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[Clinical indicators of "ineffective breathing pattern" in children with congenital heart disease]
Tania Alteniza Leandro1, Livia Zulmyra Cintra Andrade, Beatriz Amorim Beltrao
1Dipartimento di Scienze Infermieristiche, Universita Federale del Ceara, Brasile.
Insights
Clinical indicators like chest x-ray findings and adventitious breath sounds accurately predict ineffective breathing patterns in children with congenital heart disease. These findings aid in early diagnosis and intervention for pediatric cardiac patients.
Area of Science:
- Pediatric Nursing
- Cardiology
- Respiratory Medicine
Context:
- Congenital heart disease (CHD) significantly impacts pediatric respiratory health.
- Ineffective breathing pattern is a critical nursing diagnosis in children with CHD.
- Accurate identification of this diagnosis is essential for timely intervention.
Purpose:
- To evaluate the accuracy of clinical indicators for the nursing diagnosis 'Ineffective breathing pattern' in children with CHD.
- To identify the most reliable predictors for this specific pediatric population.
Summary:
- A case-control study analyzed 15 clinical indicators in 30 children with CHD.
- Chest x-ray findings (AUC 0.750) and adventitious breath sounds (AUC 0.737) demonstrated the highest accuracy.
- Coughing and asymmetric chest expansion also showed predictive value (AUC > 0.70).
Impact:
- Identified key clinical indicators for improved diagnosis of ineffective breathing patterns in pediatric CHD.
- Findings can enhance clinical decision-making and patient management protocols.
- Highlights the influence of specific disease contexts on diagnostic indicator performance.
Unlabelled:
Clinical indicators of ineffective breathing pattern in children with congenital heart disease.
Objectives:
To analyze the accuracy of clinical predictors of nursing diagnosis "Ineffective breathing pattern in children with congenital heart disease".
Method:
1:1 case-control study with 30 children with congenital heart disease. Fifteen children with the nursing diagnosis "Ineffective breathing pattern" (cases) were compared with other 15 without this diagnosis (controls). A total of 15 clinical indicators were analyzed for their sensibility, specificity, predictive values, likelihood ratios and area under the ROC curve.
Results:
Four indicators showed an area under the ROC curve > 70%: chest x-ray findings (0.750), adventitious breath sounds (0.737), coughing (0.710) and asymmetric chest expansion (0.702). The indicators of the chest x-ray findings and adventitious breath sounds had a better overall performance for the identification of ineffective breathing pattern.
Discussion:
These findings suggest that both indicators can be useful for inference of ineffective breathing pattern. Moreover, the presence of the diagnosis was associated with a greater likelihood of the presence of cough, and its absence with an increased probability of the absence of asymmetric chest expansion and percussive sounds.
Conclusions:
The comparison among populations with different diseases and carriers of the same nursing diagnosis shows that the predictive ability of clinical indicators can be influenced.
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