Bae Woori, Kim Kyunghoon, Lee Bongjin
Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Department of Emergency Medicine, Seoul National University Hospital, Seoul 03080, Korea.
Children (Basel). 2020 Aug 5;7(8):89. doi: 10.3390/children7080089.
To effectively use vital signs as indicators in children, the magnitude of deviation from expected vital sign distribution should be determined. The purpose of this study is to derive age-specific centile charts for the heart rate and respiratory rate of the children who visited the emergency department. This study used the Korea's National Emergency Department Information System dataset. Patients aged <16 years visiting the emergency department between 1 January 2016 and 31 December 2017 were included. Heart rate and respiratory rate centile charts were derived from the population with normal body temperature (36 to <38 °C). Of 1,901,816 data points retrieved from the database, 1,454,372 sets of heart rates and 1,458,791 sets of respiratory rates were used to derive centile charts. Age-specific centile charts and curves of heart rates and respiratory rates showed a decline in heart rate and respiratory rate from birth to early adolescence. There were substantial discrepancies in the reference ranges of Advanced Paediatric Life Support and Pediatric Advanced Life Support guidelines. Age-based heart rate and respiratory rate centile charts at normal body temperature, derived from children visiting emergency departments, serve as new evidence-based data and can be used in follow-up studies to improve clinical care for children.
为了有效地将生命体征作为儿童的指标，应确定与预期生命体征分布的偏差程度。本研究的目的是为就诊于急诊科的儿童得出心率和呼吸频率的年龄特异性百分位数图表。本研究使用了韩国国家急诊科信息系统数据集。纳入了2016年1月1日至2017年12月31日期间就诊于急诊科的年龄<16岁的患者。心率和呼吸频率百分位数图表来自体温正常（36至<38°C）的人群。从数据库检索到的1,901,816个数据点中，1,454,372组心率和1,458,791组呼吸频率被用于得出百分位数图表。年龄特异性的心率和呼吸频率百分位数图表及曲线显示，从出生到青春期早期，心率和呼吸频率呈下降趋势。高级儿科生命支持和儿科高级生命支持指南的参考范围存在很大差异。从就诊于急诊科的儿童得出的正常体温下基于年龄的心率和呼吸频率百分位数图表，可作为新的循证数据，可用于后续研究以改善儿童的临床护理。
