| pubmed-article:1960604 | rdf:type | pubmed:Citation | lld:pubmed |
| pubmed-article:1960604 | lifeskim:mentions | umls-concept:C0035243 | lld:lifeskim |
| pubmed-article:1960604 | lifeskim:mentions | umls-concept:C0008059 | lld:lifeskim |
| pubmed-article:1960604 | lifeskim:mentions | umls-concept:C1553375 | lld:lifeskim |
| pubmed-article:1960604 | lifeskim:mentions | umls-concept:C0700292 | lld:lifeskim |
| pubmed-article:1960604 | lifeskim:mentions | umls-concept:C0033105 | lld:lifeskim |
| pubmed-article:1960604 | lifeskim:mentions | umls-concept:C0681842 | lld:lifeskim |
| pubmed-article:1960604 | lifeskim:mentions | umls-concept:C2625439 | lld:lifeskim |
| pubmed-article:1960604 | pubmed:issue | 6 | lld:pubmed |
| pubmed-article:1960604 | pubmed:dateCreated | 1992-1-8 | lld:pubmed |
| pubmed-article:1960604 | pubmed:abstractText | To determine the effect of respiratory infections on oxyhemoglobin saturation in a high-altitude population, we recorded clinical signs, oxyhemoglobin saturation determined by pulse oximetry, and findings on radiographs of the chest of 423 children with acute respiratory infections; the children were living at an altitude of 3750 m in the Peruvian Andes. We defined hypoxemia as an oxyhemoglobin saturation value greater than 2 SD below the mean value for 153 well children in this population. Eighty-three percent of children with clinical bronchopneumonia, but only 10% of children with upper respiratory tract infection, had hypoxemia (p less than 0.001). Compared with previous studies of children living at lower altitudes, the presence of tachypnea was relatively nonspecific as a predictor of radiographically determined pneumonia or of hypoxemia, especially in infants. A history of rapid breathing was 74% sensitive and 64% specific in the prediction of hypoxemia, and performed as well as a standard World Health Organization case management algorithm in the prediction of radiographic pneumonia or hypoxemia. Radiographic pneumonia was not a sensitive predictor of hypoxemia or clinically severe illness. In contrast, the presence of hypoxemia was a useful predictor of radiographic pneumonia, with both sensitivity and specificity of 75% in infants. We conclude that acute lower respiratory tract infection in children living at high altitude is frequently associated with hypoxemia, and that oxygen should be administered to children with a diagnosis of pneumonia in these regions. Case management algorithms developed in low-altitude regions may have to be modified for high-altitude settings. In this setting, pulse oximetry is a good predictor of pneumonia. Because pulse oximetry is more objective and cheaper than radiography, its role as a clinical and investigative tool merits further exploration. | lld:pubmed |
| pubmed-article:1960604 | pubmed:language | eng | lld:pubmed |
| pubmed-article:1960604 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:1960604 | pubmed:citationSubset | AIM | lld:pubmed |
| pubmed-article:1960604 | pubmed:status | MEDLINE | lld:pubmed |
| pubmed-article:1960604 | pubmed:month | Dec | lld:pubmed |
| pubmed-article:1960604 | pubmed:issn | 0022-3476 | lld:pubmed |
| pubmed-article:1960604 | pubmed:author | pubmed-author:BaraMM | lld:pubmed |
| pubmed-article:1960604 | pubmed:author | pubmed-author:GilmanR HRH | lld:pubmed |
| pubmed-article:1960604 | pubmed:author | pubmed-author:SteinhoffM... | lld:pubmed |
| pubmed-article:1960604 | pubmed:author | pubmed-author:FinkelsteinDD | lld:pubmed |
| pubmed-article:1960604 | pubmed:author | pubmed-author:JabreEE | lld:pubmed |
| pubmed-article:1960604 | pubmed:author | pubmed-author:ReulandD SDS | lld:pubmed |
| pubmed-article:1960604 | pubmed:author | pubmed-author:OlivaresE GEG | lld:pubmed |
| pubmed-article:1960604 | pubmed:issnType | Print | lld:pubmed |
| pubmed-article:1960604 | pubmed:volume | 119 | lld:pubmed |
| pubmed-article:1960604 | pubmed:owner | NLM | lld:pubmed |
| pubmed-article:1960604 | pubmed:authorsComplete | Y | lld:pubmed |
| pubmed-article:1960604 | pubmed:pagination | 900-6 | lld:pubmed |
| pubmed-article:1960604 | pubmed:dateRevised | 2007-11-15 | lld:pubmed |
| pubmed-article:1960604 | pubmed:meshHeading | pubmed-meshheading:1960604-... | lld:pubmed |
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| pubmed-article:1960604 | pubmed:meshHeading | pubmed-meshheading:1960604-... | lld:pubmed |
| pubmed-article:1960604 | pubmed:meshHeading | pubmed-meshheading:1960604-... | lld:pubmed |
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| pubmed-article:1960604 | pubmed:meshHeading | pubmed-meshheading:1960604-... | lld:pubmed |
| pubmed-article:1960604 | pubmed:meshHeading | pubmed-meshheading:1960604-... | lld:pubmed |
| pubmed-article:1960604 | pubmed:meshHeading | pubmed-meshheading:1960604-... | lld:pubmed |
| pubmed-article:1960604 | pubmed:meshHeading | pubmed-meshheading:1960604-... | lld:pubmed |
| pubmed-article:1960604 | pubmed:meshHeading | pubmed-meshheading:1960604-... | lld:pubmed |
| pubmed-article:1960604 | pubmed:year | 1991 | lld:pubmed |
| pubmed-article:1960604 | pubmed:articleTitle | Prevalence and prediction of hypoxemia in children with respiratory infections in the Peruvian Andes. | lld:pubmed |
| pubmed-article:1960604 | pubmed:affiliation | Johns Hopkins University School of Medicine, Departments of International Health, Baltimore, Maryland. | lld:pubmed |
| pubmed-article:1960604 | pubmed:publicationType | Journal Article | lld:pubmed |
| pubmed-article:1960604 | pubmed:publicationType | Research Support, U.S. Gov't, P.H.S. | lld:pubmed |
| pubmed-article:1960604 | pubmed:publicationType | Research Support, Non-U.S. Gov't | lld:pubmed |
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