Table 2 Characteristics of selected articles reporting on laboratory tests

From: Diagnostic value of signs, symptoms and diagnostic tests for diagnosing pneumonia in ambulant children in developed countries: a systematic review

Nr.

Author

Setting

% with pneumonia

Age range

Inclusion criteria

Exclusion criteria

Index test

Reference standard

5

Nijman et al.39

ED, the Netherlands

6.7%

1 month–15 years

Fever noted in 24 h before presentation or ≥38.0 °C at ED

Chronic comorbidity, received antibiotics in the past week

Signs and symptoms, CRP

CXR, 1-week follow-up

6.1

Oostenbrink et al.35

ED, the Netherlands

16%

1 month–16 years

Rectal temperature ≥38.0 °C and cough

Immunodeficiency, multiple handicaps, pre-existing pulmonary disease

Signs, symptoms, vital signs, WBC, CRP

Composite: CXR, or follow-up, or review of records

6.2

Oostenbrink et al.35

ED, UK

14%

1 month–16 years

Axillary temperature ≥38.0 °C and lower respiratory tract infection signs

Immunodeficiency

Signs, symptoms, vital signs, WBC, CRP

Composite: CXR, or follow-up, or review of records

6.3

Oostenbrink et al.35

ED, UK

3.7%

1 month–16 years

Fever reported or measured rectally ≥38.5 °C and acute breathing difficulty

Immunodeficiency, multiple handicaps, admitted for resuscitation

Signs, symptoms, vital signs, WBC, CRP

Composite: CXR, or follow-up, or review of records

10

Urbankowska et al.31

Department of pediatric pulmonology and allergy, Poland

72%

>1 month

Fever >38.0 °C, dyspnea, cough, and abnormal long auscultation

Hospital-acquired pneumonia, persistent abnormalities on former CXR, treated for pneumonia in the past 4 weeks

CRP, WBC

CXR

13

Irwin et al.40

ED, UK

9.8%

<16 years

Fever, requiring blood tests

Immunodeficiency

CRP, WBC, PCT, resistin, NGAL

CXR

  1. ED emergency department, CXR chest X-ray, WBC white blood cell count, CRP C-reactive protein, PCT procalcitonin, NGAL neutrophil gelatinase-associated lipocalin