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
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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.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM) 04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology |
UniBE Contributor: |
Wandeler, Gilles |
Subjects: |
300 Social sciences, sociology & anthropology > 360 Social problems & social services 600 Technology > 610 Medicine & health |
ISSN: |
2046-9055 |
Publisher: |
Maney Publishing |
Language: |
English |
Submitter: |
Annelies Luginbühl |
Date Deposited: |
10 Feb 2015 10:07 |
Last Modified: |
05 Dec 2022 14:39 |
Publisher DOI: |
10.1179/2046905514Y.0000000153 |
PubMed ID: |
25547179 |
Uncontrolled Keywords: |
Acute lower respiratory disease, Hypoxaemia, Pulse oximetry Under-5 children, |
BORIS DOI: |
10.7892/boris.62017 |
URI: |
https://boris.unibe.ch/id/eprint/62017 |
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