Predictors of prolonged hospitalisation in childhood pneumonia in a rural health centre

Kuti, Bankole Peter; Adegoke, Samuel Ademola; Oyelami, Oyeku Akibu; Ota, Martin O. C.

doi:10.7196/sajch.663

Cited by 15 publications

(33 citation statements)

References 17 publications

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“…In a study conducted in the southwest part of Ethiopia at Jimma, the duration of hospital stay was less than 3 for 76% of children which is almost consistent with what was observed in this study [15]. The finding of this study is almost similar to the study conducted in the rural health center of the Gambia which reported that the meantime of recovery was 4.5 days [16]. The finding of this study is higher than the study done at Vanderbilt (2.3days)and Nepal (2days) [9,17].…”

Section: Discussionsupporting

confidence: 89%

“…Children who presented to the hospital early (before five days of illness) recovered sooner than those children presented lately. This finding is consistent with a prospective study conducted in the Gambia [16]. This is due to the fact that as a progression of disease increases, the required time to recover from it also increases.…”

Section: Plos Onesupporting

confidence: 92%

“…The rate of recovery from SCAP was lower among patients who had danger signs at admission. This finding is in line with other studies [16,17]. As children develop danger signs, the disease becomes severe, and the required time to recover from it becomes too long due to the pathophysiologic state of the disease [2].…”

Section: Plos Onesupporting

confidence: 90%

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Time to recovery and predictors of severe community-acquired pneumonia among pediatric patients in Debre Markos referral hospital, North West Ethiopia: A retrospective follow-up study

2020

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Introduction Globally, pneumonia is a major cause of morbidity and mortality among children which leads to over 156 million episodes and 14.9 million hospitalizations each year. Besides this fact, the recovery time and predictors of children's hospitalization related to severe communityacquired pneumonia is not well known. Therefore, the aim of this study was to estimate the median time to recovery and its predictors among severe community-acquired pneumonia patients admitted to the pediatric ward, Debre Markos referral hospital, North West Ethiopia. Methods An institution-based retrospective follow-up study was employed among 352 records of children who were admitted starting from January 2016 to December 2018. Patients' charts were retrieved using a structured data extraction tool. Cox proportional hazard model assumption and model fitness was checked. Stratified Cox regression was fitted as a final model. Hazard ratio with its 95% confidence interval was used and P-value < 0.05 was considered as a statistically significant association. Result The overall median recovery time was 4 days IQR (3-7). Recovery rate from severe community acquired pneumonia was 16.25 (95% CI: 14.54-18.15) per 100 person day observation. Age (AHR; 0.94 95% CI (0.90-0.98)), being stunted (AHR; 0.62 95% CI (0.43-0.91)), presence of danger sign at admission (AHR; 0.61 95% CI (0.40-0.94)), late presentation to seek care(AHR; 0.64 95% CI (0.47-0.88)) and co-morbidity (AHR; 0.45 95% CI (0.35-0.58)) were significant predictors of recovery time.

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Section: Discussionsupporting

confidence: 89%

Section: Plos Onesupporting

confidence: 92%

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Time to recovery and predictors of severe community-acquired pneumonia among pediatric patients in Debre Markos referral hospital, North West Ethiopia: A retrospective follow-up study

2020

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“…Despite this, studies from hospitalised children living in resource-poor settings are scarce. A prospective survey of infants aged 2–59 months in Gambia reported a high prevalence of wasting (41%), stunting (16.9%) and underweight (35.7%) in infants admitted to a paediatric ward of a rural health centre with a diagnosis of severe pneumonia,8 but this study included few children aged under 6 months. Undernutrition prevalence is usually reported using the common indicators for wasting (weight-for-length Z-scores, WLZ), stunting (lengh-for-age Z-scores) and underweight (weight-for-age Z-scores, WAZ) based on WHO references.…”

Section: Introductionmentioning

confidence: 90%

Criteria for undernutrition screening in hospitalised infants under 6 months: a diagnostic accuracy study in a resource-poor setting

2019

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PurposeWe aimed to describe the prevalence of undernutrition in hospitalised infants aged under 6 months and test the utility of simple index measures to detect undernutrition.DesignDiagnostic accuracy study: weight, length, mid-upper arm circumference (MUAC), triceps and subscapular skinfolds were measured in infants aged 2 weeks to 6 months admitted to a Teaching Hospital in Enugu, Nigeria. Index criteria: low (<−2SD) weight-for-age Z-scores (WAZ), weight-for-length Z-scores (WLZ); MUAC <11 cm. Reference definition: weight faltering (conditional weight gain below fifth percentile for healthy Nigerian infants) or sum of skinfolds (SSF) <10 mm.ResultsOf 125 hospitalised infants, only 5% (6) were admitted specifically for undernutrition, but low SSF were found in 33% (41) and, 24% (25) with known birth weight had weight faltering, giving an undernutrition prevalence of 36%. Low WAZ was the most discriminating predictor of undernutrition (sensitivity 69%, positive predictive value 86%, likelihood ratio 5.5; area under receiver operator curves 0.90) followed by MUAC (73%, 73%, 4.9; 0.86), while WLZ performed least well (49%, 67%, 2.9; 0.84). Where both MUAC and WAZ were low, there was sensitivity 90%, positive predictive value 82% and likelihood ratio 8.7.ConclusionsInfants aged under 6 months admitted to hospital in Nigeria had a high prevalence of undernutrition. In young, high-risk population, a low WAZ alone was a valuable screening criterion, while combining weight with MUAC gave even higher discrimination. Measurement of length to calculate WLZ was a less useful predictor in this population.

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“…Accordingly, some will appear online 'in press' . Kuti et al [3] studied predictors of duration of hospital stay in children hospitalised with pneumonia in The Gambia. Neille et al [2] studied sound sources in neonatal care units in Johannesburg and demonstrated excessive noise levels compared with recommendations from the American Association of Pediatricians.…”

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confidence: 99%

SAJCH online: Heading for a brighter future

Wittenberg¹

2014

S Afr J CH

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Predictors of prolonged hospitalisation in childhood pneumonia in a rural health centre

Cited by 15 publications

References 17 publications

Time to recovery and predictors of severe community-acquired pneumonia among pediatric patients in Debre Markos referral hospital, North West Ethiopia: A retrospective follow-up study

Time to recovery and predictors of severe community-acquired pneumonia among pediatric patients in Debre Markos referral hospital, North West Ethiopia: A retrospective follow-up study

Criteria for undernutrition screening in hospitalised infants under 6 months: a diagnostic accuracy study in a resource-poor setting

SAJCH online: Heading for a brighter future

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