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. 2015 Jul-Aug;56(4):287-91.
doi: 10.4103/0300-1652.165038.

Predictors of mortality in children due to severe and very severe pneumonia

Chandrakant M Bokade  1 , Abhishek D Madhura  1 , Abhay S Bagul  1 , Subhash B Thakre  2
Affiliations

Predictors of mortality in children due to severe and very severe pneumonia

Chandrakant M Bokade et al. Niger Med J. 2015 Jul-Aug.

Abstract

Background: Mortality due to pneumonia in children is more than any other illness. Limited data is available to predict mortality in children with pneumonia from central India.

Aim: To study predictors of mortality in children aged 1-59 months hospitalised with severe and very severe pneumonia.

Materials and methods: Present study was observational longitudinal study that was done in a tertiary care hospital of central India. Two hundred and ninety children, aged 1-59 months, presented with severe and very severe pneumonia were enrolled in this study. Outcome and predictors of mortality were studied. Data was analysed with Chi-square test, univariate and multivariate regression analysis.

Results: Out of 270 enrolled study subjects, maximum (108, 37.24%) were belonged to 1-6-months age group. Proportion of mortality was maximum (16, 64.00%) in that age group. Overall case fatality rate was 8.62%. Among significant variables, delayed hospital referral [adjusted odds ratio (OR)-52.09, 95% confidence interval (CI)- 6.74-402.39], incomplete immunisation (OR-12.28, 95% CI-2.15-69.93), severe malnutrition (Z score < -3) (OR-15.51, 95% CI- 2.04-117.83), refusal to feed (OR- 30.57, 95% CI- 2.47-378.26), and hypoglycaemia (OR- 6.98, 95% CI- 1.05-46.30) were found significant independently on multivariate regression analysis.

Conclusion: Delayed hospital referral, incomplete immunisation, severe malnutrition, refusal to feed, and hypoglycaemia were independent predictors of mortality in children with severe and very severe pneumonia.

Keywords: Children; mortality; predictors; severe pneumonia; very severe pneumonia.

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Conflict of interest statement

Conflict of Interest: None declared.

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