Risk factors associated with morbidity and mortality of pneumonia in Thai children under 5 years

作者: T Chantarojanasiri , S Suwanjutha , S Ruangkanchanasetr , S Hotrakitya

DOI:

关键词: Prospective cohort studyCommunity-acquired pneumoniaOdds ratioSeverity of illnessRespiratory diseaseRisk factorPediatricsPneumoniaMedicineCause of death

摘要: ARI is the most common cause of illness and death in children under 5 years age. Pneumonia leading death. This prospective study was part an ARIC project conducted to identify risk factors associated with mortality morbidity community acquired pneumonia Thai younger than Study subjects were 267 moderately severe who admitted hospital. Fifteen percent required a ventilator categorized as cases. Nine patients (3.4%) died fatal group. From univariate analysis only, lower body weight (p = 0.04), paternal age less 35 year (OR 6.1, p 0.01), underlying heart disease 12.1, 0.0000) protein energy malnutrition 7.9, 0.0087). Predictors on admission predict outcome rapid respiratory rate > 50/minute 4.1, 0.03), gallop rhythm 11, enlarged liver 13.2, 0.001), cyanosis 12, 0.0006). Significant after multiple logistic regression 4.04, 95% CI 1-15.4), 4.31, 1.2-15.2) 5, 0.8-28.7). information should create awareness physicians are responsible for young pneumonia. Early recognition intervention may prevent deaths complications.(ABSTRACT TRUNCATED AT 250 WORDS)

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