Survival among pneumonic children: A prospective study of western Odisha
Journal Title: IP International Journal of Medical Paediatrics and Oncology - Year 2018, Vol 4, Issue 2
Abstract
Introduction Pneumonia is still the leading cause of morbidity and mortality of our country approximately 16 of deaths among children under 5 years of age globally and as per NITI Aayog report 2015 the underfive mortality rate U5MR of Odisha is 39 and the most common causes of underfive mortality being pneumonia Many studies have been done on pneumonic children but currently survival analysis of these children is rareMethods The present observational analytical hospital based prospective cohort study was conducted over a period of 12 months in a tertiary hospital of western Odisha Total 152 children were included in the study after satisfying the predefined inclusion and exclusion criteria and ethical committee approval by simple consecutive sampling method CRF was used to record all relevant data of the study participants and SPSS v25 was used for survival analysisResults Median duration of survival in days of children with severe pneumonia 80 660 to 939 is not significantly higher than the children with very severe pneumonia 70 489 to 910 as evidenced by Breslow chisquare 393 1 p 0057 There is no overall difference in survival among gender immunization status breast feeding status exposure to smoke socio economic groups and gestational age as evidenced by p 005Conclusion Disease survival time to event analysis is not affected by the severity severe vs very severe pneumonia of the illness which may be due to the fact that late diagnosis and late referral from the peripheral centre So the skill of the health workers and the health technologies should be strengthened at the primary levelKeywords Very severe pneumonia Severe pneumonia Kaplan meier survival analysis Mortality CRF
Authors and Affiliations
Subash Chandra Majhi, Baikuntha Nath Kashyap
Keywords
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- EP ID EP482926
- DOI 10.18231/2581-4702.2018.0018
- Views 98
- Downloads 0
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