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Abstract
Background: Pneumonia is the leading cause of death in children under 5 years of age worldwide. There are many factors that affect the severity of pneumonia and, in turn, are related to the outcome of treatment for severe pneumonia in children. Therefore, identifying the risk factors related to the treatment outcome of severe pneumonia is very important to have the right prognostic direction and adequate and timely treatment, helping to improve the treatment outcome of severe pneumonia in children. The study describes the clinical, subclinical characteristics and determine the case fatality rate and risk factors for outcomes of severe community acquired pneumonia in children.
Methods: Across - sectional with longitudinal study was conducted on 122 children aged 2 months to 5 years with severe community acquired pneumonia who were admitted to Pediatric Center, Hue Central Hospital from April 2019 to January 2021.
Results: 71.3% children was under 12 months. The case fatality rate was 18,9%. Congenital heart disease, malnutrition and effusion correlated with fatality (OR 3.81; 4.77 and OR 6.74, respectively). On single factor analysis, history from 2 previous acute respiratory tract infection, inadequate vaccination of Hib and/or measles, smoke inhalation, lack of breast milk, low birth weight were associated with fatality, but on multivariate analysis, it is not relevant (p > 0.05).
Conclusion: Congenital heart disease, malnutrition and effusion were associated with fatality in children with severe community acquired pneumonia.
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| Published | 29-12-2024 | |
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| Issue | No. 80 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.80.2 | |
| Keywords | Viêm phổi nặng, yếu tố nguy cơ, trẻ em Severe community acquired pneumonia, risk factors, children |
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