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4 %]), pneumonia (47 [13.5 %]), and other lung problems (12 [2.9 %]). Positive ER imaging was associated with inpatient admission (69.3 % [133/192] vs. 40.4 % [63/156], p 0.01). Multivariate survival analysis showed that positive ER imaging (hazard ratio [HR] = 2.35 [95% CI 1.44-3.83, p 0.01), admission (HR = 1.86 [95% CI 1.17-3.00], p 0.01), number of ER visits (HR = 3.08 [95% CI 1.62-5.83], p 0.01 for ≥ 3 visits) were associated with poorer survival. Imaging was able to delineate the cause for ER visits in childre