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Pediatric systemic inflammatory response syndrome vital signs and laboratory values by age

Pediatric systemic inflammatory response syndrome vital signs and laboratory values by age
Age group Heart rate (beats/minute) Respiratory rate (breaths/minute) Leukocyte count (leukocytes x 103/mm3) Systolic blood pressure (mmHg)
Tachycardia Bradycardia
Newborn (0 days to 1 week) >180 <100 >50 >34 <59
Neonate (1 week to 1 month) >180 <100 >40 >19.5 or <5 <79
Infant (1 month to 1 year) >180 <90 >34 >17.5 or <5 <75
Toddler and preschool (>1 to 5 years) >140 NA >22 >15.5 or <6 <74
School age (>5 to 12 years) >130 NA >18 >13.5 or <4.5 <83
Adolescent (>12 to <18 years) >110 NA >14 >11 or <4.5 <90
This table provides the vital sign and laboratory value modifications for the pediatric definition of the systemic inflammatory response syndrome. For the full definition, refer to UpToDate topics on the systemic inflammatory response syndrome (SIRS) and sepsis in children.
NA: not applicable.
Originally published in: Goldstein B, Giroir B, Randolph A, et al. International pediatric spesis consensus conference: Definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med 2005; 6:2. Correction published in: Gebara BM. Values for systolic blood pressure. Pediatr Crit Care Med 2005; 6:500. Copyright © 2005 Lippincott Williams & Wilkins.
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