Defining normal ranges and centiles for heart and respiratory rates in infants and children: a cross-sectional study of patients attending an Australian tertiary hospital paediatric emergency department

Archives of Disease in Childhood
Fenton O'LearyJennifer Peat

Abstract

Key components in the assessment of a child in the emergency department (ED) are their heart and respiratory rates. In order to interpret these signs, practitioners must know what is normal for a particular age. The aim of this paper is to develop age-specific centiles for these parameters and to compare centiles with the previously published work of Fleming and Bonafide, and the Advanced Paediatric Life Support (APLS) reference ranges. A retrospective cross-sectional study. The ED of the Children's Hospital at Westmead, Australia. Afebrile, Triage Category 5 (low priority) patients aged 0-15 years attending the ED. Centiles were developed using quantile regression analysis, with cubic B-splines to model the centiles. Centile charts were compared with previous studies by concurrently plotting the estimates. 668 616 records were retrieved for ED attendances from 1995 to 2011, and 111 696 heart and respiratory rates were extracted for inclusion in the analysis. Graphical comparison demonstrates that with heart rate, our 50th centile agrees with the results of Bonafide, is considerably higher than the Fleming centiles and fits well between the APLS reference ranges. With respiratory rate, our 50th centile was considerably lower th...Continue Reading

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Citations

Jan 7, 2016·Frontiers in Physiology·Jakub S GąsiorMarek J Dąbrowski
Apr 22, 2015·Archives of Disease in Childhood·Roger C Parslow
Apr 24, 2016·Emergency Medicine Journal : EMJ·Terry VarshneyAlexander S Dubrovsky
Mar 3, 2018·Archives of Disease in Childhood. Education and Practice Edition·Damian Roland, Edward Snelson
Sep 7, 2017·Journal of Korean Medical Science·Bongjin LeeYoung Ho Kwak
Apr 17, 2019·Hospital Pediatrics·Anna Sofi AsmundssonJeffrey P Louie
Jul 19, 2019·Pediatric Cardiology·Mani Ram KrishnaSeshadri Balaji
Jan 24, 2020·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Amy FahrenkampCynthia Harbeck-Weber
Jan 29, 2020·Tropical Medicine & International Health : TM & IH·Grace McHughUNKNOWN BREATHE Clinical Trial Team
Aug 2, 2019·Critical Care Medicine·Robert M SuttonUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Jan 6, 2016·Emergency Medicine Journal : EMJ·Kirsty Challen, Damian Roland
Apr 10, 2018·Frontiers in Pediatrics·Robert J SepanskiArno L Zaritsky
Aug 3, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Joan S RobertsDwight Barry
Oct 23, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Vinayak SwarnkarPaul Porter
Jan 1, 2021·Pediatric Pulmonology·Jorge LópezUNKNOWN NIV Research Group
Jan 17, 2021·Archives of Disease in Childhood. Fetal and Neonatal Edition·Lars TveitenTrond Markestad
Dec 29, 2020·British Journal of Clinical Pharmacology·Sonja EberlAntje Neubert
Mar 29, 2021·Resuscitation·Patrick Van de VoordeIan Maconochie
Jun 8, 2021·Notfall & Rettungsmedizin·Patrick Van de VoordeIan Maconochie

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