CLINICAL PROFILE, RISK FACTORS & OUTCOME OF PNEUMONIA IN 60 DAYS TO 60 MONTHS CHILDREN IN A TERTIARY CARE HOSPITAL
Journal Title: Stanley Medical Journal - Year 2016, Vol 3, Issue 4
Abstract
Background: Pneumonia is one of the leading causes of morbidity and mortality in the children. Hence, knowing the incidence, clinical profile of pneumonia in a tertiary care hospital will help in reduction of morbidity and mortality due to pneumonia. Objective: To study the clinical profile, the morbidity, and mortality associated with pneumonias in children aged 60 days to 60 months. Methods: Hospital based prospective observational study of children aged 60 days to 60 months in MGM Hospital Trichy. Results: The case fatality rate for total pneumonia cases was 8.42%.Very severe pneumonia had a significant risk of mortality of 20.31% .It was found that the highly significant risk factors for mortality were age < 1year especially 2-6 months, female sex, presence of wheeze, grunting, chest retractions, RR >70/ min, altered level of consciousness, hypoxia spo2 < 80% in room air at admission, presence of shock, sepsis, convulsions and weight for age <-2 Z score, WHO type -very severe pneumonia at admission and the need for assisted ventilation. (P-Value<0.01) Conclusion: This study identified the risk factors for pneumonia mortality which will help in recognizing children “at risk”, triaging them and treating them aggressively with optimal utilization of limited resources.
Authors and Affiliations
Sirajuddin Nazeer, Mythili B, Thangavel A, Maheswari .
Keywords
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