PMID: 11929057Apr 4, 2002Paper

Evaluation of diagnostic criteria and incidence of acute mountain sickness in preverbal children

Wilderness & Environmental Medicine
Michael YaronB Honigman

Abstract

The Children's Lake Louise Score (CLLS) established the diagnostic criteria for acute mountain sickness (AMS) in preverbal children. Prospective application of the CLLS and interobserver agreement for the score had not been evaluated in a controlled trial. A study of children and their parents was used to evaluate the CLLS and determine the incidence of AMS in preverbal children. A prospective, controlled trial. Children > or =3 months and < or =36 months old and their parents living below 1645 m were studied over 7 separate days. The CLLS, measured daily by the mother as well as by the father on days 5 and 6, is the sum of scores for fussiness (FS), eating (E), playfulness (P), and sleep (S). Children were studied on days 1 and 2 at home, on day 3 after travel without altitude gain to a hotel, on day 4 at home, on days 5 and 6 at a hotel at 3109 m, and on day 7 at home. Using our previous criteria, AMS was diagnosed if the CLLS was > or =7 with both the FS > or =4 and the E + P + S > or =3. Agreement between mothers' and fathers' CLLS values was measured with the kappa statistic (K). Adults were also evaluated for AMS by the CLLS on days 5 and 6. Thirty-seven children (mean age +/- SD = 16.5+/-10.5 months; 21 girls) participat...Continue Reading

Citations

Feb 25, 2014·High Altitude Medicine & Biology·Susi KriemlerHans-Peter Brunner-La Rocca
Apr 26, 2003·High Altitude Medicine & Biology·Michael YaronCharles B Cairns
Jun 13, 2006·High Altitude Medicine & Biology·Jim L Rupert, Michael S Koehle
Jan 1, 2009·High Altitude Medicine & Biology·Michael Yaron, Susan Niermeyer
Dec 31, 2010·High Altitude Medicine & Biology·Martin J MacInnisJim L Rupert
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Dec 23, 2008·Wilderness & Environmental Medicine·Fernando A MoragaCristián E Rodríguez
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Aug 1, 2015·High Altitude Medicine & Biology·Baptiste WaeberNadia Elia
Sep 30, 2004·High Altitude Medicine & Biology·Michael YaronSusan Niermeyer
May 30, 2014·Medicine and Science in Sports and Exercise·Evi MasscheleinPeter Hespel
Aug 9, 2016·High Altitude Medicine & Biology·Martin J MacInnis, Michael S Koehle
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Jan 29, 2011·Journal of Occupational and Environmental Medicine·Martin J MacInnisJim L Rupert
Sep 9, 2008·Scandinavian Journal of Medicine & Science in Sports·P Bärtsch, B Saltin
Jan 4, 2020·Journal of Travel Medicine·Vincenza GianfrediPietro Ferrara
Jul 16, 2019·Wilderness & Environmental Medicine·Benjamin J ChurchKen Zafren
Nov 25, 2020·Pediatric Clinics of North America·Nelson VillcaAlexandra Heath-Freudenthal

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