Negative Chest Radiography and Risk of Pneumonia

Pediatrics
Susan C LipsettMark I Neuman

Abstract

: media-1vid110.1542/5804413949001PEDS-VA_2018-0236Video Abstract BACKGROUND AND OBJECTIVES: The ability of the chest radiograph (CXR) to exclude the diagnosis of pneumonia in children is unclear. We sought to determine the negative predictive value of CXR in children with suspected pneumonia. Children 3 months to 18 years of age undergoing CXRs for suspected pneumonia in a tertiary-care pediatric emergency department (ED) were prospectively enrolled. Children currently receiving antibiotics and those with underlying chronic medical conditions were excluded. The primary outcome was defined as a physician-ascribed diagnosis of pneumonia independent of radiographic findings. CXR results were classified as positive, equivocal, or negative according to radiologist interpretation. Children with negative CXRs and without a clinical diagnosis of pneumonia were managed for 2 weeks after the ED visit. Children subsequently diagnosed with pneumonia during the follow-up period were considered to have had false-negative CXRs at the ED visit. There were 683 children enrolled during the 2-year study period, with a median age of 3.1 years (interquartile range 1.4-5.9 years). There were 457 children (72.8%) with negative CXRs; 44 of these chil...Continue Reading

References

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Citations

Sep 15, 2019·Hospital Pediatrics·Susan C LipsettMark I Neuman
Dec 14, 2019·Clinical Pediatrics·Eric Scheier, Deena Zimmerman
Jun 21, 2020·Archives of Disease in Childhood. Fetal and Neonatal Edition·Nanthida PhattraprayoonTeerapat Ungtrakul
Oct 3, 2020·The Pediatric Infectious Disease Journal·José Gareca PeralesEitan Naaman Berezin
Jan 29, 2021·Pediatric Research·Peter R CosgroveBruce H Horwitz
Apr 27, 2021·AEM Education and Training·Elana ThauKathy Boutis
Dec 1, 2021·Pediatrics·Sriram RamgopalTodd A Florin
Aug 30, 2018·Pediatrics·Matthew D Garber, Ricardo A Quinonez
Feb 23, 2020·Pediatrics·Alexandra T GeanacopoulosMark I Neuman
Oct 26, 2021·The Pediatric Infectious Disease Journal·Susan C LipsettMark I Neuman
Jan 13, 2022·Journal of the Pediatric Infectious Diseases Society·Alexandra T GeanacopoulosMark I Neuman

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