Chest Radiographs in the Pediatric Emergency Department for Children ≤18 Months of Age with Wheezing-Reference-Cited by-同舟云学术

Chest Radiographs in the Pediatric Emergency Department for Children ≤18 Months of Age with Wheezing

Published:1999-07 Issue:7 Volume:38 Page:395-399
ISSN:0009-9228
Container-title:Clinical Pediatrics
language:en
Short-container-title:Clin Pediatr (Phila)

Author:

Mahabee-Gittens E. Melinda¹,Bachman David T.²,Shapiro Eugene D.³,Dowd M. Denise⁴

Affiliation:

1. Division of Emergency Medicine, Children's Hospital Medical Center, Cincinnati, Ohio

2. Emergency Department, Maine Medical Center, Portland, Maine

3. Department of Pediatrics, Children's Hospital at Yale-New Haven, New Haven, Connecticut

4. Division of Emergency Medicine, Children's Mercy Hospital, Kansas City, Missouri

Abstract

There are no widely accepted predictors of pneumonia in wheezing infants and toddlers who present to the emergency department (ED). A 10-month retrospective review of ED visits of wheezing children ≤18 months of age revealed the following chest radiograph (CXR) results: normal (21 %), findings consistent with uncomplicated bronchiolitis or asthma (61%), focal infiltrates (18%), and other abnormalities (<1%). Patients with focal infiltrates on CXR were more likely to have the following: a history of fever (p=0.03, OR 2.1, 95% CI 1.0, 4.4), temperature ≥38.4° (p=0.01, OR 2.5, 95% CI 1.1,5.8) or crackles on examination (p<0.0005, OR 3.9, 95% CI 1.7,9.0). Selective use of CXRs has the potential to save health care dollars and limit unnecessary radiation. Clin Pediatr. 1999;38:395-399

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology, and Child Health

Link

http://journals.sagepub.com/doi/pdf/10.1177/000992289903800703

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