June 2013. Volume 9. Number 2

May diastolic hypotension be used as an early predictor of the need for hospitalización in children with acute asthma?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Horeczko T, Wintemute GJ. Asthma Vital Signs at Triage: Home or Admission (ASTHmA). Pediatr Emerg Care. 2013;29:175-82.
Reviewers: Carvajal Encina F1, de Lucas García N2.
1UCIN Hospital de La Serena y Escuela de Medicina Universidad Católica del Norte. La Serena. Elqui. Chile.
2SAMUR-Protección Civil. Madrid. España.
Correspondence: Fernando Carvajal Encina. Email: fcarvajal@ucn.cl
Reception date: 14/05/2013
Acceptance date: 31/05/2013
Publication date: 05/06/2013

Abstract

Authors' conclusions:  age-specific assessment is important in the evaluation of acute asthma or reactive airway exacerbation. Diastolic hypotension may serve as an early warning indicator of severity of disease and need for hospitalization. The variability of vital signs as a predictor of hospitalization in different age groups, requires the development or refinement of assessment tools age-related acute asthma.

Reviewers' commentary: the ability to accurately predict the need for hospitalization by measuring objective parameters obtained in triage, would optimize care and improve patient outcomes. However, this study presents under review presents many methodological problems that limit their internal validity and generalizability of their results.

Key words: asthma; risk factors; triage

How to cite this article

De Lucas García N, Carvajal Encina F. ¿La presión arterial diastólica puede ser predictora de ingreso en niños con asma? Evid Pediatr. 2013;9:31.

AVC | Critically appraised articles

Horeczko T, Wintemute GJ. Asthma Vital Signs at Triage: Home or Admission (ASTHmA). Pediatr Emerg Care. 2013;29:175-82.
Reviewers: Carvajal Encina F1, de Lucas García N2.
1UCIN Hospital de La Serena y Escuela de Medicina Universidad Católica del Norte. La Serena. Elqui. Chile.
2SAMUR-Protección Civil. Madrid. España.
Correspondence: Fernando Carvajal Encina. Email: fcarvajal@ucn.cl
Key words: asthma; risk factors; triage
Reception date: 14/05/2013
Acceptance date: 31/05/2013
Publication date: 05/06/2013

How to cite this article

De Lucas García N, Carvajal Encina F. ¿La presión arterial diastólica puede ser predictora de ingreso en niños con asma? Evid Pediatr. 2013;9:31.

References

  1. Gorelick M, Scribano PV, Stevens MW, Schultz T, Shults J. Predicting need for hospitalization in acute pediatric asthma. Pediatr Emegrg Care. 2008;24:735-44.
  2. Buyuktiryaki AB, Civelek E, Can D, Orhan F, Aydogan M, Reisli I, et al.; Turkish Pediatric Asthma Research Group (TURPEDAS). Predicting hospitalization in children with acute asthma. J Emerg Med. 2013;44:919-27.
  3. Ochoa Sangrador C. Diseño y evaluación de Reglas de Predicción. Clínica. Evid Pediatr. 2009;5:28.
  4. González de Dios J, Ibáñez Pradas V, Modesto i Alapont V. Evaluación de artículos científicos sobre pronóstico. Evid Pediatr. 2007;3:81.


05/06/2013

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