{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:32:11Z","timestamp":1793197931743,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1171228"],"award-info":[{"award-number":["GNT1171228"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Bronchiolitis is the leading cause of hospital presentation and admission for infants in Australasia. We aimed to synthesise current evidence on the effect of discharge criteria for infants (aged &lt;\u200912\u2009months) who are presenting to or are admitted to hospital with bronchiolitis, to inform a binational guideline recommendation update. Systematic searches were conducted on MEDLINE, EMBASE, PubMed, Cochrane Library and CINAHL (last search 19 February 2025) for non\u2010randomised studies evaluating hospital discharge criteria in bronchiolitis. The primary outcomes were length of stay (LOS) and readmission rates. The risk of bias (ROBINS\u2010I) and certainty of the evidence (GRADE) were appraised, and findings were narratively synthesised. GRADE evidence\u2010to\u2010decision methodology, expert consensus voting and interest\u2010holder consultation were used to finalise the recommendation update. Two retrospective observational studies were included (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u20092697) (low to very low quality), reporting on unique discharge criteria. In both studies, use of the discharge criteria was associated with a significant reduction in LOS relative to alternative protocols. There was no significant difference in readmission rates observed in either study. There was low to very low certainty evidence across outcomes due to risk of bias, indirectness and imprecision. The review findings informed a recommendation update for safe discharge criteria in the 2025 Australasian Bronchiolitis Guideline update. Updated, prescriptive discharge criteria and flow chart were developed, covering clinical stability, oxygen saturation\/support, feeding difficulties, caregiver confidence and education on deterioration, social factors and follow\u2010up. The revised criteria provide clinicians with increased certainty in decision\u2010making in bronchiolitis, albeit with further research needed.\n                  <\/jats:p>","DOI":"10.1111\/1742-6723.70339","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T07:49:15Z","timestamp":1788421755000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Criteria for Safe Hospital Discharge in Bronchiolitis: A Systematic Review"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5326-5008","authenticated-orcid":false,"given":"Meredith L.","family":"Borland","sequence":"first","affiliation":[{"name":"Emergency Department Perth Children's Hospital  Perth Western Australia Australia"},{"name":"Divisions of Paediatrics and Emergency Medicine, School of Medicine University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0694-4830","authenticated-orcid":false,"given":"Kate","family":"Loveys","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health, School of Medicine University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-2187","authenticated-orcid":false,"given":"Franz E.","family":"Babl","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Parkville Victoria Australia"},{"name":"Department of Critical Care University of Melbourne  Parkville Victoria Australia"},{"name":"Emergency Department Royal Children's Hospital  Parkville Victoria Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8469-8394","authenticated-orcid":false,"given":"Elizabeth","family":"Cotterell","sequence":"additional","affiliation":[{"name":"Armidale Rural Referral Hospital  Armidale New South Wales Australia"},{"name":"School of Rural Medicine and Tablelands Clinical School University of New England  Armidale New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8706-3674","authenticated-orcid":false,"given":"Libby","family":"Haskell","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health, School of Medicine University of Auckland  Auckland New Zealand"},{"name":"Children's Emergency Department Starship Children's Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5980-4682","authenticated-orcid":false,"given":"Sharon","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Emergency Department Perth Children's Hospital  Perth Western Australia Australia"},{"name":"Division of Emergency Medicine, Anaesthesia and Pain Medicine, Medical School University of Western Australia  Perth Western Australia Australia"},{"name":"Institute for Paediatric Perioperative Excellence The University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3712-6200","authenticated-orcid":false,"given":"Ed","family":"Oakley","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Parkville Victoria Australia"},{"name":"Emergency Department Royal Children's Hospital  Parkville Victoria Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7230-712X","authenticated-orcid":false,"given":"Emma J.","family":"Tavender","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Parkville Victoria Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Parkville Victoria Australia"},{"name":"Australian Catholic University (ACU)  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5893-4226","authenticated-orcid":false,"given":"Catherine L.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Clinical Sciences Murdoch Children's Research Institute  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart R.","family":"Dalziel","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health, School of Medicine University of Auckland  Auckland New Zealand"},{"name":"Children's Emergency Department Starship Children's Hospital  Auckland New Zealand"},{"name":"Department of Surgery, School of Medicine The University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Paediatric Research in Emergency Departments International Collaborative (PREDICT) Network","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.70145"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.70144"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2023.1098577"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-020-02092-y"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.14104"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-1418"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2318"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_10_10_1","unstructured":"Paediatric Research in Emergency Departments International Collaborative Australasian Bronchiolitis Guideline(PREDICT 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