Identifying children with pneumonia in the emergency department

Autor: Lane F. Donnelly, Jacqueline Grupp-Phelan, Sheryl E. Allen Bracey, Gail B. Slap, Mia L. Mallory, E. Melinda Mahabee-Gittens, Alan S. Brody, Elena M. Duma
Rok vydání: 2005
Předmět:
Male
medicine.medical_specialty
Fever
Risk Assessment
Sensitivity and Specificity
Cohort Studies
Diagnosis
Differential
03 medical and health sciences
0302 clinical medicine
Age Distribution
Oxygen Consumption
Heart Rate
030225 pediatrics
Lower respiratory tract infection
Internal medicine
Ambulatory Care
Confidence Intervals
Odds Ratio
Medicine
Humans
Prospective Studies
Sex Distribution
Prospective cohort study
Respiratory Tract Infections
business.industry
Incidence (epidemiology)
Incidence
Infant
Odds ratio
Emergency department
Pneumonia
medicine.disease
Confidence interval
United States
Surgery
Child
Preschool
Pediatrics
Perinatology and Child Health
Multivariate Analysis
Female
Radiography
Thoracic
Clinical Competence
business
Emergency Service
Hospital
Blood Chemical Analysis
Cohort study
Zdroj: Clinical pediatrics. 44(5)
ISSN: 0009-9228
Popis: Emergency physicians need to clinically differentiate children with and without radiographic evidence of pneumonia. In this prospective cohort study of 510 patients 2 to 59 months of age presenting with symptoms of lower respiratory tract infection, 100% were evaluated with chest radiography and 44 (8.6%) had pneumonia on chest radiography. With use of multivariate analysis, the adjusted odds ratio (AOR) and 95% confidence intervals (CI) of the clinical findings significantly associated with focal infiltrates were age older than 12 months (AOR 1.4, CI 1.1-1.9), RR 50 or greater (AOR 3.5, CI 1.6-7.5), oxygen saturation 96% or less (AOR 4.6, CI 2.3-9.2), and nasal flaring (AOR 2.2 CI 1.2-4.0) in patients 12 months of age or younger. The combination of age older than 12 months, RR 50 or greater, oxygen saturation 96% or less, and in children under age 12 months, nasal flaring, can be used in determining which young children with lower respiratory tract infection symptoms have radiographic pneumonia.
Databáze: OpenAIRE
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