Chest pain in paediatrics: single centre experience
Bibliographic record
Abstract
Introduction: Unlike in adults, chest pain in children is usually benign, although it can be a cause of anxiety to the child and family.Objective: Long term follow up of paediatric cases, referred to our clinic because of chest pain, since we started the paediatric cardiology service in PSCC-Qassim in 2006.Method: A retrospective review was done of all children referred with a complaint of chest pain to the paediatric cardiology service in PSCC-Qassim from 2006 to 2018. Data were collected from the department database. Families were contacted to find out about the child’s chest pain and any other medical problems.Results: Two hundred and forty two children were referred to our clinic for evaluation of chest pain from 2006. Of them 56% were girls. The mean age at referral was 9.1±2.4 years and the mean weight at referral was 30±12 kg. On initial presentation, only 6.6% patients reported that the chest pain had some relation to exercise. The commonest symptom was palpitation. On clinical examination, 20.6% patients had innocent murmurs. The electrocardiogram (ECG) was normal in 231 (95.4%) of the cases. Two hundred and nineteen (90.5%) cases had normal echocardiographic findings. There was no statistical significance between the presence of a murmur and abnormal echocardiographic findings. Follow up was done through telephone contact of families of cases seen in the clinic. The mean age at follow up was 12.8 ± 3.3 years. One hundred and ninety five (80.6%) stated that their children no longer have any chest pain. Forty eight (19.8%) reported that their children still had nonspecific chest pain that did not interfere with their day to day activities. Thirteen (5.4%) stated that their children had other medical problems like asthma, anaemia and hyperthyroidism. None of them reported sudden cardiac death in any of the children.Conclusions: In this study carried out in the paediatric cardiology service in PSCC-Qassim, chest pain in children was benign. Follow up reported no sudden cardiac deaths in any of our cases.Sri Lanka Journal of Child Health, 2021; 50(1): 83-86
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".