Childhood pneumonia: clinical aspects associated with hospitalization or death



Título del documento: Childhood pneumonia: clinical aspects associated with hospitalization or death
Revista: The brazilian journal of infectious diseases
Base de datos: PERIÓDICA
Número de sistema: 000290712
ISSN: 1413-8670
Autores: 1


Instituciones: 1Universidade Federal da Bahia, Faculdade de Medicina, Salvador, Bahia. Brasil
Año:
Periodo: Feb
Volumen: 6
Número: 1
Paginación: 22-28
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, analítico
Resumen en inglés OBJECTIVE: To determine which available information at an Emergency Room (ER) consultation is associated with hospitalization or death among children with pneumonia. DESIGN: Prospective cohort study. SETTING: The ER of one university and one private hospital. MEASUREMENT: Using stepwise logistic regression we analyzed factors that showed a univariate association. MAIN RESULTS: Of 2,970 cases, the median age was 1.83 years (range 2 days to 14.5 yrs, mean 2.76 + 2.72 yrs); 25.8% were hospitalized and 0.8% died. Age (2-11 mos, OR 0.4 [0.2-0.6]; 12-59 mos, OR 0.2 [0.1-0.4]; ³ 5yrs, OR 0.1 [0.08-0.3]), malnutrition (OR 2.0 [1.4-2.7]), underlying chronic illness (OR 1.4 [1.1-1.8]), tachypnea (OR 1.8 [1.4-2.4]), chest indrawing (OR 1.7 [1.4-2.2]), and somnolence (OR 1.8 [1.4-2.4]) were associated with hospitalization and age (2-11 mos, OR 0.3 [0.08-0.8]; ³ 12 mos, OR 0.06 [0.02-0.2]), malnutrition (OR 3.1 [1.2-7.7]) and underlying chronic illness (OR 4.3 [1.6-11.0]) were associated with death in the multivariate analysis. CONCLUSIONS: Several clinical aspects may be used in assessing need for hospitalization (i.e. young age, malnutrition, underlying chronic illness, tachypnea, chest indrawing and somnolence) for children with pneumonia seen at the ER. Individual intrinsic factors such as age, malnutrition and underlying chronic illness were independently associated with death. Pneumonia should be considered a treatable disease and complete recovery can be achieved in the majority of the cases
Disciplinas: Medicina
Palabras clave: Hospitales,
Neumología,
Pediatría,
Pneumonia,
Niños,
Signos clínicos,
Hospitalización,
Mortalidad,
Pacientes ambulatorios
Keyword: Medicine,
Hospitals,
Pediatrics,
Pneumology,
Pneumonia,
Children,
Clinical signs,
Hospitalization,
Mortality,
Outpatients
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