Paediatrica Indonesiana
Vol 50 No 3 (2010): May 2010

Mortality predictors of pneumonia in children

Priyanti Kisworini (Depattment of Child Health, Gadjah Mada University Medical School/Dr. Sardjito Hospital, Yogyakarta, Central Java)
Amalia Setyati (Depattment of Child Health, Gadjah Mada University Medical School/Dr. Sardjito Hospital, Yogyakarta, Central Java)
Sutaryo Sutaryo (Depattment of Child Health, Gadjah Mada University Medical School/Dr. Sardjito Hospital, Yogyakarta, Central Java)



Article Info

Publish Date
30 Jun 2010

Abstract

Background Pneumonia is one of the main causes of death in children in developing countries. It is important to identify clinical signs, demographic factors, and laboratory data which can be used to predict children who have higher risk of mortality from pneumonia.Objective To find the clinical signs, demographic factors and laboratory data that can be used as predictors of mortality from pneumonia.Methods T his historical case􀀽control study was carried out in Sardjito Hospital between January 2004 and December 2006. Data were obtained from medical records. Differential proportion between groups was analyzed with chi square. Regression analysis was used to identify clinical factors, demographic factors and laboratory factors that associated with mortality from pneumonia.Results Fifty􀀽eight patients were enrolled in this study, 29 patients were dead (case group) and 29 patients were cured (control group). Baseline data between the two groups were similar in terms of gender and mean of age. Bivariate analyses show that the predictors of mortality in children with pneumonia were: age < 1 year (OR3.11, 95% CI 1.06 to 9.08), malnutrition (OR 7.30,95% CI 1.62- to 21.03), age of the mother < 20 years (OR 2.21,95%CI 1.64 to 2.97),t achycardia (OR 6.075,95% CI 1.18 to 31.24), and anemia (OR 5 .83, 95% CI 1.88 to 18.10). Logistic regression analysis shows that tachycardia (OR 6.04, 95% CI 1.01 to 36.17) and anemia (OR 4.41,95% CI 1.25 to 15.51) were predictor of mortality in children 'With pneumonia.Conclusions Tachycardia and anemia play as independent mortality predictors of pneumonia in children.

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Journal Info

Abbrev

paediatrica-indonesiana

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of ...