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The Diagnostic Value of the Respiratory Rate in Febrile Children Younger Than 2 Years FREE

Antonio Alberto Lopes, MD, PhD
Arch Pediatr Adolesc Med. 1997;151(7):747-748. doi:10.1001/archpedi.1997.02170440109022.
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The article by Taylor et al1 published in the March 1995 issue of the Archives assesses important questions for health care providers, particularly pediatricians who work at emergency services. Taylor et al determined age-specific values of the respiratory rate to define tachypnea in febrile children younger than 2 years. After defining these age-specific values, the authors estimated the validity of tachypnea in identifying children in whom subsequently pneumonia was or was not diagnosed, using a combination of radiological findings and follow-up clinical data as a standard criterion. They showed to be aware of methodological standards for precision (or uncertainty) of the results for test accuracy when they reported 95% confidence intervals (CIs) for test sensitivities and specificities.2,3 Confidence interval is considered to be an adequate way to describe sensitivities and specificities, and several other parameters estimated from samples, because it helps health care providers to assess the strength

REFERENCES

Taylor JA, Del Beccaro M, Done S, Winters W.  Establishing clinically relevant standards for tachypnea in febrile children younger than 2 years . Arch Pediatr Adolesc Med . 1995;;149:283-287.
Reid MC, Lachs MS, Feinstein AR.  Use of methodological standards in diagnostic test research: getting better but still not good . JAMA . 1995;;274:645-651.
Gardner MJ, Altman DG.  Confidence intervals rather than P values: estimation rather than hypothesis testing . BMJ . 1986;;292:746-750.
Dean AG, Dean JA, Coulombier D, et al. Epi Info, Version 6:04a: A Word-Processing, Database, and Statistics Program for Public Health on IBM-Compatible Microcomputers . Atlanta, Ga: Centers for Disease Control and Prevention; 1996;.
Fleiss JL. Statistical Methods for Rates and Proportions . 2nd ed. New York, NY: John Wiley & Sons Inc; 1981;:14-15.

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References

Taylor JA, Del Beccaro M, Done S, Winters W.  Establishing clinically relevant standards for tachypnea in febrile children younger than 2 years . Arch Pediatr Adolesc Med . 1995;;149:283-287.
Reid MC, Lachs MS, Feinstein AR.  Use of methodological standards in diagnostic test research: getting better but still not good . JAMA . 1995;;274:645-651.
Gardner MJ, Altman DG.  Confidence intervals rather than P values: estimation rather than hypothesis testing . BMJ . 1986;;292:746-750.
Dean AG, Dean JA, Coulombier D, et al. Epi Info, Version 6:04a: A Word-Processing, Database, and Statistics Program for Public Health on IBM-Compatible Microcomputers . Atlanta, Ga: Centers for Disease Control and Prevention; 1996;.
Fleiss JL. Statistical Methods for Rates and Proportions . 2nd ed. New York, NY: John Wiley & Sons Inc; 1981;:14-15.

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