{"title":"埃塞俄比亚儿科严重社区获得性肺炎的康复时间和风险因素:回顾性随访研究。","authors":"Addisu Dabi Wake","doi":"10.1177/2333794X241256860","DOIUrl":null,"url":null,"abstract":"<p><p><i>Introduction</i>. Severe community acquired pneumonia (CAP) is a life-threatening condition, with high rates of morbidity and mortality. This study aimed to determine the recovery time from severe CAP and risk factors among pediatric patients. <i>Methods</i>. A retrospective follow-up study was conducted among 412 pediatric medical charts with severe CAP enrolled at Asella Referral and Teaching Hospital between January 01, 2021 and December 31, 2022. EpiData version 4.6.0.6 and STATA version 14.2 were used for data entry and statistical analysis, respectively. Bivariable and multivariable Cox proportional hazards regression analyzes were performed. <i>Result</i>. The median recovery time from severe CAP among pediatric patients was 5 days (IQR = 3-8 days). IDR of recovery from severe CAP was 13.089 per 100 [95%CI: 11.82, 14.49] pediatric days observations. The cumulative incidence of recovery from severe CAP was 89.56% [n = 369, 95%CI: 86.20, 92.18]. Age [AHR = 1.55, 95%CI: 1.12, 2.13, <i>P</i> = .007], vaccination status [AHR = 1.29, 95%CI: 1.03, 1.63, <i>P</i> = .027], presence of danger signs [AHR = 1.61, 95%CI: 1.26, 2.05, <i>P</i> = .000], presence of comorbidity [AHR = 1.67, 95%CI: 1.33, 2.10, <i>P</i> = .000], duration of seeking care [AHR = 1.71, 95%CI: 1.18, 2.47, <i>P</i> = .004], and oxygen therapy [AHR = 1.45, 95%CI:1.12, 1.87, <i>P</i> = .004] were statistically significant risk factors for recovery time from severe CAP. <i>Conclusions</i>. The median recovery time of patients with severe CAP is relatively high. Age, vaccination status, presence of danger signs, presence of comorbidities, duration of seeking care, and oxygen therapy were statistically significant risk factors of recovery time from severe CAP.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177736/pdf/","citationCount":"0","resultStr":"{\"title\":\"Recovery Time From Severe Community Acquired Pneumonia and Risk Factors Among Pediatrics, Ethiopia: A Retrospective Follow-Up Study.\",\"authors\":\"Addisu Dabi Wake\",\"doi\":\"10.1177/2333794X241256860\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>Introduction</i>. Severe community acquired pneumonia (CAP) is a life-threatening condition, with high rates of morbidity and mortality. This study aimed to determine the recovery time from severe CAP and risk factors among pediatric patients. <i>Methods</i>. A retrospective follow-up study was conducted among 412 pediatric medical charts with severe CAP enrolled at Asella Referral and Teaching Hospital between January 01, 2021 and December 31, 2022. EpiData version 4.6.0.6 and STATA version 14.2 were used for data entry and statistical analysis, respectively. Bivariable and multivariable Cox proportional hazards regression analyzes were performed. <i>Result</i>. The median recovery time from severe CAP among pediatric patients was 5 days (IQR = 3-8 days). IDR of recovery from severe CAP was 13.089 per 100 [95%CI: 11.82, 14.49] pediatric days observations. The cumulative incidence of recovery from severe CAP was 89.56% [n = 369, 95%CI: 86.20, 92.18]. Age [AHR = 1.55, 95%CI: 1.12, 2.13, <i>P</i> = .007], vaccination status [AHR = 1.29, 95%CI: 1.03, 1.63, <i>P</i> = .027], presence of danger signs [AHR = 1.61, 95%CI: 1.26, 2.05, <i>P</i> = .000], presence of comorbidity [AHR = 1.67, 95%CI: 1.33, 2.10, <i>P</i> = .000], duration of seeking care [AHR = 1.71, 95%CI: 1.18, 2.47, <i>P</i> = .004], and oxygen therapy [AHR = 1.45, 95%CI:1.12, 1.87, <i>P</i> = .004] were statistically significant risk factors for recovery time from severe CAP. <i>Conclusions</i>. The median recovery time of patients with severe CAP is relatively high. Age, vaccination status, presence of danger signs, presence of comorbidities, duration of seeking care, and oxygen therapy were statistically significant risk factors of recovery time from severe CAP.</p>\",\"PeriodicalId\":12576,\"journal\":{\"name\":\"Global Pediatric Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-06-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177736/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Global Pediatric Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/2333794X241256860\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global Pediatric Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/2333794X241256860","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
摘要
导言。重症社区获得性肺炎(CAP)是一种危及生命的疾病,发病率和死亡率都很高。本研究旨在确定重症 CAP 的恢复时间以及儿科患者的风险因素。研究方法在2021年1月1日至2022年12月31日期间,对阿塞拉转诊和教学医院收治的412例重症CAP儿科病历进行了回顾性随访研究。研究分别使用 EpiData 4.6.0.6 版和 STATA 14.2 版进行数据录入和统计分析。进行了二变量和多变量考克斯比例危险回归分析。结果儿科重症 CAP 患者的中位康复时间为 5 天(IQR = 3-8 天)。重症 CAP 康复 IDR 为每 100 个观察日 13.089 [95%CI: 11.82, 14.49]。重症 CAP 恢复的累积发生率为 89.56% [n = 369,95%CI:86.20,92.18]。年龄[AHR = 1.55,95%CI:1.12,2.13,P = .007]、疫苗接种情况[AHR = 1.29,95%CI:1.03,1.63,P = .027]、是否有危险征兆[AHR = 1.61,95%CI:1.26,2.05,P = .000]、是否有合并症[AHR = 1.67,95%CI:1.33,2.10,P = .000]、就医时间[AHR = 1.71,95%CI: 1.18,2.47,P = .004]和氧疗[AHR = 1.45,95%CI:1.12,1.87,P = .004]是严重 CAP 恢复时间的统计学显著风险因素。结论重症 CAP 患者的中位康复时间相对较长。年龄、疫苗接种情况、是否存在危险征兆、是否存在合并症、就医时间和氧疗是影响重症 CAP 恢复时间的具有统计学意义的危险因素。
Recovery Time From Severe Community Acquired Pneumonia and Risk Factors Among Pediatrics, Ethiopia: A Retrospective Follow-Up Study.
Introduction. Severe community acquired pneumonia (CAP) is a life-threatening condition, with high rates of morbidity and mortality. This study aimed to determine the recovery time from severe CAP and risk factors among pediatric patients. Methods. A retrospective follow-up study was conducted among 412 pediatric medical charts with severe CAP enrolled at Asella Referral and Teaching Hospital between January 01, 2021 and December 31, 2022. EpiData version 4.6.0.6 and STATA version 14.2 were used for data entry and statistical analysis, respectively. Bivariable and multivariable Cox proportional hazards regression analyzes were performed. Result. The median recovery time from severe CAP among pediatric patients was 5 days (IQR = 3-8 days). IDR of recovery from severe CAP was 13.089 per 100 [95%CI: 11.82, 14.49] pediatric days observations. The cumulative incidence of recovery from severe CAP was 89.56% [n = 369, 95%CI: 86.20, 92.18]. Age [AHR = 1.55, 95%CI: 1.12, 2.13, P = .007], vaccination status [AHR = 1.29, 95%CI: 1.03, 1.63, P = .027], presence of danger signs [AHR = 1.61, 95%CI: 1.26, 2.05, P = .000], presence of comorbidity [AHR = 1.67, 95%CI: 1.33, 2.10, P = .000], duration of seeking care [AHR = 1.71, 95%CI: 1.18, 2.47, P = .004], and oxygen therapy [AHR = 1.45, 95%CI:1.12, 1.87, P = .004] were statistically significant risk factors for recovery time from severe CAP. Conclusions. The median recovery time of patients with severe CAP is relatively high. Age, vaccination status, presence of danger signs, presence of comorbidities, duration of seeking care, and oxygen therapy were statistically significant risk factors of recovery time from severe CAP.