Nhiễm khuẩn hô hấp cấp tính (NKHHCT) là tình trạng bệnh lý phổ biến nhất ở trẻ em. Trung bình mỗi năm, một trẻ bị từ 3-6 đợt NKHHCT. Đây cũng là bệnh lý có tỷ lệ tử vong cao nhất ở trẻ em. Việc đánh giá mức độ nặng của NKHHCT ngay từ khi thăm khám lần đầu để có chỉ định theo dõi và điều trị thích hợp là rất cần thiết.
Journal of Pediatric Research and Practice, Vol 4, No (2020) 21-26 Research Paper Application of PRESS Scale in Classification of Children with Acute Respiratory at Vietnam National Children’s Hospital La Thi Bich Hong*, Nguyen Anh Tuan, Le Thanh Hai, Dau Viet Hung Vietnam National Children's Hospital, 18/879 La Thanh, Dong Da, Hanoi, Vietnam Received 11 August 2020 Revised 22 August 2020; Accepted 28 August 2020 Abstract Background/Purpose: Acute respiratory infections (ARIs) are the most common diseases in children On average, each child has 3-6 episodes of ARIs This is also the disease with the highest mortality rate in children Assessing the severity of ARIs right from the first exam to the appropriate monitoring and treatment indications is essential However, there are few such scoring systems for acute respiratory infection in childhood We apply the PRESS (Pediatrics Respiratory Severity Score) scale to classify ARIs in children Methods: A cross-sectional description of 203 cases diagnosed with ARIs, hospitalized at the 24-hour Examination and Treatment Department from July 1, 2018 to June 31, 2019 The PRESS scale was applied to classify ARI severity The PRESS assessed tachypnea, wheezing, retraction (accessory muscle use), SpO2 < 95%, and feeding difficulties, with each component given a score of or 1, and total scores were classified as mild (0-1), moderate (2-3), or severe (4-5) Results: The proportion of severe group (4.4%), moderate (37,0%), and mild (58.6%) Mean severity scores is 1.4 ± 1.2 (0-5) points The mean severity scores of upper respiratory and lower respiratory infections were statistically significant with p