Protocol - Respiratory Rate - Child
A study staff member counts the number of complete respiratory cycles (one inspiration and one expiration) a subject 4 to 16 years of age breathes in 60 seconds.
The protocol for children should be administered in a quiet place where the child can remain calm. The observer or listener should reliably count or listen to the child’s respiratory cycles for up to 60 seconds and observe the child’s respiratory pattern.
1) Use a watch which can measure time in seconds.
2) Child (4-16 years of age) should be seated, may be awake or asleep but should be calm, not agitated.
3) Observe a complete respiratory cycle and count partial respiratory cycles as complete.
4) Count the number of respirations for 60 seconds or in two separate blocks of 30 seconds each.
5) While counting, note the child’s respiratory depth, breathing pattern, and depth of breathing.
6) Record the results.
Protocol Name from Source:
Not Applicable; see source
Personnel and Training Required
Staff trained to count respiratory rates with a watch, and auscultate breath sounds
Watch that can measure time in seconds and a stethoscope
|Specialized requirements for biospecimen collection||No|
|Average time of greater than 15 minutes in an unaffected individual||No|
Mode of Administration
Children ages 4 to 16 years
The child protocol was used in a study of 1,109 healthy children ages 4 to 16 years to establish age-related references for respiratory rate.
|Common Data Elements (CDE)||Person Respiratory Rate Text||2970219||CDE Browser|
|Logical Observation Identifiers Names and Codes (LOINC)||Resp rate child proto||62633-3||LOINC|
Process and Review
Expert Review Panel #6 (ERP 6) reviewed the measures in the Respiratory domain.
Guidance from ERP 6 includes the following:
• Re-ordered list of activities in protocol.
Back-compatible: no changes to Data Dictionary
Previous version in Toolkit archive (link)
Wallis, L. A., Healy, M., Undy, M. B., & Maconochie, I. (2005). Age related reference ranges for respiration rate and heart rate from 4 to 16 years. Archives of Disease in Childhood, 90, 1117-1121.
Evans-Smith P. (2005). Taylor’s Clinical Nursing Skills: A Nursing Process Approach. Philadelphia, PA: Lippincott Williams & Wilkins.
Fleming, S., Thompson, M., Stevens, R., Heneghan, C., Pluddemann, A., Maconochie, I., Tarassenko, L., & Mant, D. (2011). Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: A systematic review of observational studies. Lancet, 377, 1011-1018.
Taylor, C. Lillis, C, LeMone, P. & Le Bon, M (2005). Skill Checklists to Accompany Fundamentals of Nursing: The Art and Science of Nursing Care (5th Ed). Philadelphia, PA: Lippincott Williams & Wilkins.
|Variable Name||Variable ID||Variable Description||Version||dbGaP Mapping|
|PX091402_Breathing_Depth_Comments||PX091402040000||Breathing depth comments||N/A|
|PX091402_Breathing_Pattern_Comments||PX091402030000||Breathing pattern comments||N/A|
|PX091402_Respiratory_Cycles||PX091402010000||Number of respiratory cycles in one minute||Variable Mapping|
|PX091402_Respiratory_Depth_Comments||PX091402020000||Respiratory Depth Comments||N/A|
November 28, 2017
Respiratory rate is the number of breaths an individual takes within a specific amount of time (frequently given in breaths per minute).
Respiratory rate is a low-burden, quantitative variable that can be used to distinguish individuals with and without various forms of lung disease.
Respiratory, breaths per minute, inspiration, expiration, auscultation