Pediatric respiratory severity score evaluates disease severity of respiratory tract infection in children

Authors

  • Janjira Thokngaen Bhumibol Adulyadej Hospital, Bangkok, Thailand
  • Wissaroot Karoonboonyanan Bhumibol Adulyadej Hospital, Bangkok, Thailand

Keywords:

Pediatric severity score, respiratory tract infection, PRESS score

Abstract

Background: Acute respiratory infections (ARIs) are commonly found causes of morbidity and mortality in children aged below 5 years old. The pediatric respiratory severity (PRESS) score is a simple severity scoring system. Healthcare providers can apply it as a preliminary patient assessment for proper treatments.

Objective: To evaluate the pediatric respiratory severity score as a severity assessment for pediatric patients with acute respiratory infections.

Methods: This is a prospective study from 1st September 2016 to 31st October 2017. The study group includes 120 patients aged 3 months to 14 years old. The use of the PRESS score as an assessment tool has 5 parameters: respiratory rate, wheezing, accessory muscle use, peripheral oxygen saturation (SpO2), and feeding difficulties, and can be classified into 3 groups: mild (score of 0 or 1), moderate (score of 2 or 3), and severe (score of 4 or 5). The primary outcomes are sensitivity, and specificity for hospitalization. The secondary outcomes are sensitivity, specificity of intensive care unit (ICU) admission, mean and standard deviation of the duration of oxygen therapy and nebulized bronchodilator.

Results: The admitted regular patients in the moderate and severe groups had a sensitivity of 0.94 and a specificity of 0.88, whilst the ICU patients in the severe group had a sensitivity of 0.75 and a specificity of 0.66, longer duration for oxygen treatment, and longer duration for nebulized bronchodilator treatment. Furthermore, this system is more reliable than previous respiratory severity score.

Conclusions: PRESS scores could predict condition severity and might guide a proper treatment of acute respiratory infection in children.

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References

Prapphal N, Limudomporn S, Chumdermpadetsuk S. Risk factors of acute respiratory infection in Thai children. Chula Med J 1993;37:13-20.

Prapphal N. Respiratory infection and allergy in children. Chula Med J 2002;46:459-60.

Simoes EAF, Cherian T, Chow J, ShahidSalles S, Laxminarayan R, John TJ. Acute respiratory infections in children. In: Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, et al, editors. Source Disease Control Priorities in Developing Countries. 2nd edition. Washington (DC): World Bank; 2006. Chapter 25.

Suwanjutha S, Sunakorn P, Chantarojanasiri T, Siritantikorn S, Nawanoparatkul S, Rattanadilok Na Bhuket T, et al. Respiratory syncytial virus associated lower respiratory tract infection in under-5-year-old children in a rural community of central Thailand, a population-based study. J Med Assoc Thai 2002; 85 Suppl 4:S1111-9.

Kaewnokkhao W. Situation of pneumonia, Thailand, 2005 - 2010. W Epidemiol Surveil Rep 2012;43 Suppl:S90-8.

Feldman AS, Hartert TV, Gebretsadik T, Carroll KN, Minton PA, Woodward KB, et al. Respiratory severity score separates upper versus lower respiratory tract infections and predicts measures of disease severity. Pediatr Allergy Immunol Pulmonol 2015;28:117-20. https://doi.org/10.1089/ped.2014.0463

Ducharme FM, Chalut D, Plotnick L, Savdie C, Kudirka D, Zhang X, et al. The pediatric respiratory assessment measure : a valid clinical score for assessing acute asthma severity from toddlers to teenagers. J Pediatr 2008:152:476-80. https://doi.org/10.1016/j.jpeds.2007.08.034

Gold DL, Mihalov LK, Cohen DM. Evaluating the Pediatric Early Warning Score (PEWS) system for admitted patients in the pediatric emergency department. Acad Emerg Med 2014;21:1249-56.

https://doi.org/10.1111/acem.12514

Beyeng RTD, Purniti PS, Naning R. Validity of bacterial pneumonia score for predicting bacteremia in children with pneumonia. Paediatr Indones 2011;2: 322-6. https://doi.org/10.14238/pi51.6.2011.322-6

Miyaji Y, Sugai K, Nozawa A, Kobayashi M, Niwa S, Tsukagoshi H, Pediatric Respiratory Severity Score (PRESS) for Respiratory Tract Infections in Children. Austin Virol and Retrovirology 2015;2:1009.

Destino L, Weisgerber MC, Soung P, Bakalarski D, Yan K, Rehborg R, et al. Validity of respiratory scores in bronchiolitis. Hosp Pediatr 2012;2: 202-9. https://doi.org/10.1542/hpeds.2012-0013

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Published

2023-08-04

How to Cite

1.
Thokngaen J, Karoonboonyanan W. Pediatric respiratory severity score evaluates disease severity of respiratory tract infection in children. Chula Med J [Internet]. 2023 Aug. 4 [cited 2024 Oct. 12];63(1). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/273