December 2011. Volume 7. Number 4

The symptoms described by the parents do not predict severe respiratory infections in children

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Blacklock C, Mayon-White R, Coad N, Thompson M. Which symptoms and clinical features correctly identify serious respiratory infection in children attending a paediatric assessment unit? Arch Dis Child. 2011;96:708-14.
Reviewers: Andrés de Llano JM1, Ochoa Sangrador C2.
1Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
2Servicio de Pediatría. Hospital Virgen de la Concha. Zamora. España.
Correspondence: Jesús María Andrés de Llano. Email: jmandres@ono.com
Reception date: 23/10/2011
Acceptance date: 24/10/2011
Publication date: 26/10/2011

Abstract

Authors' conclusions: parent-reported symptoms are not reliable predictors of serious respiratory infection, and do not correlate well with nurse assessment. Nurse triage assessment of respiratory distress and some vital signs are important predictors.

Reviewers' commentary: the symptoms reported by parents do not seem reliable in diagnosing severe respiratory infections in childhood. Nevertheless, taking into account the limitations of this study, we cannot rule out that these symptoms can have some usefulness in predicting severity of any origin.

How to cite this article

Andrés de Llano JM, Ochoa Sangrador C. Los síntomas descritos por los padres no permiten predecir la existencia de infecciones respiratorias graves en los niños. Evid Pediatr. 2011;7:88.

AVC | Critically appraised articles

Blacklock C, Mayon-White R, Coad N, Thompson M. Which symptoms and clinical features correctly identify serious respiratory infection in children attending a paediatric assessment unit? Arch Dis Child. 2011;96:708-14.
Reviewers: Andrés de Llano JM1, Ochoa Sangrador C2.
1Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
2Servicio de Pediatría. Hospital Virgen de la Concha. Zamora. España.
Correspondence: Jesús María Andrés de Llano. Email: jmandres@ono.com
Reception date: 23/10/2011
Acceptance date: 24/10/2011
Publication date: 26/10/2011

How to cite this article

Andrés de Llano JM, Ochoa Sangrador C. Los síntomas descritos por los padres no permiten predecir la existencia de infecciones respiratorias graves en los niños. Evid Pediatr. 2011;7:88.

References

  1. Van den Bruel A, Haj-Hassan T, Thompson M, Buntinx F, Mant D; European Research Network on Recognising Serious Infection investigators. Diagnostic value of clinical features at presentation to identify serious infection in children in developed countries: a systematic review. Lancet. 2010;375:834-45.
  2. Cunningham S, McMurray A. The availability and use of oxygen saturation monitoring in primary care in order to assess asthma severity. Prim Care Respir J. 2006;15:98-101.
  3. Neuman MI, Monuteaux MC, Scully KJ, Bachur RG. Prediction of pneumonia in a pediatric emergency department. Pediatrics. 2011;128:246-53.
26/10/2011

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