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Article: Validation of the APLS age-based vital signs reference ranges in a Chinese population

TitleValidation of the APLS age-based vital signs reference ranges in a Chinese population
Authors
KeywordsResuscitation
Paediatrics
Vital signs
Ethnicity
Reference standard
APLS
Issue Date2011
Citation
Resuscitation, 2011, v. 82, n. 7, p. 891-895 How to Cite?
AbstractReference ranges for vital signs may differ significantly among children of different ethnic origins. Aim: (1) To validate the Advanced Paediatric Life Support (APLS) age-based vital signs reference ranges in Chinese children in Hong Kong. (2) To derive age-based centile curves for systolic blood pressure, heart rate and respiratory rate for Chinese children. (3) To summarize the reference ranges in a table format appropriate for applying APLS to ethnic Chinese patients. Method: A cross-sectional study was performed on a population of healthy Chinese children recruited from 8 kindergartens and 6 primary schools in Hong Kong. Trained operators visit the sites to obtain measurements. Age-groups: small toddlers (12-23 months); pre-school (24-59 months); and school (60-143 months). Z-test was used to assess statistical significance for proportions of each parameter falling outside the APLS reference range. One-sample t-test was used for comparison with APLS means according to age-groups. LMS Chartmaker Pro v2.3 software was used to describe the data in centile curves. Results: A total of 1353 patients (55.1% boys) were included. For heart rate, systolic blood pressure and respiratory rate respectively, 34.1%, 55.9% and 55.7% of corresponding measurements were outside the APLS age-based reference ranges. In the 'pre-school' and 'school' age-groups, the mean value for blood pressure is significantly higher, and the mean values for heart rate and respiratory rate significantly lower, in comparison to APLS mean values. Conclusion: Independently derived vital signs reference ranges are more appropriate for use when applying APLS to Chinese patients in Hong Kong. © 2011 Elsevier Ireland Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/292635
ISSN
2023 Impact Factor: 6.5
2023 SCImago Journal Rankings: 2.363
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, S. S.W.-
dc.contributor.authorCattermole, G. N.-
dc.contributor.authorLeung, P. Y.M.-
dc.contributor.authorMak, P. S.K.-
dc.contributor.authorGraham, C. A.-
dc.contributor.authorRainer, T. H.-
dc.date.accessioned2020-11-17T14:56:54Z-
dc.date.available2020-11-17T14:56:54Z-
dc.date.issued2011-
dc.identifier.citationResuscitation, 2011, v. 82, n. 7, p. 891-895-
dc.identifier.issn0300-9572-
dc.identifier.urihttp://hdl.handle.net/10722/292635-
dc.description.abstractReference ranges for vital signs may differ significantly among children of different ethnic origins. Aim: (1) To validate the Advanced Paediatric Life Support (APLS) age-based vital signs reference ranges in Chinese children in Hong Kong. (2) To derive age-based centile curves for systolic blood pressure, heart rate and respiratory rate for Chinese children. (3) To summarize the reference ranges in a table format appropriate for applying APLS to ethnic Chinese patients. Method: A cross-sectional study was performed on a population of healthy Chinese children recruited from 8 kindergartens and 6 primary schools in Hong Kong. Trained operators visit the sites to obtain measurements. Age-groups: small toddlers (12-23 months); pre-school (24-59 months); and school (60-143 months). Z-test was used to assess statistical significance for proportions of each parameter falling outside the APLS reference range. One-sample t-test was used for comparison with APLS means according to age-groups. LMS Chartmaker Pro v2.3 software was used to describe the data in centile curves. Results: A total of 1353 patients (55.1% boys) were included. For heart rate, systolic blood pressure and respiratory rate respectively, 34.1%, 55.9% and 55.7% of corresponding measurements were outside the APLS age-based reference ranges. In the 'pre-school' and 'school' age-groups, the mean value for blood pressure is significantly higher, and the mean values for heart rate and respiratory rate significantly lower, in comparison to APLS mean values. Conclusion: Independently derived vital signs reference ranges are more appropriate for use when applying APLS to Chinese patients in Hong Kong. © 2011 Elsevier Ireland Ltd.-
dc.languageeng-
dc.relation.ispartofResuscitation-
dc.subjectResuscitation-
dc.subjectPaediatrics-
dc.subjectVital signs-
dc.subjectEthnicity-
dc.subjectReference standard-
dc.subjectAPLS-
dc.titleValidation of the APLS age-based vital signs reference ranges in a Chinese population-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.resuscitation.2011.02.039-
dc.identifier.pmid21507547-
dc.identifier.scopuseid_2-s2.0-79957800842-
dc.identifier.volume82-
dc.identifier.issue7-
dc.identifier.spage891-
dc.identifier.epage895-
dc.identifier.eissn1873-1570-
dc.identifier.isiWOS:000292763000019-
dc.identifier.issnl0300-9572-

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