitis were prescribed intravenous fluids and nil by mouth233189.4 (73.1 to 97.5)
BRON28Infants (aged <12 months) with severe bronchiolitis had their blood glucose assessed at least once during this presentation/admission233178.1 (54.3 to 93.2)
BRON29Infants (aged <12 months) with severe bronchiolitis had continuous cardiorespiratory and saturation monitoring and hourly observations233198.3 (85.7 to 100)
BRON30Infants (aged <12 months) who presented to the ED with acute bronchiolitis and any of the following: * lethargy * presence of nasal flaring and/or grunting * oxygen saturation <95% on air * uncertainty regarding diagnosis were reviewed within 30 min9410797.7 (90.9 to 99.8)
BRON31Infants (aged <12 months) who presented to the ED with acute bronchiolitis and any of the following: * respiratory rate >60/min or <30/min * presence of nasal flaring and/or grunting * SpO₂ <92% on air * severe chest wall recession * cyanosis were reviewed immediately323684.8 (60.0 to 97.1)
BRON32Infants (aged <12 months) with acute bronchiolitis were not prescribed any of the following medications: * nebulised epinephrine * bronchodilators (if aged <6 months) * corticosteroid medication (unless asthma or chronic neonatal lung disease) * ipratropium bromide (possible asthma or chronic neonatal lung disease) * ribavirin (antiviral) unless there is significant immunosuppression39161478.4 (69.0 to 86.0)
BRON33Parents of infants (aged <12 months) with mild bronchiolitis received advice to provide small frequent feeds33545024.0 (16.4 to 33.1)
BRON34Parents of infants (aged <12 months) with mild bronchiolitis were provided written information prior to discharge15619843.3 (31.8 to 55.4)
BRON35Parents of infants (aged <12 months) with mild bronchiolitis were advised to follow-up with a health professional within 24 hours15520053.8 (42.8 to 64.5)
BRON36Infants (aged <12 months) who presented to the GP with acute bronchiolitis and two of the following: * poor feeding (<50% of usual fluid intake in preceding 24 hours) * lethargy * history of apnoea * respiratory rate >60/min OR <30/min * presence of nasal flaring and/or grunting * severe chest wall recession or tracheal tug * cyanosis * oxygen saturation <95% on air * uncertainty regarding diagnosis were referred to hospital1515Insufficient data
BRON37Infants (aged <12 months) with bronchiolitis who were discharged had minimal respiratory distress20226699.2 (97.3 to 99.9)
BRON38Infants (aged <12 months) with bronchiolitis who were discharged maintained an adequate daily oral intake (>75% of usual intake)19625690.7 (82.2 to 96.0)
BRON39Infants (aged <12 months) with bronchiolitis who were discharged had oxygen saturations which were greater than or equal to 92% on room air (including during sleep periods)19826195.8 (88.7 to 99.0)
BRON40Parents/carers of infants (aged <12 months) with bronchiolitis who were discharged were provided: * education and written information * support and follow-up arrangements20026359.6 (49.3 to 69.3)

  • ABG, arterial blood gas; ED, emergency department; GP, general practice; HR, heart rate; NG, nasogastric; RR, respiratory rate; SaO2, arterial oxygen saturation; Temp, temperature.