Time to recovery and its predictors among children age of 2 up to 59 months admitted with severe community acquired pneumonia in Public Hospitals of Central and North Gondar Zones, Ethiopia 2021.

Tamirat, Zemene Gitie; Gelagay, Abebaw Addis; Boke, Moges Muluneh

doi:10.21203/rs.3.rs-1850638/v1

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…A data extraction checklist was developed by the authors after reviewing different studies ( 18 , 20 , 22 , 23 ). It includes sociodemographic, clinical, and investigation information, as well as drug regimens and immunization-related factors.…”

Section: Methodsmentioning

confidence: 99%

“…In Ethiopia, studies were conducted regarding the time to recovery from SCAP ( 18 – 20 ). However, these studies were conducted in a single institutional study area and conducted over a shorter study period, whereas our study was conducted in six hospital study areas over a longer study period of 5 years, which increased the statistical power and generalizability of the study.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of prolonged hospitalization among children aged 2–59 months with severe community-acquired pneumonia in public hospitals of Benishangul-Gumuz Region, Ethiopia: a multicenter retrospective follow-up study

et al. 2023

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BackgroundPneumonia is a leading cause of morbidity and mortality among children aged under 5 years in Ethiopia. Prolonged hospitalization of severe community-acquired pneumonia is a significant problem in resource-limited countries. This study seeks to provide insights that can help improve the management and outcomes of severe community-acquired pneumonia, which is particularly important in the context of the Benishangul-Gumuz Region, Ethiopia, where access to quality healthcare services is limited, and childhood pneumonia is a significant health challenge.ObjectiveThe aim of the study was to determine the predictors of prolonged hospitalization among children aged 2–59 months admitted with severe community-acquired pneumonia between 1 January 2016 and 30 December 2020 in the public hospitals in Benishangul-Gumuz Region, Ethiopia.MethodA retrospective follow-up study design was conducted among randomly selected samples of 526 children. Data were entered into EPI data version 4.6 and analyzed using STATA version 14.0. The Cox proportional hazard regression model was fitted to identify the independent predictors of prolonged hospitalization, and variables with a p-value <0.05 in the multivariable model were considered statistically significant.ResultsThe median hospital stay was 5 days (interquartile range 2–8 = 6). Approximately 149 (28.93%) children had prolonged hospitalization (>5 days) and the recovery rate from severe community-acquired pneumonia was 19.69 per 100 person-day observations. The significant predictors of prolonged hospitalization were as follows: having facility referral sources [0.79, 95% confidence interval (CI), 0.63–0.98]; a nutritional status of wasting (0.64, 95% CI, 0.44–0.94); anemia (0.65, 95% CI, 0.46–0.90); no identified hemoglobin level (0.53, 95% CI, 0.41–0.70); no identified blood film (0.65, 95% CI, 0.53–0.80); no chest x-ray investigation (0.81, 95% CI, 0.65–0.99); pulmonary effusion (0.31, 95% CI, 0.15–0.66); and late presenters to hospital (0.67, 95% CI, 0.53–0.84) at admission.ConclusionsThe median length of stay in hospital was delayed compared to other studies. Wasting, late presenting to hospital, pulmonary effusion, anemia, absence of investigations of hemoglobin level, chest x-ray, and blood film at admission time were factors that significantly prolonged the hospitalization time. Hence, attention should be given to the prevention of malnutrition and anemia in children, increasing early health-seeking behavior in the community. Attention should be given to complications such as pleural effusion, and investigations, such as chest x-ray, hemoglobin levels, and blood films, should be performed when the child is admitted.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of prolonged hospitalization among children aged 2–59 months with severe community-acquired pneumonia in public hospitals of Benishangul-Gumuz Region, Ethiopia: a multicenter retrospective follow-up study

et al. 2023

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Time to recovery and its predictors among under-five children admitted with severe pneumonia in East Wallaga Zone public hospitals, western Ethiopia, 2023; a retrospective cohort study

Dinka,

Seyoum,

Debelo

et al. 2024

BMC Pediatr

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Background Globally, pneumonia is one of the leading causes of morbidity and mortality as well as hospitalization burden for under-five children. Despite significant initiatives implemented to reduce morbidity and mortality from pneumonia in under-five children, little is known regarding the time to recovery and its predictors among under-five children admitted with severe pneumonia in Ethiopia. Hence, this study intended to estimate the median time to recovery and its predictors among under-five children admitted with severe pneumonia in East Wallaga zone public hospitals, western Ethiopia; 2023. Methods An institution-based retrospective cohort study was conducted among 383 under-five children who were admitted with severe pneumonia in East Wallaga zone public hospitals from January 2017 to December 2022. A systematic sampling method was used to select eligible medical records. EpiData Version 4.6 was used to enter the data and analyzed using STATA Version 17.0. Cox-proportional hazard assumption test and model fitness were checked. Variables with P-value ˂ 0.25 at bivariable Cox regression analysis were selected for the multivariable Cox proportional model. A multivariable Cox regression model with 95% CI and Adjusted Hazard Ratio (AHR) was used to identify a significant predictor of time to recovery from severe pneumonia at a P-value < 0.05. Results At the end of the follow-up, 356 observations were developed an event (recovered) with the median time to recovery of 4 days with IQR of 3–5 days. The overall incidence rate of recovery was 22.26 per 100 (95% CI: 20.07–24.70) person-days observations. Being rural residency (AHR: 0.75, 95% CI: 0.60–0.93), late presenters for seeking care (AHR = 0.70, 95% CI: 0.53–0.93), presence of danger sign at admission (AHR = 1.46, 95% CI: 1.15–1.83), and presence of comorbidity (AHR = 1.63, 95% CI, 1.31–2.04) were found to have a statistically significant association with prolonged recovery time. Conclusion The median time to recovery from severe pneumonia was long, and factors such as Residence, co-morbidity, presence of danger signs, and duration prior to seeking care were statistically significant predictors of recovery time from severe pneumonia. Hence, due attention has to be given to increasing the community’s health-seeking behavior to visit health facility early and especial attention should be given for children with danger signs and comorbidity.

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Time to recovery and its predictors among children age of 2 up to 59 months admitted with severe community acquired pneumonia in Public Hospitals of Central and North Gondar Zones, Ethiopia 2021.

Cited by 2 publications

References 22 publications

Predictors of prolonged hospitalization among children aged 2–59 months with severe community-acquired pneumonia in public hospitals of Benishangul-Gumuz Region, Ethiopia: a multicenter retrospective follow-up study

Predictors of prolonged hospitalization among children aged 2–59 months with severe community-acquired pneumonia in public hospitals of Benishangul-Gumuz Region, Ethiopia: a multicenter retrospective follow-up study

Time to recovery and its predictors among under-five children admitted with severe pneumonia in East Wallaga Zone public hospitals, western Ethiopia, 2023; a retrospective cohort study

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