Clinico-Aetiological Study of Severe and Very Severe Pneumonia in Two Months to Five Years Children in a Tertiary Health Care Centre in Odisha, India

Champatiray, Jyotiranjan; Satapathy, Jyotiranjan; Kashyap, Baikunthanath; Mondal, Dodul

doi:10.7860/jcdr/2017/26027.10595

Cited by 14 publications

(22 citation statements)

References 9 publications

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“…Mortality of pneumonic children in our ICU set up is 24.34% which is in accordance with a study done in the year 2014 at eastern Odisha. 9 But as per another study done at Karnataka in the year 2015 10 observed mortality was 3%. The higher mortality rate observed in our study could be due to less number of sample size in our study and late arrival to the hospital due to ignorance of the people of this region.…”

Section: Discussionmentioning

confidence: 88%

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Survival among pneumonic children: A prospective study of western Odisha

Majhi¹,

Kashyap²

2020

IJMPO

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Introduction: Pneumonia is still the leading cause of morbidity and mortality of our country, approximately 16% of deaths among children under 5 years of age globally and as per NITI Aayog report 2015; the under-five mortality rate (U5M R) of Odisha is 39 and the most common causes of under-five mortality being pneumonia. M any studies have been done on pneumonic children but currently survival analysis of these children is rare. Methods: The present observational, analytical, hospital based prospective cohort study was conducted over a period of 12 months in a tertiary hospital of western Odisha. Total 152 children were included in the study after satisfying the predefined inclusion and exclusion criteria and ethical committee approval by simple consecutive sampling method. CRF was used to record all relevant data of the study participants and SPSS v25 was used for survival analysis. Results: M edian duration of survival in days of children with severe pneumonia (8.0, 6.60 to 9.39) is not significantly higher than the children with very severe pneumonia (7.0, 4.89 to 9.10) as evidenced by Breslow chi-square = 3.93 (1), p = 0.057. There is no overall difference in survival among gender, immunization status, breast feeding status, exposure to smoke, socio economic groups and gestational age as evidenced by p > 0.05. Conclusion: Disease survival (time to event analysis) is not affected by the severity (severe vs very severe pneumonia) of the illness, which may be due to the fact that late diagnosis and late referral from the peripheral centre. So the skill of the health workers and the health technologies should be strengthened at the primary level.

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Section: Discussionmentioning

confidence: 88%

“…According to a study done in eastern part of Odisha in the year 2015, average duration of hospital stay was 3.94 ± 4.32days for nonsurvivor and 10.75 ± 6.7 for survivors. 9 But this difference in result may be due to consideration of different categories of patients.…”

Section: Discussionmentioning

confidence: 99%

Survival among pneumonic children: A prospective study of western Odisha

Majhi¹,

Kashyap²

2020

IJMPO

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“…It is similar to the study done by Champatiran J et.al, where 119 (84%) of severe and very severe pneumonia were reported in the age group of 2 months-12 months. 9 In a study done by Debnath D et al, 38.2% cases of pneumonia were in the age group 2 months-12 months and 29.9% in the age group 12 months to 60 months. 10 The reason for occurrence of pneumonia in age group less than one year could be due to smaller and narrower airways, low immunity, frequent exposure to infection, poor nutritional status.…”

Section: Discussionmentioning

confidence: 94%

Clinical profile of children with pneumonia admitted at KIMS hospital, Bangalore, India: a prospective study

Srinivasa

Nithya

Reddy

et al. 2019

Int J Contemp Pediatr

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Background: In India acute respiratory infections are an important public health problem accounting for 15-30 % of under-five mortality. Early detection, timely intervention, standard management and a proper early referral service can reduce the mortality rate. The objective of this study was to study the sociodemographic and clinical profile of children admitted with pneumonia, to study its relation to the duration of stay at the hospital.Methods: The study was conducted in KIMS hospital, Bangalore from September 2016 to August 2017. Sociodemographic and clinical features of children aged from 2 months to 18 years of age were studied. A total of 92 children who fulfilled the inclusion criteria for community-acquired pneumonia were studied. The patient population comprises mainly of the low-income group from rural areas, urban slums, referred patients from surrounding rural areas, and other centres.Results: A total of 92 children were studied, 52 boys and 40 girls. 45% children were breastfed for <6 months, and 28% were incompletely immunized. Majority of children belonged to lower socioeconomic group. Passive smoking was present in 38 % of the patients and overcrowding was seen in 50% of children studied. There is a significant association between passive smoking, delayed hospital care, and length of stay.Conclusions: Present study concluded that ARI was more common in LES children and incompletely immunised children. And children who got early medical attention i.e. <4 days had a lesser duration of hospital stay i.e. <7 days.

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“…However, in many of these studies, the investigators have worked on a particular set of factors. Either host factors have been evaluated [5,6,7] or clinical factors (which are reflection of disease severity) have been studied [8,9]. Only a few of these studies have addressed the issue in totality [10,11].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors of Mortality in Acute Lower Respiratory Tract Infections in Children (1 Month to 5 Years)

Tiwari

Purohit²,

Gedam

2019

Int J Pediatr Res

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Introduction: ARI has been estimated to be the single largest cause of death in young children. This study will be used to evaluate factors that may predict mortality due to ALRTI in children, thus helping to identify those at risk, so that timely therapeutic measures may be instituted. Material and Methods: A prospective case control study on 200 children with acute lower respiratory tract infections in the age group of 1 month to 5 years of age, conducted during the period august 2010 to October 2011 at Ekta institute of child health, Raipur, C.G. Detailed history, clinical examination, radiological and biochemical tests were done. Case fatality rate was calculated using formula-Total number of deaths due to a particular disease / Total number of cases due to the same disease × 100 Chi square test was applied and p value calculated. Results: Cases were those who died during study & controls were those who were discharged. There were 182 controls and 18 cases, the risk factors which were evaluated are 1-2 months age, male child, class V socioeconomic status, grade IV malnutrition, very severe pneumonia, afebrile, hyponatremic and hypoxemic patients. Conclusion: In children with an acute lower respiratory tract infection, simple physical signs that require minimal expertise to recognise can be used to determine oxygen therapy and to aid in screening for referral. The association between hypoxemia and death highlights the need for early recognition of the condition and the potential benefit of treatment.

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Clinico-Aetiological Study of Severe and Very Severe Pneumonia in Two Months to Five Years Children in a Tertiary Health Care Centre in Odisha, India

Cited by 14 publications

References 9 publications

Survival among pneumonic children: A prospective study of western Odisha

Survival among pneumonic children: A prospective study of western Odisha

Clinical profile of children with pneumonia admitted at KIMS hospital, Bangalore, India: a prospective study

Risk Factors of Mortality in Acute Lower Respiratory Tract Infections in Children (1 Month to 5 Years)

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