Clinical Profile of Severe Pneumonia and Associated Risk Factors in Children Aged 2-59 Months in a Tertiary care Hospital in New Delhi: A Cross sectional Study
Abstract
Introduction: In India, hospital admission is recommended when a child is being diagnosed as a case of
severe pneumonia according to revised WHO 2013 pneumonia definitions. Hospital care should allow for
prompt identification of signs of clinical deterioration and timely intervention and at the same time we can
explore associated risk factors if any. Identification of risk factors is also very important for enhancing
insight into the aetiology and prevention of pneumonia.
Objective: To assess clinical profile of severe pneumonia in children treated in tertiary care hospital in
New Delhi by implementation of the revised WHO pneumonia guidelines and associated risk factors in
children aged 2 to 59 months
Materials and Methods: This was an observational cross-sectional study where 150 patients were
enrolled who were diagnosed cases of severe pneumonia in the age group of 2-59 months (fitting into
revised WHO classification). Equal number of sex and age index matched healthy children attending
immunization clinic were taken as controls.
Results: Fast breathing was present among 146 (97.3%) cases and chest in drawing was observed in
133(88.7%) cases. The association of various socio-demographic and birth-related risk factors (low
education level of mother, working status of mother, preterm birth and LBW babies,) history related risk
factors (smoking history in parents, history of contact with TB patients, history of partially immunized or
unimmunized for age, history of top…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 150 participants or records.
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