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. 2017 Jun 30;4(1):e000193. doi: 10.1136/bmjresp-2017-000193

Table 1.

Panel

Study definitions
Cases
 WHO severe pneumonia Cough and/or difficult breathing with lower chest indrawing and no WHO danger signs
 WHO very severe pneumonia Cough and/or difficult breathing with at least one danger sign (central cyanosis, difficulty breastfeeding or drinking, vomiting everything, convulsions, lethargy, or unconsciousness, head nodding)
Controls
 ARI control Cough or runny nose reported or if (A) ear discharge, wheeze or difficulty breathing and (B) either fever (temperature >38.0°C or reported fever in the past 48 hours) or sore throat were reported.
 Non-ARI control Does not meet definition of case or ARI control.
Lung sounds Description Inspiration Expiration
 Normal Soft, not musical Throughout Early only
 Crackle Short, explosive, not musical, popping; usually repetitive Primarily (but can be variable) Less common and usually with inspiratory crackles
 Wheeze Musical, long duration; can be high or low pitch Possible Primarily, prolonged
 Uninterpretable Persistent crying or poor quality such that no full breath sounds are heard Yes Yes
 Upper airway noises, not stridor Generally louder at cheek, may mimic a low pitch wheeze or have ‘snorting’ quality similar to a crackle, can also be a vocalisation Possible Possible
 Upper airway noises, primarily stridor Generally louder at cheek, may mimic high pitched wheeze although is typically inspiratory only Primarily Possible, but less common

ARI, acute respiratory illness.