Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study

To effectively use vital signs as indicators in children, the magnitude of deviation from expected vital sign distribution should be determined. The purpose of this study is to derive age-specific centile charts for the heart rate and respiratory rate of the children who visited the emergency depart...

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Main Authors: Woori Bae, Kyunghoon Kim, Bongjin Lee
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/7/8/89
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author Woori Bae
Kyunghoon Kim
Bongjin Lee
author_facet Woori Bae
Kyunghoon Kim
Bongjin Lee
author_sort Woori Bae
collection DOAJ
description To effectively use vital signs as indicators in children, the magnitude of deviation from expected vital sign distribution should be determined. The purpose of this study is to derive age-specific centile charts for the heart rate and respiratory rate of the children who visited the emergency department. This study used the Korea’s National Emergency Department Information System dataset. Patients aged <16 years visiting the emergency department between 1 January 2016 and 31 December 2017 were included. Heart rate and respiratory rate centile charts were derived from the population with normal body temperature (36 to <38 °C). Of 1,901,816 data points retrieved from the database, 1,454,372 sets of heart rates and 1,458,791 sets of respiratory rates were used to derive centile charts. Age-specific centile charts and curves of heart rates and respiratory rates showed a decline in heart rate and respiratory rate from birth to early adolescence. There were substantial discrepancies in the reference ranges of Advanced Paediatric Life Support and Pediatric Advanced Life Support guidelines. Age-based heart rate and respiratory rate centile charts at normal body temperature, derived from children visiting emergency departments, serve as new evidence-based data and can be used in follow-up studies to improve clinical care for children.
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spelling doaj.art-53cfd93769a94c398ad50d5c3725aa9b2023-11-20T09:07:06ZengMDPI AGChildren2227-90672020-08-01788910.3390/children7080089Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide StudyWoori Bae0Kyunghoon Kim1Bongjin Lee2Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDepartment of Emergency Medicine, Seoul National University Hospital, Seoul 03080, KoreaTo effectively use vital signs as indicators in children, the magnitude of deviation from expected vital sign distribution should be determined. The purpose of this study is to derive age-specific centile charts for the heart rate and respiratory rate of the children who visited the emergency department. This study used the Korea’s National Emergency Department Information System dataset. Patients aged <16 years visiting the emergency department between 1 January 2016 and 31 December 2017 were included. Heart rate and respiratory rate centile charts were derived from the population with normal body temperature (36 to <38 °C). Of 1,901,816 data points retrieved from the database, 1,454,372 sets of heart rates and 1,458,791 sets of respiratory rates were used to derive centile charts. Age-specific centile charts and curves of heart rates and respiratory rates showed a decline in heart rate and respiratory rate from birth to early adolescence. There were substantial discrepancies in the reference ranges of Advanced Paediatric Life Support and Pediatric Advanced Life Support guidelines. Age-based heart rate and respiratory rate centile charts at normal body temperature, derived from children visiting emergency departments, serve as new evidence-based data and can be used in follow-up studies to improve clinical care for children.https://www.mdpi.com/2227-9067/7/8/89childheart raterespiratory ratevital signs
spellingShingle Woori Bae
Kyunghoon Kim
Bongjin Lee
Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study
Children
child
heart rate
respiratory rate
vital signs
title Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study
title_full Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study
title_fullStr Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study
title_full_unstemmed Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study
title_short Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study
title_sort distribution of pediatric vital signs in the emergency department a nationwide study
topic child
heart rate
respiratory rate
vital signs
url https://www.mdpi.com/2227-9067/7/8/89
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