Pediatric Pneumonia: Sensitivity and Specificity

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The sensitivity and specificity of findings for Pediatric Pneumonia are listed below. See the left navigation bar to change the display.

Specific Findings

Finding	Sensitivity	Specificity	Comments, Study
Hypoxemia	16%	96%	Defined as O2 sat <95%. Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039
Grunting	13%	95%	Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039
Chest Pain	22%	91%	Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039

Sensitive Findings

Cough

88%

25%

Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039

Negative Findings

Wheezing

16%

83%

Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039

Poorly Diagnostic Findings

Finding	Sensitivity	Specificity	Comments, Study
Nasal flaring	36%	84%	Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039
Symptom duration >3 days (cough, fever, illness)	25%	81%	Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039
Vomiting or diarrhea	27%	76%	Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039
Difficulty breathing	37%	69%	Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039
fever >39C	40%	68%	Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039
Rales	43%	64%	Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039
Poor feeding	58%	60%	Study: Shah, S. N., Bachur, R. G., Simel, D. L., & Neuman, M. I. (2017). Does This Child Have Pneumonia? JAMA, 318(5), 462. doi:10.1001/jama.2017.9039