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Clinical Factors Associated with Focal Infiltrates in Wheezing Infants and Toddlers
E. M. Mahabee-Gittens, MD, MS
Division of Emergency Medicine, Children's Hospital Medical Center, Cincinnati, OH
M. D. Dowd, MD, MPH
Division of Emergency Medicine, Children's Mercy Hospital, Kansas City, MO
J. A. Beck, RRT
S. Z. Smith, RRT
Division of Emergency Medicine, Children's Hospital Medical Center, Cincinnati, OH
It can be challenging to determine which findings are associated with focal infiltrates in young wheezing children. A prospective study of wheezing children 18 months of age revealed focal infiltrates on chest radiograph in 23%. By use of multivariate analysis, findings significantly associated with focal infiltrates included grunting (OR 4.1, 95% CI, 2.0, 8.6) and oxygen saturation 93% (OR 2.2, 95% CI, 1.1, 4.8); with a sensitivity and specificity of 12.5% and 97%, respectively. Variables not associated with focal infiltrates included first-time wheezing, fever, and tachypnea. The combination of grunting and oxygen saturation 93% is highly specific and can be used to help diagnose pneumonia in wheezing infants and toddlers.
Clinical Pediatrics, Vol. 39, No. 7,
387-393 (2000)
DOI: 10.1177/000992280003900702

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B. Mathews, S. Shah, R. H. Cleveland, E. Y. Lee, R. G. Bachur, and M. I. Neuman
Clinical Predictors of Pneumonia Among Children With Wheezing
Pediatrics,
July 1, 2009;
124(1):
e29 - e36.
[Abstract]
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