Analysis of clinical & radiological findings in children with acute wheeze
نویسنده
چکیده
Objective: To analyze the indications for chest (CXR) radiography, radiological abnormalities and the clinical predictors for pneumonia in children who present with acute wheeze to the pediatric emergency department. Methods: This prospective study was conducted in the emergency department of a tertiary care pediatric referral hospital between July and December 2012. Children between 6 months to 18 years of age presenting with acute wheeze were included in the study. Results: Of a total of 126 children included in the study, the most common indication for CXR was temperature > 1000F at presentation (65%). The most common radiological abnormality was prominent bronchovascular markings in 67%. Ten children (8.7%) had radiological evidence of pneumonia, seven of them were <5years of age. Presence of fever during triage (p=0.006), hypoxia (p=0.01) and localised chest findings on auscultation (p=0.001) were statistically significant clinical predictors for pneumonia. Conclusion: The incidence of radiographically confirmed pneumonia among children with wheezing is uncommon. Definite clinical criteria should be defined to avoid unwarranted chest radiography in children with acute wheeze.
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