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Time to recovery from severe pneumonia and its predictors among pediatric patients admitted in Mizan-Tepi University Teaching Hospital, South West Ethiopia, 2022 Cover

Time to recovery from severe pneumonia and its predictors among pediatric patients admitted in Mizan-Tepi University Teaching Hospital, South West Ethiopia, 2022

Open Access
|Sep 2024

Figures & Tables

Figure 1.

Kaplan–Meier survival estimate graph overall median recovery time among children admitted from 01 January 2019 to 30 December 2021 at pediatric ward of MTUTH, Ethiopia, 2022. MTUTH, Mizan-Tepi University Teaching Hospital.
Kaplan–Meier survival estimate graph overall median recovery time among children admitted from 01 January 2019 to 30 December 2021 at pediatric ward of MTUTH, Ethiopia, 2022. MTUTH, Mizan-Tepi University Teaching Hospital.

Figure 2.

Overall Kaplan–Meier survival and failure estimate of children admitted from 01 January 2019 to 30 December 2021 at pediatric ward of MTUTH, Ethiopia, 2022. MTUTH, Mizan-Tepi University Teaching Hospital.
Overall Kaplan–Meier survival and failure estimate of children admitted from 01 January 2019 to 30 December 2021 at pediatric ward of MTUTH, Ethiopia, 2022. MTUTH, Mizan-Tepi University Teaching Hospital.

Nutritional status and feeding characteristics of children admitted from 01 January 2019 to 30 December 2021 at the pediatric ward of MTUTH, Ethiopia, 2022 (N = 591)_

CharacteristicsTotal, N (%)Outcome variable, N (%)
Censored, N = 50Recovered, N = 541
WFA
    Normal509 (86.13)41 (8.1)468 (91.9)
    Underweight82 (13.87)9 (11.0)73 (89.0)
WFH
    Normal497 (84.09)41 (8.2)456 (91.8)
    Wasted94 (15.91)9 (9.6)85 (90.4)
HFA
    Normal492 (83.25)36 (7.3)456 (92.7)
    Stunted99 (16.75)14 (14.1)85 (85.9)
Mode of infant feeding
    Breast milk379 (64.13)33 (8.7)346 (91.3)
    Formula30 (5.08)2 (6.7)28 (93.3)
    Cow milk182 (30.80)15 (8.2)167 (91.8)
Exclusive breastfeeding
    Yes397 (67.17)37 (9.3)360 (90.7)
    No194 (32.83)13 (6.7)181 (93.3)

Clinical and therapeutic regimen characteristics of children admitted from 01 January 2019 to 30 December 2021 at the pediatric ward of MTUTH, Ethiopia, 2022 (N = 591)_

CharacteristicsTotal, N (%)Outcome variable, N (%)
Censored, N = 50Recovered, N = 541
Danger sign during admission
    No115 (19.46)2 (1.7)113 (98.3)
    Yes476 (80.54)48 (10.1)428 (89.9)
Hypoxia during admission
    No343 (58.04)5 (1.5)338 (98.5)
    Yes248 (41.96)45 (18.1)203 (81.9)
Fever during admission
    No209 (35.36)19 (9.1)190 (90.9)
    Yes382 (64.64)31 (8.1)351 (91.9)
Respiratory distress
    No187 (31.64)4 (2.1)183 (97.9)
    Yes404 (68.36)46 (11.4)358 (88.6)
Vomiting everything
    No483 (81.73)36 (7.5)447 (92.5)
    Yes108 (18.27)14 (13.0)94 (87.0)
Altered consciousness
    No539 (91.20)31 (5.8)508 (94.2)
    Yes52 (8.80)19 (36.5)33 (63.5)
Inability to breastfeeding or drink
    No363 (61.42)9 (2.5)354 (97.5)
    Yes228 (38.58)41 (18.0)187 (82.0)
Abnormal body movement/convulsion
    No589 (99.66)48 (8.1)541 (91.9)
    Yes2 (0.34)2 (100.0)-
Antibiotic first given
    Ceftriaxone338 (57.19)29 (8.6)309 (91.4)
    Crystalline penicillin45 (7.61)2 (4.4)43 (95.6)
    Ampicillin and gentamicin208 (35.19)19 (9.1)189 (90.9)
Antibiotic change after admission
    No267 (45.18)12 (4.5)255 (95.5)
    Yes324 (54.82)38 (11.7)286 (88.3)
Co-morbidity
    No395 (66.84)32 (8.1)363 (91.9)
    Yes196 (33.16)18 (9.2)178 (90.8)
Birth weight during birth (g)
    <250061 (10.32)4 (6.6)57 (93.4)
    >2500530 (89.68)46 (8.7)484 (91.3)
Gestational age (weeks)
    <3784 (14.21)8 (9.5)76 (90.5)
    37–42507 (85.79)42 (8.3)465 (91.7)
Presentation to seek care (days)
    5203 (34.35)32 (15.8)171 (84.2)
    <5388 (65.65)18 (4.6)370 (95.4)

Socio-demographic characteristics of children admitted from 01 January 2019 to 30 December 2021 at the pediatric ward of MTUTH, Ethiopia, 2022 (N = 591)_

CharacteristicsTotal, N (%)Outcome variable, N (%)
Censored, N = 50Recovered, N = 541
Sex
    Male359 (60.74)18 (5.0)341 (95.0)
    Female232 (39.26)32 (13.8)200 (86.2)
Age (years)
    <1308 (52.12)33 (10.7)275 (89.3)
    1–5170 (28.76)9 (5.3)161 (94.7)
    5–14113 (19.12)8 (7.1)105 (92.9)
Residency
    Urban211 (35.70)11 (5.2)200 (94.8)
    Rural380 (64.30)39 (10.3)341 (89.7)

Incidence rate and median recovery time of children with severe pneumonia in each age group category admitted from 01 January 2019 to 30 December 2021 at NICU of MTUTH Hospital, Ethiopia, 2022_

Birthweight categoryEventsTotal time at riskIncidence rate/100 (95% CI)Median recovery time
<1 year (n = 308)275122422.47 (95% CI: 19.96–25.28)4
1–5 years (n = 170)16161826.10 (95% CI: 22.32–30.40)4
>5 years (n = 113)10540326. 05 (95% CI: 21.52–31.54)3

Results of the bivariate and multivariable analysis of children admitted from 01 January 2019 to 30 December 2021 at the pediatric ward of the MTUTH, Ethiopia, 2022_

PredictorCHR (95% CI)AHR (95% CI)P-value
Age (years)
    <10.83 (0.66–1.04)0.92 (0.72–1.17)0.496
    1–50.98 (0.77–1.25)0.96 (0.74–1.24)0.754
    >511.00
Respiratory distress
    No11.00
    Yes0.81 (0.68–0.97)0.95 (0.78–1.17)0.642
Vomiting everything
    No11.00
    Yes0.79 (0.63–0.99)0.84 (0.67–1.06)0.142
Antibiotic changed
    No11.00
    Yes0.89 (0.76–1.06)0.88 (0.74–1.05)0.148
Infant feeding
    Breast milk11.00
    Formula1.65 (1.12–2.44)1.29 (0.81–2.03)0.279
    Cow milk1.03 (0.85–1.24)0.81 (0.64–1.04)0.102
Exclusive Breastfeeding
    Yes11.00
    No1.18 (0.98–1.41)1.3 (1.03–1.66)0.025*
Altered level of consciousness
    No11.00
    Yes0.64 (0.45–0.92)0.71 (0.49–1.04)0.077
Unable to suck
    No11.00
    Yes0.75 (0.63–0.89)0.81 (0.65–0.99)0.048*
DOI: https://doi.org/10.2478/fon-2024-0038 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 343 - 353
Submitted on: Apr 3, 2023
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Accepted on: Sep 27, 2023
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Published on: Sep 16, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Belete Fenta Kebede, Aynalem Yetwale Hiwot, Tsegaw Biyazin Tesfa, Yalemtsehay Dagnaw Genie, Nigatu Dessalegn Mulu, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.