IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v25y2016i5-6p752-759.html
   My bibliography  Save this article

Prognostic clinical indicators of short‐term survival for ineffective breathing pattern in children with acute respiratory infection

Author

Listed:
  • Lívia Maia Pascoal
  • Marcos Venícios de Oliveira Lopes
  • Viviane Martins da Silva
  • Beatriz Amorim Beltrão
  • Daniel Bruno Resende Chaves
  • Marília Mendes Nunes
  • Natália Barreto de Castro

Abstract

Aims and objectives To identify prognostic clinical indicators of short‐term survival for ineffective breathing pattern in children with acute respiratory infection. Background Despite the studies of survival for nursing diagnosis, there is not enough evidence about the clinical indicators that are associated with a worse prognosis for ineffective breathing pattern. Design A prospective cohort study. Methods One hundred and thirty‐six children were followed up for a minimum of six and a maximum of 10 consecutive days. The survival rate for ineffective breathing pattern was calculated using Nelson‐Aalen's method. An extended Cox model was adjusted to identify the main prognostic clinical indicators for this nursing diagnosis. Results Over half of the sample had an ineffective breathing pattern at the first evaluation. The occurrence of new cases was observed until the ninth day of monitoring, and the survival rate after this day was low. According to the Cox model, the main clinical indicators of a poor prognosis were an abnormal breathing pattern, the use of accessory muscles, dyspnoea and increase in the anterior–posterior chest diameter. Conclusions Children with acute respiratory infection who present with an abnormal breathing pattern, the use of accessory muscles to breathe, dyspnoea and increased anterior–posterior diameter have a poor prognosis for an ineffective breathing pattern. Relevance to clinical practice Survival analyses of nursing diagnoses allow the identification of clinical indicators that can be used in clinical practice as prognostic markers. The identification of indicators associated with a poor clinical prognosis allows nurses to intervene early and to maximise the possibility of a good outcome.

Suggested Citation

  • Lívia Maia Pascoal & Marcos Venícios de Oliveira Lopes & Viviane Martins da Silva & Beatriz Amorim Beltrão & Daniel Bruno Resende Chaves & Marília Mendes Nunes & Natália Barreto de Castro, 2016. "Prognostic clinical indicators of short‐term survival for ineffective breathing pattern in children with acute respiratory infection," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(5-6), pages 752-759, March.
  • Handle: RePEc:wly:jocnur:v:25:y:2016:i:5-6:p:752-759
    DOI: 10.1111/jocn.13064
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.13064
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.13064?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Loes C M Bertens & Berna D L Broekhuizen & Christiana A Naaktgeboren & Frans H Rutten & Arno W Hoes & Yvonne van Mourik & Karel G M Moons & Johannes B Reitsma, 2013. "Use of Expert Panels to Define the Reference Standard in Diagnostic Research: A Systematic Review of Published Methods and Reporting," PLOS Medicine, Public Library of Science, vol. 10(10), pages 1-17, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Feliciani, Thomas & Morreau, Michael & Luo, Junwen & Lucas, Pablo & Shankar, Kalpana, 2022. "Designing grant-review panels for better funding decisions: Lessons from an empirically calibrated simulation model," Research Policy, Elsevier, vol. 51(4).
    2. Chinyereugo M Umemneku Chikere & Kevin Wilson & Sara Graziadio & Luke Vale & A Joy Allen, 2019. "Diagnostic test evaluation methodology: A systematic review of methods employed to evaluate diagnostic tests in the absence of gold standard – An update," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-25, October.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:25:y:2016:i:5-6:p:752-759. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.