Abstract

Objective:  Acute bronchiolitis is an acute respiratory tract disease often caused by viral factors in children younger than two years. In the acute bronchiolitis period, there may be an increase in the mean platelet volume (MPV) due to inflammation. This study is organized to investigate the clinical, laboratory and treatment characteristics of patients diagnosed with acute bronchiolitis in the emergency department of our hospital and to compare the MPV values of these patients during the illness and the healthy period.

Material and Methods: Patients presenting to the pediatric emergency department of our hospital with acute bronchiolitis between 01.01.2015 and 12.12.2017 were evaluated retrospectively.

Results: The median age (IQR) of the 314 patients was 14.0 (7.0-20.0 months) and 199 (63.4%) patients were male. The most common complaints in the admission were cough (94.9%), rhinorrhea (62.4%) and fever (34.1%). The most common physical examination findings were wheezing (58.3%), retraction (46.2%) and ral (29.3), respectively. Of those, 132 (42.0%) patients applied with the first bronchiolitis attack and 182 (58.0%) had recurrent bronchiolitis. The median attack number was 2 in patients admitted with recurrent bronchiolitis. The mean age of first attack was 6.92 ± 3.81 months (1- 19 months). 137 (43.6%) patients were considered as mild, 121 (38.5) were moderate, 56 (17.9) were considered as severe attacks. 182 (58.0%) of the cases were discharged from the emergency, one was referred to another hospital, and 131 (41.7%) patients were hospitalized. Platelet (/ mm3) and MPV (fl) (median, minimum-maximum) values in bronchiolitis and healthy period are 129.6 (110.0-1140.0); 349.9 (131.0-967.0) and 7.7 (6.1- 12.1); 7.7 (5.6-11.2) respectively. There were no differences between platelet and MPV values in the healthy period and bronchiolitis period (p = 0.655, p =0.855, respectively).

Conclusion: Acute bronchiolitis is mild in most cases and can be treated at home with supportive care. The diagnosis of the disease is made with history and physical examination findings. An importance of MPV value was not determined in detecting the severity of the disease.

Keywords: Emergency service, Bronchiolitis, Child, MPV

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Copyright © 2020 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Kurt F, Mustafaoğlu Ö, Alaboyun ES, Gürsoy C, Yakut Hİ, Dibek Mısırlıoğlu E. Evaluation of Changes in Mean Platelet Volume in Acute Bronchiolitis Cases. Turk J Pediatr Dis [Internet]. 2020 Jun. 26 [cited 2025 Aug. 23];14(4):352-8. Available from: https://turkjpediatrdis.org/article/view/681