Video assessment of simple respiratory signs

Abstract
Twenty five video recordings of children (aged 3–50 months) admitted with acute respiratory infection or malaria to a hospital on the Kenyan coast were made with consent, compiled, and distributed to 30 clinicians for review. They included representatives from six different research units (see acknowledgements) and six government of Kenya clinical officers. A standard questionnaire giving details of the patients' ages and respiratory rates and asking for a “yes” or “no” response to the presence of the signs nasal flaring, indrawing, and deep (Kussmaul's) breathing was completed, independently, by each clinician. An answer of “don't know” could not be given but a record could be rejected on the basis of poor quality. No structured definition of the clinical signs was provided. No discussion of the records was allowed during viewing or between observers viewing at different sittings. All data were double entered and verified by using dBASE IV and analysed with SPSS.

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