Heart rates in hospitalized children by age and body temperature

Carrie Daymont, Christopher P. Bonafide, Patrick W. Brady

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVES: Heart rate (HR) is frequently used by clinicians in the hospital to assess a patient's severity of illness and make treatment decisions. We sought to develop percentiles that characterize the relationship of expected HR by age and body temperature in hospitalized children and to compare these percentiles with published references in both primary care and emergency department (ED) settings. METHODS: Vital sign data were extracted from electronic health records of inpatients ,18 years of age at 2 large freestanding children's hospitals from July 2011 to June 2012. We selected up to 10 HR-temperature measurement pairs from each admission. Measurements from 60% of patients were used to derive the percentile curves, with the remainder used for validation. We compared our upper percentiles with published references in primary care and ED settings. RESULTS: We used 60 863 observations to derive the percentiles. Overall, an increase in body temperature of 1°C was associated with an increase of ∼10 beats per minute in HR, although there were variations across age and temperature ranges. For infants and young children, our upper percentiles were lower than in primary care and ED settings. For school-age children, our upper percentiles were higher. CONCLUSIONS: We characterized expected HR by age and body temperature in hospitalized children. These percentiles differed from references in primary care and ED settings. Additional research is needed to evaluate the performance of these percentiles for the identification of children who would benefit from further evaluation or intervention for tachycardia.

Original languageEnglish (US)
Pages (from-to)e1173-e1181
JournalPediatrics
Volume135
Issue number5
DOIs
StatePublished - May 1 2015

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Hospitalized Child
Body Temperature
Heart Rate
Hospital Emergency Service
Primary Health Care
Temperature
Vital Signs
Electronic Health Records
Tachycardia
Inpatients
Research

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Daymont, Carrie ; Bonafide, Christopher P. ; Brady, Patrick W. / Heart rates in hospitalized children by age and body temperature. In: Pediatrics. 2015 ; Vol. 135, No. 5. pp. e1173-e1181.
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Heart rates in hospitalized children by age and body temperature. / Daymont, Carrie; Bonafide, Christopher P.; Brady, Patrick W.

In: Pediatrics, Vol. 135, No. 5, 01.05.2015, p. e1173-e1181.

Research output: Contribution to journalArticle

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