The clinical respiratory score predicts paediatric critical care disposition in children with respiratory distress presenting to the emergency department

Nayani, Kanwal; Naeem, Rubaba; Munir, Owais; Naseer, Naureen; Feroze, Asher; Brown, Nick; Mian, Afsar

doi:10.1186/s12887-018-1317-2

Cited by 32 publications

(26 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients with a positive COVID-19 RT-PCR (reverse transcription-polymerase chain reaction) test but without clinical and radiological signs of the disease were considered asymptomatic; patients with symptoms of an upper respiratory tract infection such as fever, fatigue, myalgia, cough, sore throat and runny nose but a normal respiratory system examination were considered to have a mild disease; and patients with signs of pneumonia and the complaints of fever and cough but without symptoms of dyspnoea and hypoxemia were considered to have pneumonia. Respiratory distress was defined as having tachypnoea and the need for supplementary oxygen [ 14 ]. Asymptomatic patients were excluded.…”

Section: Methodsmentioning

confidence: 99%

Vitamin D levels in children with COVID-19: a report from Turkey

2021

View full text Add to dashboard Cite

Several studies have demonstrated that higher levels of vitamin D are associated with better prognosis and outcomes in infectious diseases. We aimed to compare the vitamin D levels of paediatric patients with mild/moderate coronavirus disease 2019 (COVID-19) disease and a healthy control group. We retrospectively reviewed the medical records of patients who were hospitalised at our university hospital with the diagnosis of COVID-19 during the period between 25 May 2020 and 24 December 2020. The mean age of the COVID-19 patients was 10.7 ± 5.5 years (range 1–18 years); 43 (57.3%) COVID-19 patients were male. The mean serum vitamin D level was significantly lower in the COVID-19 group than the control group (21.5 ± 10.0 vs. 28.0 ± 11.0 IU, P < 0.001). The proportion of patients with vitamin D deficiency was significantly higher in the COVID-19 group than the control group (44% vs. 17.5%, P < 0.001). Patients with low vitamin D levels were older than the patients with normal vitamin D levels (11.6 ± 4.9 vs. 6.2 ± 1.8 years, P = 0.016). There was a significant male preponderance in the normal vitamin D group compared with the low vitamin D group (91.7% vs. 50.8%, P = 0.03). C-reactive protein level was higher in the low vitamin D group, although the difference did not reach statistical significance (9.6 ± 2.2 vs. 4.5 ± 1.6 mg/l, P = 0.074). Our study provides an insight into the relationship between vitamin D deficiency and COVID-19 for future studies. Empiric intervention with vitamin D can be justified by low serum vitamin D levels.

show abstract

Section: Methodsmentioning

confidence: 99%

Vitamin D levels in children with COVID-19: a report from Turkey

2021

View full text Add to dashboard Cite

show abstract

“…The results of the current study goes in line with Alexandrino et al [13] found that the highest percent of children presented a moderate respiratory impairment of the respiratory health condition mainly due to the presence of rhinorrhea and secretions. Other study conducted by Nayani et al [24] stated that regarding Clinical Respiratory scores (CRS), about one third of children had mild respiratory condition, more than half in moderate and nine percent in sever category. Post the intervention, the total scores improved with obvious decrease in the percent of children having a moderate CRS.…”

Section: Discussionmentioning

confidence: 98%

Impact of regular chest percussion on outcome measures for infants with pneumonia

Hassan¹,

Amer²

2019

JNEP

View full text Add to dashboard Cite

Objective: To evaluate the impact of regular chest percussion on outcome measures for infants with pneumonia.Methods: A two-group pre-post quasi-experimental design was conducted in the Pediatrics Medical Unit at Abu Elrish Children’s Hospital, Cairo University. The experiment involved 100 infants fifty (control group) followed the hospital routine care and other fifty applied regular chest percussion (intervention group). Chest condition was assessed subjectively and objectively throughout five days before and after the regular chest percussion using Pediatrics Respiratory Severity Scales. Physiological measurements of infant’s respiratory rate, heart rate, and temperature and oxygen saturation were assessed. All research ethics were applied.Results: The mean of Pediatric Respiratory Severity Score (PRSS), temperature, respiration, heart rate and oxygen saturation among infants was statistically improved throughout the intervention days than the control group 1st, 2nd, 3rd and 4th days post the regular chest percussion at a significance level as p < .05.Conclusions: The regular chest percussion had a significant improvement in the respiratory health conditions for infants with bacterial pneumonia. This study recommends regular chest percussion that should be applied in medicine and intensive care units. Further researches must be done to add more evidence -based practices regarding the effect of chest percussion for children with pneumonia.

show abstract

“… 15 A study conducted in the ED of the Aga Khan University Hospital, Karachi investigated the outcomes of children aged between one month to 16 years using the Clinical Respiratory Score (CRS) and concluded that patients with higher scores were more likely to be admitted to the pediatric critical care unit. 16 As compared to the PRAM score, CRS takes into account the mental status and appearance of the child and does not require expert training to use.…”

Section: Discussionmentioning

confidence: 99%

To determine the association between asthma severity and hospital admission measured by Pediatric Respiratory Assessment Measure (PRAM) score at Indus Hospital and Health Network, Karachi, Pakistan, 2020-2021

et al. 2021

View full text Add to dashboard Cite

Objectives: To determine the association between asthma severity and the likelihood of hospitalization by using Pediatric Respiratory Assessment Measure (PRAM) score for pediatric patients who present to the emergency department (ED) with mild, moderate or severe asthma exacerbations and those who received standard intensive asthma therapy. Methods: This was a retrospective study conducted in children aged between 2 to 14 years. The data was entered and analysed using Statistical Package for the Social Sciences (SPSS) version 21. To be included in the study, the children must have received “intensive asthma therapy” defined as administration of systemic corticosteroids with three albuterol treatments and ipratropium. Results: A total of 437 patients were enrolled in the study out of which 250 were male and 187 were female. The mean age was 6.1 ± 3.4 years with a minimum age of two and a maximum age of 14 years. The 4-hour PRAM score (AUC = 0.88) overall significantly improved the predictive value of admission (p value <0.001) as compared to the PRAM score calculated at triage (AUC = 0.81). Conclusion: The 4-hour PRAM score is the best predictor for the need of hospitalization. It is suggested that these results are applied clinically in the pediatric ED to improve patient flow and to better facilitate intensive therapy of patients at triage to decrease the need for hospitalization. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5783 How to cite this:Kazi U, Gul Rukh S, Zawawi S, Laila S, Fareeduddin M, Saleem SG. To determine the association between asthma severity and hospital admission measured by Pediatric Respiratory Assessment Measure (PRAM) score at Indus Hospital and Health Network, Karachi, Pakistan, 2020-2021. Pak J Med Sci. 2022;38(2):345-350. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5783 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

show abstract

The clinical respiratory score predicts paediatric critical care disposition in children with respiratory distress presenting to the emergency department

Cited by 32 publications

References 20 publications

Vitamin D levels in children with COVID-19: a report from Turkey

Vitamin D levels in children with COVID-19: a report from Turkey

Impact of regular chest percussion on outcome measures for infants with pneumonia

To determine the association between asthma severity and hospital admission measured by Pediatric Respiratory Assessment Measure (PRAM) score at Indus Hospital and Health Network, Karachi, Pakistan, 2020-2021

Contact Info

Product

Resources

About