Paramedic Papers

Home Paediatrics Bronchiolitis discharge criteria cut length of stay

Paediatrics

Bronchiolitis discharge criteria cut length of stay

Criteria for Safe Hospital Discharge in Bronchiolitis: A Systematic Review
Emergency Medicine Australasia · Added 4 September 2026

Systematic review for the binational guideline update on discharge criteria for infants under 12 months with bronchiolitis — two retrospective studies (N=2,697) found structured discharge criteria significantly shortened length of stay with no difference in readmissions (low-to-very-low certainty), and informed the 2025 Australasian Bronchiolitis Guideline covering clinical stability, oxygen saturation/support, feeding, caregiver confidence, social factors and follow-up.

Study type
Systematic review
Design
Systematic review informing guideline update
Participants
Two retrospective observational studies, 2,697 infants under 12 months with bronchiolitis
Main finding
Both studies found structured discharge criteria significantly reduced length of stay with no significant difference in readmission rates; evidence certainty low to very low. Informed the 2025 Australasian Bronchiolitis Guideline discharge criteria.
Caveat
Only two retrospective studies with low to very low certainty evidence
Bottom line
Supports current practice

Why it matters in Australia (Medium relevance). hospital ED/inpatient decision-making rather than on-road practice, but directly Australasian and shapes the pathway for infants we transport

Learning goal

Strengthen my judgement on when infants with bronchiolitis are safe for hospital discharge using structured clinical criteria.

Open in dashboard Read the paper (DOI) PubMed

More

Related papers on Paediatrics