Aggregate Evidence Quality Grade B 
Benefits Reduce costs, unnecessary testing, radiation exposure, and caregiver/infant anxiety 
Avoid consequences of false-positive results 
Risks, harm, cost May rarely miss diagnostic opportunity for early lower respiratory tract or cardiac disease 
Benefit-harm assessment The benefits of reducing unnecessary testing, radiation exposure, and false-positive results, as well as alleviating caregiver and infant anxiety, outweigh the rare missed diagnostic opportunity for lower respiratory tract or cardiac disease 
Intentional vagueness None 
Role of patient preferences Caregiver may express concern regarding a longstanding breathing pattern in his/her infant or a recent change in breathing that might influence the decision to obtain chest radiography 
Exclusions None 
Strength Moderate recommendation 
Key references 4,37  
Aggregate Evidence Quality Grade B 
Benefits Reduce costs, unnecessary testing, radiation exposure, and caregiver/infant anxiety 
Avoid consequences of false-positive results 
Risks, harm, cost May rarely miss diagnostic opportunity for early lower respiratory tract or cardiac disease 
Benefit-harm assessment The benefits of reducing unnecessary testing, radiation exposure, and false-positive results, as well as alleviating caregiver and infant anxiety, outweigh the rare missed diagnostic opportunity for lower respiratory tract or cardiac disease 
Intentional vagueness None 
Role of patient preferences Caregiver may express concern regarding a longstanding breathing pattern in his/her infant or a recent change in breathing that might influence the decision to obtain chest radiography 
Exclusions None 
Strength Moderate recommendation 
Key references 4,37  
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