Original contributionDecision rules and clinical prediction of pneumonia: Evaluation of low-yield criteria
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Cited by (97)
Clinical prediction rule to predict pneumonia in adult presented with acute febrile respiratory illness
2019, American Journal of Emergency MedicineCitation Excerpt :While experienced clinicians may better use their clinical skills to determine the necessity of ordering a CXR, a risk stratifying prediction rule may assist all emergency physicians in whether a CXR should be ordered with better consistency and reproducibility. The possibility of predicting pneumonia from clinical parameters was studied by a number of researchers in the literature [2,9,12-16]. They derived an association between the diagnosis of pneumonia and its presenting symptoms and physical signs, using an abnormal CXR as confirmation of the diagnosis.
Fever in the pediatric patient
2013, Emergency Medicine Clinics of North AmericaCitation Excerpt :Seven percent of children younger than 2 years with temperatures higher than 38°C have pneumonia.94 Most children older than 3 months with pneumonia have clinical signs of infection (tachypnea, nasal flaring, grunting, oxygen saturation <95%, cyanosis, abnormal lung sounds), but approximately 3% of young patients without these symptoms have radiographic evidence of occult pneumonia.93,95–97 Studies have also reported high rates of occult pneumonia (20%–30%) among highly febrile children older than 3 months with temperatures greater than 39°C and WBC counts greater than 20,000/mm3, without clinical signs of pneumonia.67
Diagnosis and Management of Pneumonia in the Emergency Department
2008, Infectious Disease Clinics of North AmericaThe added value of C-reactive protein measurement in diagnosing pneumonia in primary care: A meta-analysis of individual patient data
2017, CMAJCitation Excerpt :To quantify the added value of CRP measurement to signs and symptoms for diagnosing pneumonia in primary care, we first developed a basic diagnostic prediction model to mimic daily clinical practice using a prespecified set of commonly used and clinically relevant signs and symptoms. These clinical predictors were selected from guidelines on lower respiratory tract infections, 17,18 literature9,19–23 and consultation of experts. The predictors were age, dyspnea, tachypnea, not previously existing chest signs (physician-reported wheezing, rhonchi, crackles, diminished vesicular breathing, pleural rub or dullness), cough, (increased) sputum production, chest pain, ear-nose-throat symptoms (sore throat or rhinorrhea), (current) smoking, fever (reported by patient or physician) and comorbidity (defined as heart failure, diabetes mellitus, chronic obstructive pulmonary disorder, asthma, immunodeficiency, malignant disease or renal failure).
Presented at the University Association for Emergency Medicine Annual Meeting in Cincinnati, May 1988.