Predictors of Outcome in Pediatric Patient Age 1month to 5 Years in Severe Pneumonia Cases (N.S.C.B.M.C.H Tertiary Care Centre)Journal: International Journal of Science and Research (IJSR) (Vol.9, No. 6)
Publication Date: 2020-06-05
Authors : Deepak Gupta; Shweta Pathak;
Page : 35-37
Keywords : Severe Pneumonia; Paediatric intensive care unit; mortality;
BACKGROUND: Pneumonia is estimated to kill 410, 000 children in India every year. In India, recent estimates in under-fives suggest that 13 % of deaths and 24 % of National Burden of Disease is due to pneumonia.1. Very few studies have evaluated the predictors of mortality in children with pneumonia in developing countries.2, 3, 4 Hence, this study was planned to study predictors of mortality in children aged 1-59 months hospitalized with severe pneumonia. OBJECTIVE: The objective of this study is to assess the factors (clinical and investigational) contributing to the mortality in Patients diagnosed with severe pneumonia. MATERIAL AND METHODS: The present observational longitudinal study was carried out in a tertiary care PICU in a govt. NSCB medical college Jabalpur over a period of 1 years (Ian 2019-December 2019). Children diagnosed as severe pneumonia2 of either sex between age group 1-59 months admitted in a hospital were enrolled in the study. Demographic data, clinical details and laboratory parameters of the enrolled cases were recorded in a predesigned pretested proforma. They were followed till discharge or death. RESULTS: Mortality was observed in 11 cases and of them 4 (36.4 %) were males and 7 (63.6 %) patients were females. However test of significance (chi square test) showed no significant association between outcome and gender (p=0.89). This study showed that among clinical parameters pulse rate, SpO2, were significantly raised (63.6 %) and saturation was significantly less than90 (72.7 %) in children who succumbed to death (pless than0.05). This study observed statistically highly significant association of outcome with PaO2, haematocrit, serum sodium, glucose and abnormal Xray findings (pless than0.01).
Other Latest Articles
Last modified: 2021-06-28 17:08:00