As published in Frontiers in Pediatrics doi: 10.3389/fped.2021.736018:
Diagnostic errors are common in acute pediatric respiratory disease: a prospective, single-blinded multicenter diagnostic accuracy study in Australian Emergency Departments.
Stated that:
• There is limited data available for the prevalence of misdiagnosis in pediatric acute-care settings.
• Respiratory illnesses, which are particularly challenging to diagnose, are the most frequent reason for presentation to pediatric emergency departments.
• In well-resourced emergency departments, we have identified a previously unrecognised high diagnostic error rate for acute childhood respiratory disorders, particularly in pneumonia and bronchiolitis.
• Between 6.9% and 14.5% of children were inappropriately prescribed based on their eventual diagnosis.
As previously stated elsewhere:
• Typically, doctors use stethoscopes to listen to the lungs as the first indication of a respiratory problem.
• The information available from these sounds is compromised as the sound has to first pass through the chest musculature which muffles high-pitched components of respiratory sounds.
• In contrast, the lungs are directly connected to the atmosphere during respiratory events such as coughs.
• These audible sounds, used by ResApp, contain significantly more information than the sounds picked up by a stethoscope.
• ResApp’s approach is automated and removes the need for human interpretation of respiratory sounds.
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