About: Risk factors for a poor outcome among children admitted with clinically severe pneumonia to a university hospital in Rabat, Morocco

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Risk factors for a poor outcome among children admitted with clinically severe pneumonia to a university hospital in Rabat, Morocco
Creator	Bassat, Quique Tligui, Houssain Benmessaoud, Rachid Chaacho, Saad Jroundi, Imane Mahraoui, Chafiq Moraleda, Cinta Ruiz, Joaquim Seffar, Myriam Muñ Oz-Almagro, Carmen Alonso, Pedro Ech-Cherif, Salma Kettani, El Sououd Benjelloun, Badr
Source	Elsevier; Medline; PMC
abstract	Summary Objectives Data on prognostic factors among children with severe pneumonia are scarce in middle-income countries. We investigated prognostic factors for an adverse outcome among children admitted to the Hôpital d’Enfants de Rabat, Morocco with World Health Organization-defined clinically severe pneumonia (CSP). Methods Children aged 2–59 months admitted to the hospital and fulfilling the CSP definition were recruited into this 13-month prospective study. A poor prognosis was defined as death, a need for intensive care, or a Respiratory Index of Severity in Children (RISC) score ≥3. Multivariate logistic regression was performed to ascertain independent predictive factors for a poor prognosis. Results Of the 689 children included in this analysis, 55 (8.0%) required intensive care and 28 died (4.0%). Five hundred and two (72.8%) children were classified as having a good prognosis and 187 (27.2%) as having a poor prognosis. A history of prematurity (odds ratio (OR) 2.50, 95% confidence interval (CI) 1.24–5.04), of fever (OR 2.25, 95% CI 1.32–3.83), living in a house with smokers (OR 1.79, 95% CI 1.18–2.72), impaired consciousness (OR 10.96, 95% CI 2.88–41.73), cyanosis (OR 2.09, 95% CI 1.05–4.15), pallor (OR 2.27, 95% CI 1.34–3.84), having rhonchi on auscultation (OR 2.45, 95% CI 1.58–3.79), and human metapneumovirus infection (OR 2.13, 95% CI 1.13–4.02) were all independent risk factors for an adverse outcome, whereas a history of asthma (OR 0.46, 95% CI 0.25–0.84) was the only independent risk factor for a positive outcome. Conclusions The early identification of factors associated with a poor prognosis could improve management strategies and the likelihood of survival of Moroccan children with severe pneumonia.
has issue date	2014-11-30(xsd:dateTime)
bibo:doi	10.1016/j.ijid.2014.07.027
bibo:pmid	25305555
has license	els-covid
sha1sum (hex)	7574e8c8c1e0e6df24e6ef15177e2eff23262511
schema:url	https://doi.org/10.1016/j.ijid.2014.07.027
resource representing a document's title	Risk factors for a poor outcome among children admitted with clinically severe pneumonia to a university hospital in Rabat, Morocco
has PubMed Central identifier	PMC7129557
has PubMed identifier	25305555
schema:publication	International Journal of Infectious Diseases
resource representing a document's body	covid:7574e8c8c1e0e6df24e6ef15177e2eff23262511#body_text
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