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

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 community-acquired pneumonia i...

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Bibliographic Details
Published in:PloS one 2020-09, Vol.15 (9), p.e0239655-e0239655
Main Authors: Mengist, Belayneh, Tesfa, Mulugeta, Kassie, Bekalu, Patman, Shane
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Children
Community-acquired infections
Comparative analysis
Computer and Information Sciences
Confidence intervals
Consciousness
Cyanosis
Data collection
Health sciences
Hospitalization
Hospitals
Immunization
Infections
Medical prognosis
Medical records
Medical research
Medicine and Health Sciences
Morbidity
Mortality
Patient outcomes
Patients
Pediatric diseases
Pediatrics
Pneumonia
Population
Public health
Recovery of function
Recovery time
Registration
Sample size
Statistical analysis
Statistical models
Vomiting
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Summary: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 community-acquired 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. 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. 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. The median recovery time from severe community-acquired pneumonia was long so that measures to reduce recovery time should be strengthened.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0239655