Can symptoms and physical examination findings identify children with radiographic pneumonia?

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Why is this study important?

Pediatric pneumonia is a common emergency department (ED) diagnosis that can carry significant morbidity and mortality. Guidelines recommend diagnosis based on clinical findings rather than reliance on chest radiography (CXR) and laboratory studies.[1]  This study aims to elucidate the highest yield clinical findings for diagnosis of radiographic pneumonia. Differentiating between pneumonia and other respiratory tract infections is important to practice good antibiotic stewardship.

Which, if any, threats to validity are most likely to have an impact on the results and how?

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