The severity of acute respiratory infections by using Pediatric Respiratory Severity Score
Keywords:Pediatric Respiratory Severity score, Respiratory distress, Triage
Objective: To determine the severity of acute respiratory infections by using Pediatric Respiratory Severity Score (PRESS) in children.
Methodology: This descriptive cross sectional study conducted at outpatient and emergency paediatric department of the Federal Govt. Polyclinic hospital, Islamabad, from October 2017 to December 2019. One hundred and seventeen children with acute respiratory infections were enrolled in the study by a non-probability sampling technique. Epidemiologic variables of interest included age, sex, and breastfed or not. Clinical variables of interest included respiratory rate, use of accessory respiratory muscle, wheeze on auscultation, and oxygen saturation at room air. PRESS assessed tachypnea, wheezing, accessory muscle use, SpO2 and feeding difficulties with each component given a score of 0 or 1, and total score were categorized as a mild(0-1), moderate (2-3) or severe(4-5).
Result: Out of 117 children mostly 98(83.8%) were belong to age >2 months-<12 months as compared to 19(16.2%) belong to age group of >12months-<24 months. Among them 17 (14.5%) were mild, 53 (45.3%) were moderate, and 47 (40.2%) were severe according to their severity of respiratory distress. None of mild case (p
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