Which clinical signs predict hypoxaemia in young Senegalese children with acute lower respiratory tract disease?

Détails

ID Serval
serval:BIB_82F51EBBA177
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Which clinical signs predict hypoxaemia in young Senegalese children with acute lower respiratory tract disease?
Périodique
Paediatrics and International Child Health
Auteur⸱e⸱s
Wandeler G., Pauchard J.Y., Zangger E., Diawara H., Gehri M.
ISSN
2046-9055 (Electronic)
ISSN-L
2046-9047
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
35
Numéro
1
Pages
65-68
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
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.
Pubmed
Web of science
Création de la notice
29/01/2015 21:12
Dernière modification de la notice
20/08/2019 15:42
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