Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies

Fleming, Susannah; Thompson, Matthew; Stevens, R J; Heneghan, Carl; Plüddemann, Annette; Maconochie, Ian; Tarassenko, Lionel; Mant, David

doi:10.1016/s0140-6736(10)62226-x

Cited by 1,015 publications

(919 citation statements)

References 17 publications

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“…Age-related changes in HRV are likely attributable to age-related changes in heart rate [9,49]. Consistent with previous studies [4,31,37], sex differences emerged.…”

Section: Resultssupporting

confidence: 90%

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Short-Term Heart Rate Variability in a Population-Based Sample of 10-Year-Old Children

et al. 2014

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Abstractand heart rate, are presented. Greater heart rate (β avg = −0.60, ), pubertal maturation (β avg = −0.11, ), later ECG recording times (β avg = −0.19, ), and higher diastolic blood pressure (β avg = −0.11, ) were significantly associated with reduced HRV in 10-year-old children. The normative HRV values permit clinicians to monitor, describe, and establish pediatric nosologies in primary care and research settings, which may improve treatment of diseases associated with HRV in children. By better understanding existing values, the practical applicability of HRV among clinicians will be enhanced. Lastly, developmental (e.g., puberty) and procedural (e.g., recording time) factors were identified that will improve recording procedures and interpretation of results.

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“…Age-related changes in HRV are likely attributable to age-related changes in heart rate [9,49]. Consistent with previous studies [4,31,37], sex differences emerged.…”

Section: Resultssupporting

confidence: 90%

“…Sex differences were observed; boys had significantly greater HRV values for all time-and frequency-domain variables. Due to age-related changes in heart rate [9,44], normative HRV values are age-and sex-stratified and presented for the 5th, 25th, 50th, 85th, and 95th heart rate percentiles (see Table 2). …”

Section: Resultsmentioning

confidence: 99%

Short-Term Heart Rate Variability in a Population-Based Sample of 10-Year-Old Children

et al. 2014

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“…The results of several recent large‐scale studies456, 457, 458, 459 examining normal heart rate and respiratory rate in children are not reflected in the threshold values for respiratory rate and heart rate.…”

Section: Introductionmentioning

confidence: 94%

“…In addition, according to many widely used guidelines such as the pediatric resuscitation guidelines462 and the triage standards,463 abnormal respiratory rate in infants is defined as ≥60 inspirations per minute. In consideration of these, the standards proposed by Nakagawa & Shime461 were created based on the results of Fleming's research456 (Table 4). The suitability of the use of this standard should be verified in the future.…”

Section: Cq19: Pediatric Considerationsmentioning

confidence: 99%

“…There is no basis for requiring the inclusion of body temperature or white blood cell count.The threshold value for respiratory rate overlaps with the normal range.The results of several recent large‐scale studies456, 457, 458, 459 examining normal heart rate and respiratory rate in children are not reflected in the threshold values for respiratory rate and heart rate. …”

Section: Introductionmentioning

confidence: 99%

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The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

Nishida

Ogura

Egi

et al. 2018

Acute Medicine & Surgery

157

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Background and PurposeThe Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG 2016), a Japanese‐specific set of clinical practice guidelines for sepsis and septic shock created jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in February 2017 in Japanese. An English‐language version of these guidelines was created based on the contents of the original Japanese‐language version.MethodsMembers of the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine were selected and organized into 19 committee members and 52 working group members. The guidelines were prepared in accordance with the Medical Information Network Distribution Service (Minds) creation procedures. The Academic Guidelines Promotion Team was organized to oversee and provide academic support to the respective activities allocated to each Guideline Creation Team. To improve quality assurance and workflow transparency, a mutual peer review system was established, and discussions within each team were open to the public. Public comments were collected once after the initial formulation of a clinical question (CQ), and twice during the review of the final draft. Recommendations were determined to have been adopted after obtaining support from a two‐thirds (>66.6%) majority vote of each of the 19 committee members.ResultsA total of 87 CQs were selected among 19 clinical areas, including pediatric topics and several other important areas not covered in the first edition of the Japanese guidelines (J‐SSCG 2012). The approval rate obtained through committee voting, in addition to ratings of the strengths of the recommendation and its supporting evidence were also added to each recommendation statement. We conducted meta‐analyses for 29 CQs. Thirty seven CQs contained recommendations in the form of an expert consensus due to insufficient evidence. No recommendations were provided for 5 CQs.ConclusionsBased on the evidence gathered, we were able to formulate Japanese‐specific clinical practice guidelines that are tailored to the Japanese context in a highly transparent manner. These guidelines can easily be used not only by specialists, but also by non‐specialists, general clinicians, nurses, pharmacists, clinical engineers, and other healthcare professionals.

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Propranolol vs Prednisolone for Symptomatic Proliferating Infantile Hemangiomas

Bauman

McCarter

Guzzetta

et al. 2014

JAMA Otolaryngol Head Neck Surg

100

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Both medications show similar efficacy for reducing the area of symptomatic, proliferating IH. Although prednisolone showed a faster response rate, propranolol was better tolerated with significantly fewer severe AEs. Propranolol should be the first line of therapy for symptomatic IH unless contraindicated or unless future studies demonstrate severe AEs from propranolol. Recruiting participants for a phase 3 RCT would be difficult owing to safety profiles measured here and emerging trends favoring propranolol. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT00967226.

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Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies

Cited by 1,015 publications

References 17 publications

Short-Term Heart Rate Variability in a Population-Based Sample of 10-Year-Old Children

Short-Term Heart Rate Variability in a Population-Based Sample of 10-Year-Old Children

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

Propranolol vs Prednisolone for Symptomatic Proliferating Infantile Hemangiomas

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