Community-Acquired Pneumonia Diagnosis Following Emergency Department Visits for Respiratory Illness.
| Autor: | Geanacopoulos, Alexandra T., Amirault, Janine P., Michelson, Kenneth A., Monuteaux, Michael C., Lipsett, Susan C., Hirsch, Alexander W., Neuman, Mark I. |
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| Předmět: |
RISK assessment
RESEARCH funding EMERGENCY room visits PRIMARY health care LOGISTIC regression analysis RESPIRATORY diseases RETROSPECTIVE studies DISCHARGE planning DESCRIPTIVE statistics FEVER COMMUNITY-acquired pneumonia ODDS ratio MEDICAL records ACQUISITION of data CASE-control method CONFIDENCE intervals DISEASE risk factors DISEASE complications CHILDREN |
| Zdroj: | Clinical Pediatrics; Jan2025, Vol. 64 Issue 1, p83-90, 8p |
| Abstrakt: | Community-acquired pneumonia (CAP) is often considered for children presenting to the emergency department (ED) with respiratory symptoms. It is unclear how often children are diagnosed with CAP following an ED visit for respiratory illness. We performed a retrospective case-control study to evaluate 7-day CAP diagnosis among children 3 months to 18 years discharged from the ED with respiratory illness from 2011 to 2021 and who receive care at 4 hospital-affiliated primary care clinics. Logistic regression was performed to assess for predictors of 7-day CAP diagnosis. Seventy-four (0.7%, 95% confidence interval [CI] = 0.6%, 0.9%) of 10 329 children were diagnosed with CAP within 7 days, and fever at the index visit was associated with increased odds of diagnosis (odds ratio [OR] = 3.32, 95% CI = 1.75-6.28). Community-acquired pneumonia diagnosis after discharge from the ED with respiratory illness is rare, even among children who are febrile at time of initial evaluation. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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