Pediatric anesthesia & critical care

Pulse rate variability as a predictor for length of stay for patients with bronchiolitis in the pediatric intensive care unit

J Clin Monit ComputPublished Retrospective cohort study

Authors' conclusion

This study demonstrates that the correlation between the PRV and HRV is lower in patients with longer length of stay, suggesting this can be a potential metric for LOS in PICU.

Study context

Population
Patients with bronchiolitis admitted to the pediatric Intensive Care Unit (PICU)
Participants
119 patients
Exposure
Pulse rate variability (PRV) vs heart rate variability (HRV) correlation in PICU short-stay vs long-stay groups
  • Short-stayn = 66reference
  • Long-stayn = 53
Outcome
Correlation between PRV and HRV parameters and its association with LOS
Follow-up
First 12 h after PICU admission

Main finding

As reported in the abstract

Correlation between PRV and HRV parameters

Short-stay

0.72-0.82

correlation

Long-stay

0.29 to 0.67

correlation

Observational data: associations, not effects.

Further findings

HRV vs PRV parameters (SDSD, SDNN, RMSSD, pNN50, SD1, SD2), both length of stay (LOS) groups

HRV parameters significantly higher than PRV; HRV: 13.72, 10.24, 13.72, 0.77, 9.7, 10.6, and 0.85
PRV: 5.88, 4.83, 5.88, 0.75, 4.16, 5.28, and 0.85

Original publication

Pulse rate variability as a predictor for length of stay for patients with bronchiolitis in the pediatric intensive care unit. J Clin Monit Comput. Published 25 March 2025. doi:10.1007/s10877-025-01287-x

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