Risk Factors of Mortality among Children Admitted with Severe Pneumonia at a Reference Hospital in Khartoum, Sudan

摘要: Introduction: Pneumonia is the leading cause of mortality among under-five children. Previous studies have documented factors mortality. These were not addressed in this country. This study aimed to determine risk death children hospitalized for severe pneumonia. Methodology: cross-sectional hospital-based was conducted Khartoum Children Emergency Hospital with pneumonia aged 2-59 months from August 2010 April 2012. Management outcome (died/survived) recorded within 5 days. History and physical examination recorded, chest radiograph a sample ml venous blood collected white cells count, hemoglobin level serum albumin, urea, creatinine C-reactive protein. Blood samples cultured appropriate media. Data analysed using SPSS software windows version 16.0. Results: Of the195 recruited children, 33 died (16.9% case fatality). who younger compared survivals (n=162) (p<0.001). Malnutrition, dehydration drawing frequent dead survivals; p<0.001, p=0.033 p=0.017, respectively. The had lower mean (p=0.010) albumin (p<0.001) significantly high protein concentration urea Independent were: young age (OR 1.07; 95% CI 1.02-1.12), 8.63; 2.08-35.83) history bronchial asthma 10.31; 2.25-47.22), low 0.49; 0.37-0.66) increased 0.55; 0.32-0.49). Conclusions: improvement management policies settings decrease In addition, primary prevention, health education programs strategies combat co morbidities. Addressing are age, asthma, anemia.