June 2018. Volume 14. Number 1

Clinical signs of pneumonia: better hypoxia and increased work of breathing than tachypnea

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Shah SN, Bachur RG, Simel DL, Neuman MI. Does this child have pneumonia?: the rational clinical examination systematic review. JAMA. 2017;318:462-471.

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: 05/07/2018
Acceptance date: 09/07/2018
Publication date: 18/07/2018

Abstract

Authors’ conclusions: no single finding reliably differentiates pneumonia from other causes of childhood respiratory diseases. Hypoxia and increased respiratory work are more valid signs than tachypnea and auscultatory findings.

Reviewers’ commentary: some clinical signs, separately or together, may be useful in the diagnosis of pneumonia. Tachypnea, a sign classically recommended by the World Health Organization, is less valid than other signs. The auscultatory findings, probably due to their subjectivity, are not valid findings. However, this study does not allow us to assess the performance and safety of a diagnosis of pneumonia exclusively based on clinical findings.

How to cite this article

Andrés de Llano JM, Ochoa Sangrador C. Signos clínicos diagnósticos de neumonía: mejor la hipoxemia y el trabajo respiratorio que la taquipnea. Evid Pediatr. 2018;14:8.

AVC | Critically appraised articles

Shah SN, Bachur RG, Simel DL, Neuman MI. Does this child have pneumonia?: the rational clinical examination systematic review. JAMA. 2017;318:462-471.

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: 05/07/2018
Acceptance date: 09/07/2018
Publication date: 18/07/2018

How to cite this article

Andrés de Llano JM, Ochoa Sangrador C. Signos clínicos diagnósticos de neumonía: mejor la hipoxemia y el trabajo respiratorio que la taquipnea. Evid Pediatr. 2018;14:8.

18/07/2018

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