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TITLE:

PREDICTIVE VALUE OF TACHYPNEA IN THE DIAGNOSIS OF BRONCHOPNEUMONIA IN THE PEDIATRIC POPULATION

AUTHORS:

Sumayyah Ahmed Nezar Kobeisy, Saleh Al Harbi

ABSTRACT:

Background: Pneumonia is the leading cause of morbidity and mortality in children less than 5 years of age (Rudan, et al. 2008). Studies on the values of tachypnea in the diagnosis of pneumonia in children are limited (Shah, Bachur, Kim & Neuman 2010). Objective: To identify the clinical predictive values of age related tachypnea in children with radiographic evidence of bronchopneumonia. Methods: A retrospective cohort study was conducted at Dr. Soliman Fakeeh Hospital. The aim of the study was to seek an association between respiratory rate and radiographic pneumonia in the pediatric age group. Data was collected and analyzed in IBM SPSS Version 20. Results: It was found that there was statistical significance in the likelihood ratio of a relationship between respiratory rate and radiographic pneumonia in the infant age group [ G^2 (1,N=215)=4.252,p=.039]. The results were also significant for tachypnea in the toddler age group [x^2 (1,N=334)=6.501,p=.011]. Approximately 94% of tachypneic toddlers had pneumonia. Conclusion: Due to the high level of specificity and positive predictive value, evaluation of respiratory rate for age related tachypnea may be useful in the assessment of pneumonia risk among children in settings with underprivileged resources. Key Words: Tachypnea, bronchopneumonia, predictive value, pediatrics

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