View in EDS

Predicting paediatric pneumonia severity in the emergency department: a multinational prospective cohort study of the Pediatric Emergency Research Network

Saved in:
Bibliographic Details
Title: Predicting paediatric pneumonia severity in the emergency department: a multinational prospective cohort study of the Pediatric Emergency Research Network
Authors: Todd A Florin, Daniel J Tancredi, Lilliam Ambroggio, Franz E Babl, Stuart R Dalziel, Michelle Eckerle, Santiago Mintegi, Mark I Neuman, Amy C Plint, Norma-Jean Simon, Nathan Kuppermann, Fahd A Ahmad, Usha Avva, Luisa Barón González de Suso, Sarah Becker, Kelly R Bergmann, Stuart A Bradin, Kristen Breslin, Meredith L Borland, Rosa María Calderón Checa, Kerry Caperell, James Chamberlain, Pradip P Chaudhari, Jonathan Cherry, Shu-Ling Chong, Wee-Jhong Chua, Ida Concha, Simon Craig, Deepali Thosar, Andrew Dixon, Daniel M Fein, Antonella Frassanito, Stephen B Freedman, Karen Forward, Gafencu Mihai, Jara Gaitero Tristán, Annick Galetto-Lacour, Paula Forner García, Michael A Gardiner, Shane George, Valewska Gabriela Wallis Gómez, Virginia Gómez-Barrena, Raluca Isac, Adam Isacoff, Shefali Jani, April J Kam, Nirupama Kannikeswaran, Elizabeth M Keating, Amit Kochar, Maria Y Kwok, Anne M Lakes, Ben Lawton, Franziska Leeb, Susan C Lipsett, Matthew J Lipshaw, Maren M Lunoe, Ryan McKee, Son H McLaren, Lianne McLean, Garth D Meckler, Fabio Midulla, Erin Mills, Andrea Mora-Capín, Claudia R Morris, Nidhya Navanandan, Sharon L O'Brien, Ioannis Orfanos, Natalia Paniagua, Sonia Viviana Pavlicich, Naveen Poonai, Mercè Puigdomènech Fosch, Alexander Rogers, Carlos M Angelats, Vikram Sabhaney, Cyril Sahyoun, Frederic Samson, Laura Sartori, Usha Sethuraman, Nipam P Shah, Manuel E Soto-Martinez, Jorge Sotoca Fernandez, Pilar Storch-de-Gracia, Regina L Toto, Viet Tran, Muhammad Waseem, Leah Tzimenatos, Bruce Wright, Adriana Yock-Corrales, Joseph J Zorc
Contributors: Galetto-Lacour, Annick, Sahyoun, Cyril
Source: The Lancet Child & Adolescent Health. 9:383-392
Publisher Information: Elsevier BV, 2025.
Publication Year: 2025
Subject Terms: Male, Community-Acquired Infections / epidemiology, Adolescent, Community-Acquired Infections / diagnosis, Infant, Pneumonia, Severity of Illness Index, Risk Assessment, Pneumonia / epidemiology, Community-Acquired Infections, Hospitalization, Hospitalization / statistics & numerical data, Risk Assessment / methods, Child, Preschool, Emergency Service, Hospital / statistics & numerical data, Humans, Female, Prospective Studies, Pneumonia / diagnosis, Child, Emergency Service, Hospital
Description: Risk stratification tools for paediatric community-acquired pneumonia (CAP) in well-resourced settings are scarce. We prospectively developed models to predict CAP severity within a multinational cohort of paediatric emergency departments (EDs). Our primary objective was to develop a risk prediction model to discriminate between mild CAP and moderate or severe CAP to assist clinicians in determining the need for hospitalisation.This prospective cohort study was conducted from Feb 6, 2019, to June 30, 2021, at 73 EDs in 14 countries. Children aged 3 months to 24 h, positive-pressure ventilation, septic shock, vasoactive infusions, extracorporeal membrane oxygenation, or death) occurring within 7 days of the ED visit. Models were developed using logistic regression with bootstrap validation.Of 2222 children in the overall study population (1103 [49·7%] female, 1119 [50·3%] male; median age 3 years [IQR 1-5]), 1290 (58·1%) had mild CAP, 812 (36·5%) moderate, and 120 (5·4%) severe. Primary analyses were performed in 1901 patients with complete data: 1011 (53·2%) mild, 772 (40·6%) moderate, and 118 (6·2%) severe CAP. Congestion or rhinorrhoea was negatively associated with moderate or severe CAP (adjusted odds ratio 0·59 [95% CI 0·46-0·76]), while abdominal pain (1·52 [1·17-1·97]), refusal to drink (1·57 [1·24-2·00]), antibiotics before ED visit (1·64 [1·29-2·10]), chest retractions (2·86 [2·24-3·65]), respiratory rate above the 95th percentile for age (1·63 [1·29-2·06]), heart rate above the 95th percentile for age (1·64 [1·27-2·12]), and hypoxaemia (oxygen saturation 90-92%, 3·24 [2·46-4·27]
Document Type: Article
File Description: application/pdf
Language: English
ISSN: 2352-4642
DOI: 10.1016/s2352-4642(25)00094-x
Access URL: https://pubmed.ncbi.nlm.nih.gov/40379430
https://archive-ouverte.unige.ch/unige:187473
https://doi.org/10.1016/s2352-4642(25)00094-x
Rights: Elsevier TDM
Accession Number: edsair.doi.dedup.....bb00fee1460c1ca069e24d84d01382f2
Database: OpenAIRE
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://explore.openaire.eu/search/publication?articleId=doi_dedup___%3A%3Abb00fee1460c1ca069e24d84d01382f2
    Name: EDS - OpenAIRE (s4221598)
    Category: fullText
    Text: View record at OpenAIRE
  – Url: https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=EBSCO&SrcAuth=EBSCO&DestApp=WOS&ServiceName=TransferToWoS&DestLinkType=GeneralSearchSummary&Func=Links&author=Florin%20TA
    Name: ISI
    Category: fullText
    Text: Nájsť tento článok vo Web of Science
    Icon: https://imagesrvr.epnet.com/ls/20docs.gif
    MouseOverText: Nájsť tento článok vo Web of Science
Header DbId: edsair
DbLabel: OpenAIRE
An: edsair.doi.dedup.....bb00fee1460c1ca069e24d84d01382f2
RelevancyScore: 1033
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 1032.50830078125
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Predicting paediatric pneumonia severity in the emergency department: a multinational prospective cohort study of the Pediatric Emergency Research Network
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Todd+A+Florin%22">Todd A Florin</searchLink><br /><searchLink fieldCode="AR" term="%22Daniel+J+Tancredi%22">Daniel J Tancredi</searchLink><br /><searchLink fieldCode="AR" term="%22Lilliam+Ambroggio%22">Lilliam Ambroggio</searchLink><br /><searchLink fieldCode="AR" term="%22Franz+E+Babl%22">Franz E Babl</searchLink><br /><searchLink fieldCode="AR" term="%22Stuart+R+Dalziel%22">Stuart R Dalziel</searchLink><br /><searchLink fieldCode="AR" term="%22Michelle+Eckerle%22">Michelle Eckerle</searchLink><br /><searchLink fieldCode="AR" term="%22Santiago+Mintegi%22">Santiago Mintegi</searchLink><br /><searchLink fieldCode="AR" term="%22Mark+I+Neuman%22">Mark I Neuman</searchLink><br /><searchLink fieldCode="AR" term="%22Amy+C+Plint%22">Amy C Plint</searchLink><br /><searchLink fieldCode="AR" term="%22Norma-Jean+Simon%22">Norma-Jean Simon</searchLink><br /><searchLink fieldCode="AR" term="%22Nathan+Kuppermann%22">Nathan Kuppermann</searchLink><br /><searchLink fieldCode="AR" term="%22Fahd+A+Ahmad%22">Fahd A Ahmad</searchLink><br /><searchLink fieldCode="AR" term="%22Usha+Avva%22">Usha Avva</searchLink><br /><searchLink fieldCode="AR" term="%22Luisa+Barón+González+de+Suso%22">Luisa Barón González de Suso</searchLink><br /><searchLink fieldCode="AR" term="%22Sarah+Becker%22">Sarah Becker</searchLink><br /><searchLink fieldCode="AR" term="%22Kelly+R+Bergmann%22">Kelly R Bergmann</searchLink><br /><searchLink fieldCode="AR" term="%22Stuart+A+Bradin%22">Stuart A Bradin</searchLink><br /><searchLink fieldCode="AR" term="%22Kristen+Breslin%22">Kristen Breslin</searchLink><br /><searchLink fieldCode="AR" term="%22Meredith+L+Borland%22">Meredith L Borland</searchLink><br /><searchLink fieldCode="AR" term="%22Rosa+María+Calderón+Checa%22">Rosa María Calderón Checa</searchLink><br /><searchLink fieldCode="AR" term="%22Kerry+Caperell%22">Kerry Caperell</searchLink><br /><searchLink fieldCode="AR" term="%22James+Chamberlain%22">James Chamberlain</searchLink><br /><searchLink fieldCode="AR" term="%22Pradip+P+Chaudhari%22">Pradip P Chaudhari</searchLink><br /><searchLink fieldCode="AR" term="%22Jonathan+Cherry%22">Jonathan Cherry</searchLink><br /><searchLink fieldCode="AR" term="%22Shu-Ling+Chong%22">Shu-Ling Chong</searchLink><br /><searchLink fieldCode="AR" term="%22Wee-Jhong+Chua%22">Wee-Jhong Chua</searchLink><br /><searchLink fieldCode="AR" term="%22Ida+Concha%22">Ida Concha</searchLink><br /><searchLink fieldCode="AR" term="%22Simon+Craig%22">Simon Craig</searchLink><br /><searchLink fieldCode="AR" term="%22Deepali+Thosar%22">Deepali Thosar</searchLink><br /><searchLink fieldCode="AR" term="%22Andrew+Dixon%22">Andrew Dixon</searchLink><br /><searchLink fieldCode="AR" term="%22Daniel+M+Fein%22">Daniel M Fein</searchLink><br /><searchLink fieldCode="AR" term="%22Antonella+Frassanito%22">Antonella Frassanito</searchLink><br /><searchLink fieldCode="AR" term="%22Stephen+B+Freedman%22">Stephen B Freedman</searchLink><br /><searchLink fieldCode="AR" term="%22Karen+Forward%22">Karen Forward</searchLink><br /><searchLink fieldCode="AR" term="%22Gafencu+Mihai%22">Gafencu Mihai</searchLink><br /><searchLink fieldCode="AR" term="%22Jara+Gaitero+Tristán%22">Jara Gaitero Tristán</searchLink><br /><searchLink fieldCode="AR" term="%22Annick+Galetto-Lacour%22">Annick Galetto-Lacour</searchLink><br /><searchLink fieldCode="AR" term="%22Paula+Forner+García%22">Paula Forner García</searchLink><br /><searchLink fieldCode="AR" term="%22Michael+A+Gardiner%22">Michael A Gardiner</searchLink><br /><searchLink fieldCode="AR" term="%22Shane+George%22">Shane George</searchLink><br /><searchLink fieldCode="AR" term="%22Valewska+Gabriela+Wallis+Gómez%22">Valewska Gabriela Wallis Gómez</searchLink><br /><searchLink fieldCode="AR" term="%22Virginia+Gómez-Barrena%22">Virginia Gómez-Barrena</searchLink><br /><searchLink fieldCode="AR" term="%22Raluca+Isac%22">Raluca Isac</searchLink><br /><searchLink fieldCode="AR" term="%22Adam+Isacoff%22">Adam Isacoff</searchLink><br /><searchLink fieldCode="AR" term="%22Shefali+Jani%22">Shefali Jani</searchLink><br /><searchLink fieldCode="AR" term="%22April+J+Kam%22">April J Kam</searchLink><br /><searchLink fieldCode="AR" term="%22Nirupama+Kannikeswaran%22">Nirupama Kannikeswaran</searchLink><br /><searchLink fieldCode="AR" term="%22Elizabeth+M+Keating%22">Elizabeth M Keating</searchLink><br /><searchLink fieldCode="AR" term="%22Amit+Kochar%22">Amit Kochar</searchLink><br /><searchLink fieldCode="AR" term="%22Maria+Y+Kwok%22">Maria Y Kwok</searchLink><br /><searchLink fieldCode="AR" term="%22Anne+M+Lakes%22">Anne M Lakes</searchLink><br /><searchLink fieldCode="AR" term="%22Ben+Lawton%22">Ben Lawton</searchLink><br /><searchLink fieldCode="AR" term="%22Franziska+Leeb%22">Franziska Leeb</searchLink><br /><searchLink fieldCode="AR" term="%22Susan+C+Lipsett%22">Susan C Lipsett</searchLink><br /><searchLink fieldCode="AR" term="%22Matthew+J+Lipshaw%22">Matthew J Lipshaw</searchLink><br /><searchLink fieldCode="AR" term="%22Maren+M+Lunoe%22">Maren M Lunoe</searchLink><br /><searchLink fieldCode="AR" term="%22Ryan+McKee%22">Ryan McKee</searchLink><br /><searchLink fieldCode="AR" term="%22Son+H+McLaren%22">Son H McLaren</searchLink><br /><searchLink fieldCode="AR" term="%22Lianne+McLean%22">Lianne McLean</searchLink><br /><searchLink fieldCode="AR" term="%22Garth+D+Meckler%22">Garth D Meckler</searchLink><br /><searchLink fieldCode="AR" term="%22Fabio+Midulla%22">Fabio Midulla</searchLink><br /><searchLink fieldCode="AR" term="%22Erin+Mills%22">Erin Mills</searchLink><br /><searchLink fieldCode="AR" term="%22Andrea+Mora-Capín%22">Andrea Mora-Capín</searchLink><br /><searchLink fieldCode="AR" term="%22Claudia+R+Morris%22">Claudia R Morris</searchLink><br /><searchLink fieldCode="AR" term="%22Nidhya+Navanandan%22">Nidhya Navanandan</searchLink><br /><searchLink fieldCode="AR" term="%22Sharon+L+O'Brien%22">Sharon L O'Brien</searchLink><br /><searchLink fieldCode="AR" term="%22Ioannis+Orfanos%22">Ioannis Orfanos</searchLink><br /><searchLink fieldCode="AR" term="%22Natalia+Paniagua%22">Natalia Paniagua</searchLink><br /><searchLink fieldCode="AR" term="%22Sonia+Viviana+Pavlicich%22">Sonia Viviana Pavlicich</searchLink><br /><searchLink fieldCode="AR" term="%22Naveen+Poonai%22">Naveen Poonai</searchLink><br /><searchLink fieldCode="AR" term="%22Mercè+Puigdomènech+Fosch%22">Mercè Puigdomènech Fosch</searchLink><br /><searchLink fieldCode="AR" term="%22Alexander+Rogers%22">Alexander Rogers</searchLink><br /><searchLink fieldCode="AR" term="%22Carlos+M+Angelats%22">Carlos M Angelats</searchLink><br /><searchLink fieldCode="AR" term="%22Vikram+Sabhaney%22">Vikram Sabhaney</searchLink><br /><searchLink fieldCode="AR" term="%22Cyril+Sahyoun%22">Cyril Sahyoun</searchLink><br /><searchLink fieldCode="AR" term="%22Frederic+Samson%22">Frederic Samson</searchLink><br /><searchLink fieldCode="AR" term="%22Laura+Sartori%22">Laura Sartori</searchLink><br /><searchLink fieldCode="AR" term="%22Usha+Sethuraman%22">Usha Sethuraman</searchLink><br /><searchLink fieldCode="AR" term="%22Nipam+P+Shah%22">Nipam P Shah</searchLink><br /><searchLink fieldCode="AR" term="%22Manuel+E+Soto-Martinez%22">Manuel E Soto-Martinez</searchLink><br /><searchLink fieldCode="AR" term="%22Jorge+Sotoca+Fernandez%22">Jorge Sotoca Fernandez</searchLink><br /><searchLink fieldCode="AR" term="%22Pilar+Storch-de-Gracia%22">Pilar Storch-de-Gracia</searchLink><br /><searchLink fieldCode="AR" term="%22Regina+L+Toto%22">Regina L Toto</searchLink><br /><searchLink fieldCode="AR" term="%22Viet+Tran%22">Viet Tran</searchLink><br /><searchLink fieldCode="AR" term="%22Muhammad+Waseem%22">Muhammad Waseem</searchLink><br /><searchLink fieldCode="AR" term="%22Leah+Tzimenatos%22">Leah Tzimenatos</searchLink><br /><searchLink fieldCode="AR" term="%22Bruce+Wright%22">Bruce Wright</searchLink><br /><searchLink fieldCode="AR" term="%22Adriana+Yock-Corrales%22">Adriana Yock-Corrales</searchLink><br /><searchLink fieldCode="AR" term="%22Joseph+J+Zorc%22">Joseph J Zorc</searchLink>
– Name: Author
  Label: Contributors
  Group: Au
  Data: Galetto-Lacour, Annick<br />Sahyoun, Cyril
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <i>The Lancet Child & Adolescent Health</i>. 9:383-392
– Name: Publisher
  Label: Publisher Information
  Group: PubInfo
  Data: Elsevier BV, 2025.
– Name: DatePubCY
  Label: Publication Year
  Group: Date
  Data: 2025
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Male%22">Male</searchLink><br /><searchLink fieldCode="DE" term="%22Community-Acquired+Infections+%2F+epidemiology%22">Community-Acquired Infections / epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent%22">Adolescent</searchLink><br /><searchLink fieldCode="DE" term="%22Community-Acquired+Infections+%2F+diagnosis%22">Community-Acquired Infections / diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Infant%22">Infant</searchLink><br /><searchLink fieldCode="DE" term="%22Pneumonia%22">Pneumonia</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+Illness+Index%22">Severity of Illness Index</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+Assessment%22">Risk Assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Pneumonia+%2F+epidemiology%22">Pneumonia / epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Community-Acquired+Infections%22">Community-Acquired Infections</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitalization%22">Hospitalization</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitalization+%2F+statistics+%26+numerical+data%22">Hospitalization / statistics & numerical data</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+Assessment+%2F+methods%22">Risk Assessment / methods</searchLink><br /><searchLink fieldCode="DE" term="%22Child%2C+Preschool%22">Child, Preschool</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+Service%2C+Hospital+%2F+statistics+%26+numerical+data%22">Emergency Service, Hospital / statistics & numerical data</searchLink><br /><searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22Female%22">Female</searchLink><br /><searchLink fieldCode="DE" term="%22Prospective+Studies%22">Prospective Studies</searchLink><br /><searchLink fieldCode="DE" term="%22Pneumonia+%2F+diagnosis%22">Pneumonia / diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Child%22">Child</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+Service%2C+Hospital%22">Emergency Service, Hospital</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: Risk stratification tools for paediatric community-acquired pneumonia (CAP) in well-resourced settings are scarce. We prospectively developed models to predict CAP severity within a multinational cohort of paediatric emergency departments (EDs). Our primary objective was to develop a risk prediction model to discriminate between mild CAP and moderate or severe CAP to assist clinicians in determining the need for hospitalisation.This prospective cohort study was conducted from Feb 6, 2019, to June 30, 2021, at 73 EDs in 14 countries. Children aged 3 months to 24 h, positive-pressure ventilation, septic shock, vasoactive infusions, extracorporeal membrane oxygenation, or death) occurring within 7 days of the ED visit. Models were developed using logistic regression with bootstrap validation.Of 2222 children in the overall study population (1103 [49·7%] female, 1119 [50·3%] male; median age 3 years [IQR 1-5]), 1290 (58·1%) had mild CAP, 812 (36·5%) moderate, and 120 (5·4%) severe. Primary analyses were performed in 1901 patients with complete data: 1011 (53·2%) mild, 772 (40·6%) moderate, and 118 (6·2%) severe CAP. Congestion or rhinorrhoea was negatively associated with moderate or severe CAP (adjusted odds ratio 0·59 [95% CI 0·46-0·76]), while abdominal pain (1·52 [1·17-1·97]), refusal to drink (1·57 [1·24-2·00]), antibiotics before ED visit (1·64 [1·29-2·10]), chest retractions (2·86 [2·24-3·65]), respiratory rate above the 95th percentile for age (1·63 [1·29-2·06]), heart rate above the 95th percentile for age (1·64 [1·27-2·12]), and hypoxaemia (oxygen saturation 90-92%, 3·24 [2·46-4·27]
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Article
– Name: Format
  Label: File Description
  Group: SrcInfo
  Data: application/pdf
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 2352-4642
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1016/s2352-4642(25)00094-x
– Name: URL
  Label: Access URL
  Group: URL
  Data: <link linkTarget="URL" linkTerm="https://pubmed.ncbi.nlm.nih.gov/40379430" linkWindow="_blank">https://pubmed.ncbi.nlm.nih.gov/40379430</link><br /><link linkTarget="URL" linkTerm="https://archive-ouverte.unige.ch/unige:187473" linkWindow="_blank">https://archive-ouverte.unige.ch/unige:187473</link><br /><link linkTarget="URL" linkTerm="https://doi.org/10.1016/s2352-4642(25)00094-x" linkWindow="_blank">https://doi.org/10.1016/s2352-4642(25)00094-x</link>
– Name: Copyright
  Label: Rights
  Group: Cpyrght
  Data: Elsevier TDM
– Name: AN
  Label: Accession Number
  Group: ID
  Data: edsair.doi.dedup.....bb00fee1460c1ca069e24d84d01382f2
PLink https://erproxy.cvtisr.sk/sfx/access?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsair&AN=edsair.doi.dedup.....bb00fee1460c1ca069e24d84d01382f2
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/s2352-4642(25)00094-x
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 383
    Subjects:
      – SubjectFull: Male
        Type: general
      – SubjectFull: Community-Acquired Infections / epidemiology
        Type: general
      – SubjectFull: Adolescent
        Type: general
      – SubjectFull: Community-Acquired Infections / diagnosis
        Type: general
      – SubjectFull: Infant
        Type: general
      – SubjectFull: Pneumonia
        Type: general
      – SubjectFull: Severity of Illness Index
        Type: general
      – SubjectFull: Risk Assessment
        Type: general
      – SubjectFull: Pneumonia / epidemiology
        Type: general
      – SubjectFull: Community-Acquired Infections
        Type: general
      – SubjectFull: Hospitalization
        Type: general
      – SubjectFull: Hospitalization / statistics & numerical data
        Type: general
      – SubjectFull: Risk Assessment / methods
        Type: general
      – SubjectFull: Child, Preschool
        Type: general
      – SubjectFull: Emergency Service, Hospital / statistics & numerical data
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Prospective Studies
        Type: general
      – SubjectFull: Pneumonia / diagnosis
        Type: general
      – SubjectFull: Child
        Type: general
      – SubjectFull: Emergency Service, Hospital
        Type: general
    Titles:
      – TitleFull: Predicting paediatric pneumonia severity in the emergency department: a multinational prospective cohort study of the Pediatric Emergency Research Network
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Todd A Florin
      – PersonEntity:
          Name:
            NameFull: Daniel J Tancredi
      – PersonEntity:
          Name:
            NameFull: Lilliam Ambroggio
      – PersonEntity:
          Name:
            NameFull: Franz E Babl
      – PersonEntity:
          Name:
            NameFull: Stuart R Dalziel
      – PersonEntity:
          Name:
            NameFull: Michelle Eckerle
      – PersonEntity:
          Name:
            NameFull: Santiago Mintegi
      – PersonEntity:
          Name:
            NameFull: Mark I Neuman
      – PersonEntity:
          Name:
            NameFull: Amy C Plint
      – PersonEntity:
          Name:
            NameFull: Norma-Jean Simon
      – PersonEntity:
          Name:
            NameFull: Nathan Kuppermann
      – PersonEntity:
          Name:
            NameFull: Fahd A Ahmad
      – PersonEntity:
          Name:
            NameFull: Usha Avva
      – PersonEntity:
          Name:
            NameFull: Luisa Barón González de Suso
      – PersonEntity:
          Name:
            NameFull: Sarah Becker
      – PersonEntity:
          Name:
            NameFull: Kelly R Bergmann
      – PersonEntity:
          Name:
            NameFull: Stuart A Bradin
      – PersonEntity:
          Name:
            NameFull: Kristen Breslin
      – PersonEntity:
          Name:
            NameFull: Meredith L Borland
      – PersonEntity:
          Name:
            NameFull: Rosa María Calderón Checa
      – PersonEntity:
          Name:
            NameFull: Kerry Caperell
      – PersonEntity:
          Name:
            NameFull: James Chamberlain
      – PersonEntity:
          Name:
            NameFull: Pradip P Chaudhari
      – PersonEntity:
          Name:
            NameFull: Jonathan Cherry
      – PersonEntity:
          Name:
            NameFull: Shu-Ling Chong
      – PersonEntity:
          Name:
            NameFull: Wee-Jhong Chua
      – PersonEntity:
          Name:
            NameFull: Ida Concha
      – PersonEntity:
          Name:
            NameFull: Simon Craig
      – PersonEntity:
          Name:
            NameFull: Deepali Thosar
      – PersonEntity:
          Name:
            NameFull: Andrew Dixon
      – PersonEntity:
          Name:
            NameFull: Daniel M Fein
      – PersonEntity:
          Name:
            NameFull: Antonella Frassanito
      – PersonEntity:
          Name:
            NameFull: Stephen B Freedman
      – PersonEntity:
          Name:
            NameFull: Karen Forward
      – PersonEntity:
          Name:
            NameFull: Gafencu Mihai
      – PersonEntity:
          Name:
            NameFull: Jara Gaitero Tristán
      – PersonEntity:
          Name:
            NameFull: Annick Galetto-Lacour
      – PersonEntity:
          Name:
            NameFull: Paula Forner García
      – PersonEntity:
          Name:
            NameFull: Michael A Gardiner
      – PersonEntity:
          Name:
            NameFull: Shane George
      – PersonEntity:
          Name:
            NameFull: Valewska Gabriela Wallis Gómez
      – PersonEntity:
          Name:
            NameFull: Virginia Gómez-Barrena
      – PersonEntity:
          Name:
            NameFull: Raluca Isac
      – PersonEntity:
          Name:
            NameFull: Adam Isacoff
      – PersonEntity:
          Name:
            NameFull: Shefali Jani
      – PersonEntity:
          Name:
            NameFull: April J Kam
      – PersonEntity:
          Name:
            NameFull: Nirupama Kannikeswaran
      – PersonEntity:
          Name:
            NameFull: Elizabeth M Keating
      – PersonEntity:
          Name:
            NameFull: Amit Kochar
      – PersonEntity:
          Name:
            NameFull: Maria Y Kwok
      – PersonEntity:
          Name:
            NameFull: Anne M Lakes
      – PersonEntity:
          Name:
            NameFull: Ben Lawton
      – PersonEntity:
          Name:
            NameFull: Franziska Leeb
      – PersonEntity:
          Name:
            NameFull: Susan C Lipsett
      – PersonEntity:
          Name:
            NameFull: Matthew J Lipshaw
      – PersonEntity:
          Name:
            NameFull: Maren M Lunoe
      – PersonEntity:
          Name:
            NameFull: Ryan McKee
      – PersonEntity:
          Name:
            NameFull: Son H McLaren
      – PersonEntity:
          Name:
            NameFull: Lianne McLean
      – PersonEntity:
          Name:
            NameFull: Garth D Meckler
      – PersonEntity:
          Name:
            NameFull: Fabio Midulla
      – PersonEntity:
          Name:
            NameFull: Erin Mills
      – PersonEntity:
          Name:
            NameFull: Andrea Mora-Capín
      – PersonEntity:
          Name:
            NameFull: Claudia R Morris
      – PersonEntity:
          Name:
            NameFull: Nidhya Navanandan
      – PersonEntity:
          Name:
            NameFull: Sharon L O'Brien
      – PersonEntity:
          Name:
            NameFull: Ioannis Orfanos
      – PersonEntity:
          Name:
            NameFull: Natalia Paniagua
      – PersonEntity:
          Name:
            NameFull: Sonia Viviana Pavlicich
      – PersonEntity:
          Name:
            NameFull: Naveen Poonai
      – PersonEntity:
          Name:
            NameFull: Mercè Puigdomènech Fosch
      – PersonEntity:
          Name:
            NameFull: Alexander Rogers
      – PersonEntity:
          Name:
            NameFull: Carlos M Angelats
      – PersonEntity:
          Name:
            NameFull: Vikram Sabhaney
      – PersonEntity:
          Name:
            NameFull: Cyril Sahyoun
      – PersonEntity:
          Name:
            NameFull: Frederic Samson
      – PersonEntity:
          Name:
            NameFull: Laura Sartori
      – PersonEntity:
          Name:
            NameFull: Usha Sethuraman
      – PersonEntity:
          Name:
            NameFull: Nipam P Shah
      – PersonEntity:
          Name:
            NameFull: Manuel E Soto-Martinez
      – PersonEntity:
          Name:
            NameFull: Jorge Sotoca Fernandez
      – PersonEntity:
          Name:
            NameFull: Pilar Storch-de-Gracia
      – PersonEntity:
          Name:
            NameFull: Regina L Toto
      – PersonEntity:
          Name:
            NameFull: Viet Tran
      – PersonEntity:
          Name:
            NameFull: Muhammad Waseem
      – PersonEntity:
          Name:
            NameFull: Leah Tzimenatos
      – PersonEntity:
          Name:
            NameFull: Bruce Wright
      – PersonEntity:
          Name:
            NameFull: Adriana Yock-Corrales
      – PersonEntity:
          Name:
            NameFull: Joseph J Zorc
      – PersonEntity:
          Name:
            NameFull: Galetto-Lacour, Annick
      – PersonEntity:
          Name:
            NameFull: Sahyoun, Cyril
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 06
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 23524642
            – Type: issn-locals
              Value: edsair
          Numbering:
            – Type: volume
              Value: 9
          Titles:
            – TitleFull: The Lancet Child & Adolescent Health
              Type: main
ResultId 1