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Clinical Pediatrics, Vol. 38, No. 7, 395-399 (1999)
DOI: 10.1177/000992289903800703

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

E. Melinda Mahabee-Gittens

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

David T. Bachman

Emergency Department, Maine Medical Center, Portland, Maine

Eugene D. Shapiro

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

M. Denise Dowd

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

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


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 AAP Grand RoundsHome page
R. I. Paul and M. Weinberger
Routine Chest Radiographs in Acute Bronchiolitis Are Not Necessary
AAP Grand Rounds, August 1, 2007; 18(2): 14 - 15.
[Full Text] [PDF]

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 CLIN PEDIATRHome page
E. M. Mahabee-Gittens, M. D. Dowd, J. A. Beck, and S. Z. Smith
Clinical Factors Associated with Focal Infiltrates in Wheezing Infants and Toddlers
Clinical Pediatrics, July 1, 2000; 39(7): 387 - 393.
[Abstract] [PDF]