Exploring reference standards for the measurement of respiratory rate in children under 5 years of age: a scoping review
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View abstract on PubMed
Summary
This summary is machine-generated.Accurate respiratory rate measurement in children is crucial, but no single reference standard is universally accepted. This study reviews common methods like impedance pneumography, manual counting, and capnography, highlighting the need for comparative research across diverse settings.
Area Of Science
- Pediatric Medicine
- Biomedical Engineering
- Clinical Assessment
Background
- Respiratory rate is a key indicator of children's clinical status.
- Current methods for measuring respiratory rate lack a universally accepted reference standard for validation.
Purpose Of The Study
- To identify reference standards used for evaluating pediatric respiratory rate measurement methods.
- To describe the strengths and limitations of these reference standards in children under five.
Main Methods
- Systematic literature search of MEDLINE and Web of Science (2013-2024).
- Inclusion of studies comparing respiratory rate methods against a reference standard in children under five.
- Deductive content analysis and forest plot analysis for standard evaluation.
Main Results
- 56 studies included, with impedance pneumography (22/56), manual counting (19/56), and capnography (9/56) as most common reference standards.
- Reference standard choice and performance varied based on child age, clinical condition, setting, and personnel training.
- Impedance pneumography prevalent in high-income settings; manual counting in low- and middle-income settings.
Conclusions
- Three primary reference standards are utilized, but their comparative performance is not well-defined.
- Further research is needed to directly compare reference standard performance across various pediatric age groups and clinical settings.
- Establishing a recommended reference standard is essential for reliable respiratory rate measurement.
Keywords:
Child Health
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