Time to recovery from severe community acquired pneumonia and its predictors among pediatrics patients in selected hospitals, Addis Ababa, Ethiopia, 2021.
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Date
2021-05
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Addis Abeba University
Abstract
Background:Community-acquired pneumonia is an important cause of morbidity in
developed countries and an important cause of morbidity and mortality in developing
countries. Ethiopia is ranked sixth out of 15 countries with the highest death rate due
to pneumonia among children under five.
Objective: The aim of this study was to determine the median time to recover from
severe community acquired pneumonia and its predictors among pediatric patients in
selected hospitals, Addis Ababa, Ethiopia, 2021.
Methods: Institution based retrospective cohort study was conducted among407
pediatrics patients who were admitted with severe community acquired pneumonia in
selected public hospitals in Addis Ababa. A systematic random sampling method was
used to select eligible medical records. A structured checklist was used to collect data.
Epi data version 4.2 was used to enter the dataand analyzed using STATA Version
16.0. The survival function and each predictor were described using the Kaplan Meier
survival curve and the log-rank test.
Result:Out of the 407 selected medical charts, 388 of them found to be complete with
a response rate of 95.5%. The overall median recovery time was 6 days.The rate of
recovery from severe community-acquired pneumonia was 11.5 per 100 person
day observation. Predictors significantly associated with recovery time include Age,
being stunted, late presentation to seek care and co-morbidity
Conclusion and recommendation: The total recovery rate from severe community-
acquired pneumonia was low and the median recovery time was long. Younger age
and early presentation to the health care institution
were proven to hasten recovery
time.
Therefore, measures thatincrease recovery rate and hasten recovery time should
be strengthened.
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Keywords
Time to recovery, severe community acquired pneumonia, pediatrics