Clinical hypoxemia score for outpatient child pneumonia care lacking pulse oximetry in Africa and South Asia.

ABSTRACT:

Background

Pulse oximeters are not routinely available in outpatient clinics in low- and middle-income countries. We derived clinical scores to identify hypoxemic child pneumonia.

Methods

This was a retrospective pooled analysis of two outpatient datasets of 3-35 month olds with World Health Organization (WHO)-defined pneumonia in Bangladesh and Malawi. We constructed, internally validated, and compared fit & discrimination of four models predicting SpO₂< 93% and <90%: (1) Integrated Management of Childhood Illness guidelines, (2) WHO-composite guidelines, (3) Independent variable least absolute shrinkage and selection operator (LASSO); (4) Composite variable LASSO.

Results

12,712 observations were included. The independent and composite LASSO models discr

SUBMITTER: Schuh HB 

PROVIDER: S-EPMC10582699 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature