Burden, predictors, and outcome of unconsciousness among under-five children hospitalized for community-acquired pneumonia: A retrospective study from a developing country

Despite the reduction of death from pneumonia over recent years, pneumonia has still been the leading infectious cause of death in under-five children for the last several decades. Unconsciousness is a critical condition in any child resulting from any illness. Once it occurs during a pneumonia epis...

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Bibliographic Details
Published in:PloS one 2023-06, Vol.18 (6), p.e0287054-e0287054
Main Authors: Mamun, Gazi Md Salahuddin, Sarmin, Monira, Shahid, Abu Sadat Mohammad Sayeem Bin, Nuzhat, Sharika, Shahrin, Lubaba, Afroze, Farzana, Saha, Haimanti, Shaima, Shamsun Nahar, Sultana, Mst Shahin, Ahmed, Tahmeed, Chisti, Mohammod Jobayer
Format: Article
Language:English
Subjects:
Adolescent
Bangladesh - epidemiology
Biology and Life Sciences
Cardiovascular disease
Care and treatment
Child
Children
Community-acquired infections
Complications and side effects
Congenital diseases
Consciousness
Cyanosis
Dehydration
Demographic aspects
Developing Countries
Diarrhea
Edema
Hospital patients
Hospitals
Humans
Hypoxemia
Infant
Intensive care
Laboratories
LDCs
Loss of consciousness
Malnutrition
Medicine and Health Sciences
Mortality
Multivariable control
Nutritional status
Oxygen therapy
Patient outcomes
Patients
Pediatric research
Pneumonia
Pneumonia - complications
Pneumonia - epidemiology
Pneumonia - therapy
Pneumonia in children
Preschool children
Regression analysis
Respiration
Retrospective Studies
Risk factors
Sepsis
Signs
Sociodemographics
Statistics
Unconsciousness
Unconsciousness - complications
Ventilators
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Summary:Despite the reduction of death from pneumonia over recent years, pneumonia has still been the leading infectious cause of death in under-five children for the last several decades. Unconsciousness is a critical condition in any child resulting from any illness. Once it occurs during a pneumonia episode, the outcome is perceived to be fatal. However, data on children under five with pneumonia having unconsciousness are scarce. We've retrospectively analyzed the data of under-five children admitted at the in-patient ward of Dhaka Hospital of icddr,b during 1 January 2014 and 31 December 2017 with World Health Organization classified pneumonia or severe pneumonia. Children presented with or without unconsciousness were considered as cases and controls respectively. Among a total of 3,876 children fulfilling the inclusion criteria, 325 and 3,551 were the cases and the controls respectively. A multivariable logistic regression analysis revealed older children (8 months vs. 7.9 months) (adjusted odds ratio, aOR 1.02, 95% CI: 1.004-1.04, p = 0.015), hypoxemia (aOR 3.22, 95% CI: 2.39-4.34, p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0287054