Severity factors of Acquired Pneumonia Community in a children’s hospital in the Colombian Caribbean
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González-Coquel, Suanny | 2018
Objective: To identify predisposing factors to developing severe pneumonia in hospitalized
children diagnosed with community-acquired pneumonia hospitalized in Cartagena’s Napoleón
Franco Pareja children’s Hospital.
Methods: Analytical observational cross-sectional study performed in patients under 18 years.
Data from surveys and records were analyzed. Univariate and bivariate analysis was performed.
The variables are grouped according to the presence or absence of complications and analyzed
by ji-square test. We calculated OR of each of the dummy variables to evaluate their association
with complications. A P < 0.05 was considered statistically significant for all analyses.
Results: 301 patients with severe pneumonia were included. Risk factors related to severity: age
less than 3 months (OR: 4.86; CI 95%: 1,5 - 14.3; p = 0.004); exclusive breastfeeding for less
than 6 months (CI:95% 7,7- 1,4; p = 0.0019); heart disease (OR: 5.37; CI 95%: 1,28- 19,88, p
= 0.010); prematurity (OR: 1.62, CI 95%: 0.93- 6.69, p = 0.034); Incomplete vaccination (OR:
2.32; CI: 95% 1.07 - 5.10; p = 0.015).
Conclusions: It was found increased severity risk, statistically significant, in patients less
than 6 months breastfeeding, prematurity, heart disease, incomplete vaccination scheme, and
positive blood culture with Sp. pneumonia
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