ArticleFrontiers in pediatrics2018
Pediatric Vital Sign Distribution Derived From a Multi-Centered Emergency Department Database.
Article in Frontiers in pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 41 citations in OpenAlex.
- Vital signs as biomarkers of early clinical deterioration in pediatric emergency departments: physiology, interpretation, and innovations: a narrative review.International journal of emergency medicine · 2026Review
- Observational
- TOPSS: TOlerability of transcranial direct current stimulation in Pediatric Stroke Survivors.Frontiers in human neuroscience · 2025Article
- Streamlining pediatric vital sign assessment: innovations and insights.Scientific reports · 2024Observational
- "Comparative analysis of predictors of failure for high-flow nasal cannula in bronchiolitis".PloS one · 2024Article
- Continuous Data-Driven Monitoring in Critical Congenital Heart Disease: Clinical Deterioration Model Development.JMIR cardio · 2023Article
- Effect of Diurnal Variation of Heart Rate and Respiratory Rate on Activation of Rapid Response System and Clinical Outcome in Hospitalized Children.Children (Basel, Switzerland) · 2023Article
- Assessment of neonatal respiratory rate variability.Journal of clinical monitoring and computing · 2022Article
- Impact of an electronic alert system for pediatric sepsis screening a tertiary hospital experience.Scientific reports · 2022Article
- The association between prehospital vital signs of children and their critical clinical outcomes at hospitals.Scientific reports · 2022Observational
- Predicting nasal high-flow therapy failure by pediatric respiratory rate-oxygenation index and pediatric respiratory rate-oxygenation index variation in children.European journal of pediatrics · 2021Observational
- [Paediatric Life Support].Notfall & rettungsmedizin · 2021Review
- Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study.Children (Basel, Switzerland) · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe hypothesized that current vital sign thresholds used in pediatric emergency department (ED) screening tools do not reflect observed vital signs in this population. We analyzed a large multi-centered database to develop heart rate (HR) and respiratory rate centile rankings and
methodsInitial HR and respiratory rate data entered into the Cerner™ electronic health record at 169 participating hospitals' ED over 5 years (2009 through 2013) as part of routine care were analyzed. Analysis was restricted to non-admitted children (0 to <18 years). Centile curves and
resultsHR and RR centiles and
conclusionHeart and respiratory rate centiles derived from a large real-world non-hospitalized ED pediatric population can inform the modification of electronic and paper-based screening tools to stratify children by the degree of deviation from normal for age rather than dichotomizing children into groups having "normal" versus "abnormal" vital signs. Furthermore, these centiles also may be useful in paper-based screening tools and bedside alarm limits for children in areas other than the ED and may establish improved alarm limits for bedside monitors.
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