PMID- 36472649
OWN - NLM
STAT- MEDLINE
DCOM- 20230207
LR  - 20230626
IS  - 1432-1076 (Electronic)
IS  - 0340-6199 (Print)
IS  - 0340-6199 (Linking)
VI  - 182
IP  - 2
DP  - 2023 Feb
TI  - The value of modified Ross score in the evaluation of children with severe lower 
      respiratory tract infection admitted to the pediatric intensive care unit.
PG  - 741-747
LID - 10.1007/s00431-022-04737-9 [doi]
AB  - Heart failure (HF) represents an important cause of morbidity and mortality in 
      children. It is mostly caused by congenital heart disease (CHD) and 
      cardiomyopathy. The Ross HF classification was developed to assess severity in 
      infants and has subsequently been modified to apply to all pediatric ages. The 
      modified Ross classification for children provides a numeric score comparable 
      with the New York Heart Association (NYHA) HF classification for adults. The aim 
      of this work is to investigate the role of modified Ross score in the evaluation 
      of children with severe lower respiratory tract infection admitted to the 
      pediatric intensive care unit (PICU). One hundred and sixty-four children with 
      severe LRTI admitted to the PICU were enrolled in this prospective cohort study, 
      which was carried out at Assiut University Children Hospital, from the start of 
      July 2021 up to the end of December 2021. Sixty patients (36.6%) of studied cases 
      with severe LRTI admitted to PICU had HF. Out of these, 37 (61.7%) had mild HF; 
      17 (28.3%) had moderate HF, while six cases (10%) had severe HF according to the 
      modified Ross score. The value of modified Ross score was significantly higher in 
      children with heart failure with sensitivity and specificity 100% with cutoff 
      value of 2. Admission to NICU, history of previous ventilation, and prematurity 
      were higher in patients who developed HF. Patients with pulmonary hypertension 
      (PH) and those with raised neutrophil lymphocyte ratio were significantly higher 
      in the group of patients with moderate and severe degree of HF.   Conclusion: 
      Modified Ross score is a simple clinical score which may help in assessing and 
      predicting children with severe LRTI. What is Known: * Hear failure is common 
      complication to lower respiratory tract infection. * Modified Ross score was used 
      to predict and classify heart failure in adult with lower respiratory infection. 
      What is New: * Modified Ross score found to be of value in prediction of heart 
      failure in children with lower respiratory tract infection.
CI  - (c) 2022. The Author(s).
FAU - Hassan, Enas Saad
AU  - Hassan ES
AD  - Pediatric Department, Faculty of Medicine, Assiut University, Assiut, 71515, 
      Egypt.
FAU - Ahmad, Salah-Eldin Amry
AU  - Ahmad SA
AD  - Pediatric Department, Faculty of Medicine, Assiut University, Assiut, 71515, 
      Egypt.
FAU - Mohamad, Ismail Lotfy
AU  - Mohamad IL
AD  - Pediatric Department, Faculty of Medicine, Assiut University, Assiut, 71515, 
      Egypt. ismail231@aun.edu.eg.
FAU - Ahmad, Faisal-Alkhateeb
AU  - Ahmad FA
AD  - Pediatric Department, Faculty of Medicine, Assiut University, Assiut, 71515, 
      Egypt.
LA  - eng
PT  - Journal Article
DEP - 20221206
PL  - Germany
TA  - Eur J Pediatr
JT  - European journal of pediatrics
JID - 7603873
SB  - IM
MH  - Infant
MH  - Child
MH  - Humans
MH  - Prospective Studies
MH  - *Heart Failure/etiology
MH  - Hospitalization
MH  - *Respiratory Tract Infections/complications/diagnosis
MH  - Intensive Care Units, Pediatric
PMC - PMC9899196
OTO - NOTNLM
OT  - Heart failure
OT  - Lower respiratory tract infection
OT  - Modified Ross score
OT  - Pediatric
COIS- The authors declare no competing interests.
EDAT- 2022/12/07 06:00
MHDA- 2023/02/08 06:00
PMCR- 2022/12/06
CRDT- 2022/12/06 11:13
PHST- 2022/07/07 00:00 [received]
PHST- 2022/11/27 00:00 [accepted]
PHST- 2022/11/23 00:00 [revised]
PHST- 2022/12/07 06:00 [pubmed]
PHST- 2023/02/08 06:00 [medline]
PHST- 2022/12/06 11:13 [entrez]
PHST- 2022/12/06 00:00 [pmc-release]
AID - 10.1007/s00431-022-04737-9 [pii]
AID - 4737 [pii]
AID - 10.1007/s00431-022-04737-9 [doi]
PST - ppublish
SO  - Eur J Pediatr. 2023 Feb;182(2):741-747. doi: 10.1007/s00431-022-04737-9. Epub 
      2022 Dec 6.