About: Respiratory viral panels and pediatric airway evaluation: the role of testing for upper respiratory infections to stratify perioperative risk

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About: Respiratory viral panels and pediatric airway evaluation: the role of testing for upper respiratory infections to stratify perioperative risk Goto Sponge NotDistinct Permalink

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Respiratory viral panels and pediatric airway evaluation: the role of testing for upper respiratory infections to stratify perioperative risk
Creator	Chiang, Tendy Worobetz, Noah Ball, Jessica Bourgeois, Tran Burrier, Candice Niermeyer, Weston Onwuka, Amanda
Source	Elsevier; Medline; PMC
abstract	Abstract Objectives Children admitted with stridor and respiratory distress comprise a complex patient group that requires the otolaryngologist to decide when to assess and intervene with direct laryngoscopy and bronchoscopy (DLB). Historically, the diagnosis of viral upper respiratory tract infection (URTI) can lead to postponement of surgery due to concerns of perioperative complications related to acute illness. Respiratory viral panels (RVP) are often used to confirm the presence of recent or active viral infection and can affect the differential diagnosis of upper airway obstruction. This study examined whether RVP positive testing is correlated with perioperative complications and operative findings in pediatric patients undergoing inpatient DLB. Methods A retrospective chart review of 132 pediatric patient encounters was performed. Viral testing results, DLB indication, DLB findings, and perioperative complications were compared. Results Sixty encounters (45.5%) involved a positive RVP, and 72 (54.5%) involved a negative RVP. Those with positive RVP were less likely to have an anatomic airway abnormality (p = 0.0250) and more likely to have a history of recurrent upper respiratory infections (p = 0.0464). The most common reason for DLB was to assess for structural airway abnormality. Laryngospasm occurred in 1 (1.7%) RVP positive and 1 (1.4%) RVP negative encounter, and 2 (2.8%) RVP negative encounters required reintubation. No other major complications were observed. No association was noted between RVP results and incidence of major or minor complication. Conclusions Major perioperative complications after surgical intervention with DLB for the management of complex, inpatient children with stridor and respiratory distress are rare. RVP positivity, specific pathogens identified on RVP, and presence of URI symptoms were not associated with perioperative complications.
has issue date	2020-04-21(xsd:dateTime)
bibo:doi	10.1016/j.ijporl.2020.110057
bibo:pmid	32388322
has license	els-covid
sha1sum (hex)	c6b0daaa78cd0437943c7d74214defdc73aeb728
schema:url	https://doi.org/10.1016/j.ijporl.2020.110057
resource representing a document's title	Respiratory viral panels and pediatric airway evaluation: the role of testing for upper respiratory infections to stratify perioperative risk
has PubMed Central identifier	PMC7172690
has PubMed identifier	32388322
schema:publication	Int J Pediatr Otorhinolaryngol
resource representing a document's body	covid:c6b0daaa78cd0437943c7d74214defdc73aeb728#body_text
is schema:about of	named entity 'anatomic' named entity 'Historically' named entity 'indication' named entity 'DLB' named entity 'evaluation' named entity 'panels' named entity 'pediatric' named entity 'Respiratory' named entity 'OTOLARYNGOLOGIST' named entity 'PERFORMED' named entity 'CHILDREN' named entity 'PANELS' named entity 'INVOLVED' named entity 'COMPLICATIONS' named entity 'UPPER AIRWAY OBSTRUCTION' named entity 'CONCERNS' named entity 'EXAMINED' named entity 'COMPARED' named entity 'AIRWAY ABNORMALITY' named entity 'OPERATIVE' named entity 'positive' named entity 'involved' named entity 'chart' named entity 'history' named entity 'DLB' named entity 'patient' named entity 'performed' named entity 'Methods' named entity 'decide' named entity 'assess' named entity 'laryngoscopy' named entity 'risk' named entity 'stratify' named entity 'differential diagnosis' named entity 'pediatric' named entity 'recurrent upper respiratory infections' named entity 'viral upper respiratory tract infection' named entity 'pediatric patients' named entity 'perioperative' named entity 'perioperative' named entity 'group' named entity 'bronchoscopy' named entity 'surgical intervention' named entity 'perioperative' named entity 'Demographic information' named entity 'immunofluorescence assay' named entity 'pathology' named entity 'medical record' named entity 'transmission-based precautions' named entity 'URTI' named entity 'Human Metapneumovirus' named entity 'sore throat' named entity 'prodrome' named entity 'Pediatric' named entity 'URTI' named entity 'perioperative' named entity 'URTI' named entity 'stridor' named entity 'Medical records' named entity 'fever' named entity 'laryngospasm' named entity 'surgical procedure' named entity 'URTI' named entity 'stridor' named entity 'peri-operative' named entity 'bronchi' named entity 'respiratory support' named entity 'endoscopic' named entity 'prodrome' named entity 'virus' named entity 'Perioperative' named entity 'virus' named entity 'infection' named entity 'morbidity' named entity 'URTI'

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