Tachycardia may prognosticate life- or organ-threatening diseases in children with abdominal pain

Hayakawa, Isao; Sakakibara, Hiroshi; Atsumi, Yukari; Hataya, Hiroshi; Terakawa, Toshiro

doi:10.1016/j.ajem.2017.01.032

Cited by 8 publications

(3 citation statements)

References 11 publications

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“…17 Hospitalized patients are usually in a worse physical condition than patients seen in the outpatient setting, thus accounting for the higher heart rate seen in the former. 20 However, the heart rate among the younger children in this study was lower than that recorded in previous studies conducted in the outpatient setting 15,16 but higher than that reported in a study of hospitalized patients. 17 This discrepancy may be due to the effect of emotional factors, including crying.…”

Section: Discussioncontrasting

confidence: 77%

Relationship Between Body Temperature and Heart Rate in Children With No Other Apparent Cause of Tachycardia

et al. 2022

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The aim of the study was to investigate the normal heart rate range for each body temperature in patients visiting the emergency department (ED) with no other, apparent, coexisting factors causing tachycardia. Methods:This was an observational study conducted in the ED at a single children's hospital between April 1, 2014, and March 31, 2017. Data on all visits were extracted from the electronic triage system and were excluded if they indicated the presence of factors other than body temperature potentially increasing the heart rate. We created age-dependent heart rate percentile curves for body temperature in 6 age categories: 0 to younger than 3 months, 3 to younger than 12 months, 1 to younger than 2 years, 2 to younger than 5 years, 5 to younger than 10 years, and 10 years or older. The curves were created for the body temperatures of 36.0°C to 38.0°C for the 0 to younger than 3 months age group and for body temperatures of 36.0°C to 40.5°C for the other age groups.Results: Of the 113,242 patients included, 61,321 were analyzed. The percentile curves across all age groups were similar despite differences in the baseline heart rate. Heart rate increase was steepest between 37.0°C and 38.0°C at a rate of approximately 20 beats per minute per degree Celsius for all groups. Compared with previous studies in the outpatient setting, including the ED, heart rate was lower in younger patients and was similar among older patients. Conclusions:We created new, age-dependent heart rate percentile curves for body temperature for use in the ED setting. In outpatients, the effect of coexisting factors affecting heart rate, such as crying, may be higher among younger patients.

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Section: Discussioncontrasting

confidence: 77%

Relationship Between Body Temperature and Heart Rate in Children With No Other Apparent Cause of Tachycardia

et al. 2022

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“…All the patients received in‐hospital triage by nurses specialised in paediatric emergency triage using the Japan Triage and Acuity Scale. All triage data were consecutively collected by an in‐hospital electronic triage system (eTriage, DankNet and DoWell Inc., Tokyo, Japan) and served as the mother cohort . The triage system was developed in accordance with previous literature .…”

Section: Methodsmentioning

confidence: 99%

Incidence and aetiology of serious viral infections in young febrile infants

Hayakawa

Nomura

Uda

et al. 2019

J Paediatrics Child Health

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Aim: While the incidence and aetiology of serious bacterial infections among febrile infants younger than 90 days old are well studied, those concerning viral infection are not. There are severe life-threatening viral infections requiring immediate intense therapy. The objective of the study is to describe the incidence and aetiology of serious viral infections (SVI) among young febrile infants. Methods: A retrospective audit was performed covering all the febrile infants younger than 90 days old admitted to a paediatric emergency department in Japan from 2011 to 2013. SVI was defined as a viral illness that may result in permanent organ dysfunctions or life-threatening complications. Diagnostic investigation consisted of urine and blood culture for all infants, cerebrospinal fluid cultures for infants who do not fulfil the low-risk criteria, rapid antigen tests for several viruses in infants with specific symptoms and blood and/or cerebrospinal fluid polymerase chain reaction of possible viruses for infants with fever without a localising source. Results: Of 275 cases, 32 and 45 cases were diagnosed as serious viral and bacterial infections, respectively. Intensive care unit admission occurred for three viral and four bacterial infections. Viral aetiology consisted of respiratory syncytial virus (11 cases), aseptic meningitis (9 cases), enterovirus (6 cases), influenza virus (3 cases), rotavirus (2 cases) and herpes simplex virus-1 (1 case). Respiratory (14 cases), central nervous (12 cases) and circulatory (6 cases) systems were affected. Conclusion: SVI was observed in 11.6% of febrile young infants in a paediatric emergency department.

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“…7 One study of pediatric patients with abdominal pain revealed that tachycardia increased the relative risk of life-threatening diseases as much as 3.7-fold. 8 Persistent tachyarrhythmia warrants immediate stabilization.…”

Section: Introductionmentioning

confidence: 99%

Tachyarrhythmia improved by management of low back pain in a patient with delayed diagnosis of infective spondylodiscitis: A case report

Ota

Onishi

Fujii

et al. 2020

SAGE Open Medical Case Reports

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A 77-year-old man presented to the emergency room with a 1-month history of persistent low back pain with the absence of vital sign abnormalities. On several previous orthopedic surgery clinic visits, pathological back pain had not been considered and pain killers had been prescribed because he had low back pain due to lumbar spinal canal stenosis. He was admitted to the intensive care unit for infectious spondylodiscitis and infective endocarditis with disseminated abscess caused by methicillin-resistant Staphylococcus aureus. Shock refractory tachyarrhythmia could not be managed with antiarrhythmic agent in the intensive care unit. Intractable low back pain and persistent tachyarrhythmia were adequately managed by pain control with fentanyl in the intensive care unit. Infectious spondylodiscitis and infective endocarditis were effectively managed with anti–methicillin-resistant Staphylococcus aureus drugs, initially in rotational usage, but the patient died of extended-spectrum beta-lactamase-producing Escherichia coli pneumonia on day 50 of hospitalization. Infectious spondylodiscitis should have been considered for persistent low back pain with hemodialysis, fever, and a history of device implantation. Pain management may be necessary for persistent tachycardia that proves unresponsive to usual antiarrhythmic medications.

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Tachycardia may prognosticate life- or organ-threatening diseases in children with abdominal pain

Cited by 8 publications

References 11 publications

Relationship Between Body Temperature and Heart Rate in Children With No Other Apparent Cause of Tachycardia

Relationship Between Body Temperature and Heart Rate in Children With No Other Apparent Cause of Tachycardia

Incidence and aetiology of serious viral infections in young febrile infants

Tachyarrhythmia improved by management of low back pain in a patient with delayed diagnosis of infective spondylodiscitis: A case report

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