Which clinical signs predict hypoxaemia in young Senegalese children with acute lower respiratory tract disease?
Data(s) |
01/02/2015
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Resumo |
BACKGROUND Acute lower respiratory tract diseases are an important cause of mortality in children in resource-limited settings. In the absence of pulse oximetry, clinicians rely on clinical signs to detect hypoxaemia. OBJECTIVE To assess the diagnostic value of clinical signs of hypoxaemia in children aged 2 months to 5 years with acute lower respiratory tract disease. METHODS Seventy children with a history of cough and signs of respiratory distress were enrolled. Three experienced physicians recorded clinical signs and oxygen saturation by pulse oximetry. Hypoxaemia was defined as oxygen saturation <90%. Clinical predictors of hypoxaemia were evaluated using adjusted diagnostic odds ratios (aDOR). RESULTS There was a 43% prevalence of hypoxaemia. An initial visual impression of poor general status [aDOR 20·0, 95% CI 3·8-106], severe chest-indrawing (aDOR 9·8, 95% CI 1·5-65), audible grunting (aDOR 6·9, 95% CI 1·4-25) and cyanosis (aDOR 26·5, 95% CI 1·1-677) were significant predictors of hypoxaemia. CONCLUSION In children under 5 years of age, several simple clinical signs are reliable predictors of hypoxaemia. These should be included in diagnostic guidelines. |
Formato |
application/pdf |
Identificador |
http://boris.unibe.ch/62017/1/Wandeler%20PaediatrIntChildHealth%202015.pdf Wandeler, Gilles; Pauchard, J Y; Zangger, E; Diawara, H; Gehri, M (2015). Which clinical signs predict hypoxaemia in young Senegalese children with acute lower respiratory tract disease? Paediatrics and international child health, 35(1), pp. 65-68. Maney Publishing 10.1179/2046905514Y.0000000153 <http://dx.doi.org/10.1179/2046905514Y.0000000153> doi:10.7892/boris.62017 info:doi:10.1179/2046905514Y.0000000153 info:pmid:25547179 urn:issn:2046-9055 |
Idioma(s) |
eng |
Publicador |
Maney Publishing |
Relação |
http://boris.unibe.ch/62017/ |
Direitos |
info:eu-repo/semantics/restrictedAccess |
Fonte |
Wandeler, Gilles; Pauchard, J Y; Zangger, E; Diawara, H; Gehri, M (2015). Which clinical signs predict hypoxaemia in young Senegalese children with acute lower respiratory tract disease? Paediatrics and international child health, 35(1), pp. 65-68. Maney Publishing 10.1179/2046905514Y.0000000153 <http://dx.doi.org/10.1179/2046905514Y.0000000153> |
Palavras-Chave | #360 Social problems & social services #610 Medicine & health |
Tipo |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion PeerReviewed |