Bronchiolitis classification: Difference between revisions
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{{Bronchiolitis}} | {{Bronchiolitis}} | ||
{{CMG}}{{AE}}{{AEL}} | {{CMG}}; {{AE}}{{AEL}} | ||
==Overview== | ==Overview== | ||
Bronchiolitis should be classified in order to understand how it may occur and the clinical manifestations that may be observed. Bronchiolitis is classified based on the patient's age and the different [[histological]] forms of the [[disease]]. According to age, bronchiolitis is classified as either [[Adult|adult]] or [[infant]]. Based on the different [[histological]] features, it can be classified as acute [[infectious]] bronchiolitis, [[bronchiolitis obliterans]], [[proliferative bronchiolitis]], [[diffuse]] [[panbronchiolitis]], or [[respiratory]] bronchiolitis. Based on the Bronchiolitis Severity Score (BSS), [[bronchiolitis]] is classified into 4 classes. | |||
==Classification== | ==Classification== | ||
Bronchiolitis may be classified in the following ways: | |||
=== Classification based on age === | |||
Based on age, brochiolitis may be classified as: | |||
* Adult bronchiolitis | |||
* Infantile bronchiolitis | |||
{{Family tree/start}} | === Classification based on [[histological]] forms === | ||
{{Family tree | Based on [[histological]] form, bronchiolitis may be classified as: <ref name="pmid14644923">{{cite journal| author=Ryu JH, Myers JL, Swensen SJ| title=Bronchiolar disorders. | journal=Am J Respir Crit Care Med | year= 2003 | volume= 168 | issue= 11 | pages= 1277-92 | pmid=14644923 | doi=10.1164/rccm.200301-053SO | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14644923 }} </ref><ref name="pmid8313665">{{cite journal| author=King TE| title=Overview of bronchiolitis. | journal=Clin Chest Med | year= 1993 | volume= 14 | issue= 4 | pages= 607-10 | pmid=8313665 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8313665 }}</ref>{{Family tree/start}} | ||
{{Family tree | | | | | | | {{Family tree | | | | | | | | | A01 | | | | | | | | |A01='''Bronchiolitis'''|}} | ||
{{Family tree | {{Family tree | | | | | | | | | |!| | | | | |}} | ||
{{Family tree | {{Family tree | | | | | | | | | B01 | |B01=Histological|}} | ||
{{Family tree | | C01 | | | | | {{Family tree | | | |,|-|-|-|v|-|^|-|v|-|-|-|.|}} | ||
{{Family tree | | | C01 | | C02 | | C03 | | C04 |C01=Constrictive bronchiolitis|C02=Proliferative bronchiolitis|C03=Panbronchiolitis|C04=Follicular bronchiolitis|}} | |||
{{Family tree/end}} | {{Family tree/end}} | ||
=== Classification based on Bronchiolitis Severity Score (BSS) === | |||
Based on Bronchiolitis Severity Score (BSS), bronchiolitis may be classified into 4 classes as follows:<ref name="pmid1731571">{{cite journal| author=Wang EE, Milner RA, Navas L, Maj H| title=Observer agreement for respiratory signs and oximetry in infants hospitalized with lower respiratory infections. | journal=Am Rev Respir Dis | year= 1992 | volume= 145 | issue= 1 | pages= 106-9 | pmid=1731571 | doi=10.1164/ajrccm/145.1.106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1731571 }} </ref> | |||
{| class="wikitable" | {| class="wikitable" | ||
! '''Score''' | ! '''Score''' | ||
! '''Respiratory Rate''' | ! '''Respiratory Rate/minute''' | ||
! '''Wheezing''' | ! '''Wheezing''' | ||
! '''Retraction''' | ! '''Retraction''' | ||
| Line 35: | Line 40: | ||
| 1 | | 1 | ||
| 30–45 | | 30–45 | ||
| Terminal expiration or only with stethoscope | | Terminal [[expiration]] or only with [[stethoscope]] | ||
| Intercostal | | Intercostal | ||
| | | | ||
| Line 41: | Line 46: | ||
| 2 | | 2 | ||
| 46–60 | | 46–60 | ||
| Entire expiration or audible on expiration without stethoscope | | Entire [[expiration]] or audible on [[expiration]] without [[stethoscope]] | ||
| Tracheosternal | | Tracheosternal | ||
| | | | ||
| Line 47: | Line 52: | ||
| 3 | | 3 | ||
| >60 | | >60 | ||
| Inspiration and expiration without stethoscope | | [[Inspiration]] and [[expiration]] without [[stethoscope]] | ||
| | | | ||
| Irritability, lethargy, poor feeding | | Irritability, lethargy, poor feeding | ||
| Line 56: | Line 61: | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Disease]] | |||
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[[Category:Pulmonology]] | |||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Infectious disease]] | |||
Latest revision as of 20:43, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Bronchiolitis should be classified in order to understand how it may occur and the clinical manifestations that may be observed. Bronchiolitis is classified based on the patient's age and the different histological forms of the disease. According to age, bronchiolitis is classified as either adult or infant. Based on the different histological features, it can be classified as acute infectious bronchiolitis, bronchiolitis obliterans, proliferative bronchiolitis, diffuse panbronchiolitis, or respiratory bronchiolitis. Based on the Bronchiolitis Severity Score (BSS), bronchiolitis is classified into 4 classes.
Classification
Bronchiolitis may be classified in the following ways:
Classification based on age
Based on age, brochiolitis may be classified as:
- Adult bronchiolitis
- Infantile bronchiolitis
Classification based on histological forms
Based on histological form, bronchiolitis may be classified as: [1][2]
| Bronchiolitis | |||||||||||||||||||||||||||||||||||||||
| Histological | |||||||||||||||||||||||||||||||||||||||
| Constrictive bronchiolitis | Proliferative bronchiolitis | Panbronchiolitis | Follicular bronchiolitis | ||||||||||||||||||||||||||||||||||||
Classification based on Bronchiolitis Severity Score (BSS)
Based on Bronchiolitis Severity Score (BSS), bronchiolitis may be classified into 4 classes as follows:[3]
| Score | Respiratory Rate/minute | Wheezing | Retraction | General Condition |
|---|---|---|---|---|
| 0 | <30 | None | None | Normal |
| 1 | 30–45 | Terminal expiration or only with stethoscope | Intercostal | |
| 2 | 46–60 | Entire expiration or audible on expiration without stethoscope | Tracheosternal | |
| 3 | >60 | Inspiration and expiration without stethoscope | Irritability, lethargy, poor feeding |
References
- ↑ Ryu JH, Myers JL, Swensen SJ (2003). "Bronchiolar disorders". Am J Respir Crit Care Med. 168 (11): 1277–92. doi:10.1164/rccm.200301-053SO. PMID 14644923.
- ↑ King TE (1993). "Overview of bronchiolitis". Clin Chest Med. 14 (4): 607–10. PMID 8313665.
- ↑ Wang EE, Milner RA, Navas L, Maj H (1992). "Observer agreement for respiratory signs and oximetry in infants hospitalized with lower respiratory infections". Am Rev Respir Dis. 145 (1): 106–9. doi:10.1164/ajrccm/145.1.106. PMID 1731571.