Accuracy of Risk Assessment Tool in Predicting Pneumonia’s Outcome among Egyptian Children: Hospital Based Study

Mosleh, Hanan

doi:10.9734/bjmmr/2013/4965

Cited by 3 publications

(7 citation statements)

References 26 publications

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“…La estadía puede ser considerada como indicador de la evolución del paciente en cuidados intensivos y desempeña un papel importante en el pronóstico de los casos. Mosleh y colaboradores 5 , reportan en pacientes menores de cinco años con neumonía estudiados en el departamento de emergencia en un hospital del Cairo, Egipto, que un mayor tiempo de estadía presentó asociación independiente con la mortalidad, comportándose la mayor estancia hospitalaria como predictor de muerte.…”

Section: Materiales Y Métodosunclassified

“…También al evaluar 236 menores de cinco años de edad con diagnóstico de neumonía, en una investigación realizada en Egipto, se encontró que los no sobrevivientes tenían al ingreso niveles más bajo de albúmina en suero en comparación con los sobrevivientes para p <0,001 5 .…”

Section: Materiales Y Métodosunclassified

“…En el caso de la Neumonía Grave Adquirida en la Comunidad (NGAC) representa un motivo de ingreso importante en las Unidades de Cuidados Intensivos Pediátricos (UCIP), y se reporta en múltiples ocasiones como una de las principales causas de admisión y de estadía prolongada en esos servicios 5 .…”

Section: Introductionunclassified

“…Estas pruebas hematológicas analíticas no ofrecen una evidencia directa de la implicación causal (bacteriana o viral). Sin embargo, pueden servir de apoyo en el posible diagnóstico etiológico de la NAC y también pueden ser útiles como parámetro en la evolución de los casos [2][3][4][5][6][7][8] .…”

Section: Introductionunclassified

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Neumonía Grave Adquirida en la Comunidad en pacientes pediátricos en UCI: serie de casos. Hospital Docente Materno Infantil Dr A.A.Aballí. Enero de 2014 a septiembre de 2016

Álvarez-Andrade

Rubén-Quesada

Cuevas-Álvarez

et al. 2017

revmed

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Introducción: la Neumonía Adquirida en la Comunidad constituye un serio problema de salud con elevada morbi-mortalidad infantil en el mundo, alcanza un 8% de hospitalizaciones y la letalidad en esos casos puede llegar al 4%. El conocimiento de pruebas hematológicas analíticas, a pesar de ser inespecíficas, apoya en la orientación diagnóstica para un mejor manejo inicial de las formas graves de esta enfermedad. Objetivo: identificar las características epidemiológicas y las alteraciones de pruebas analíticas en pacientes pediátricos

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Section: Materiales Y Métodosunclassified

Section: Introductionunclassified

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Neumonía Grave Adquirida en la Comunidad en pacientes pediátricos en UCI: serie de casos. Hospital Docente Materno Infantil Dr A.A.Aballí. Enero de 2014 a septiembre de 2016

Álvarez-Andrade

Rubén-Quesada

Cuevas-Álvarez

et al. 2017

revmed

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“…Clinical prediction scores have been developed and validated to aid clinicians in managing and treating adult patients with community-acquired pneumonia and other LRTIs. There are various scoring systems for the pediatric population too, namely, PSI (Pneumonia severity index) and PRISM score (Pediatric risk of mortality) [3], which are however complicated to an extent and prognosticate complicated hospitalized patients. A simple pediatric severity score like the Respiratory Index of Severity in Children (RISC) [4] score can help in more specific discrimination of children with LRTI, at presentation and follow-up, based on their risk of mortality may help refine decisions about case management.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Risk Factors for Morbidity and Mortality in Children Aged 6 Month- 5 Years Presenting With Lower Respiratory Tract Infection to a Referral Hospital

Kumar

Narain

Jaiswal

2020

IJMBS

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Acute lower respiratory tract infection in children is a major cause of mortality and morbidity worldwide. A simple clinical score predicting the probability of death and poor outcome in a young child with lower respiratory tract infection (LRTI) could aid clinicians in case management and provide a standardized severity measure during epidemiologic studies. Therefore, our study was aimed to assess the usefulness of one such scoring model, the RISC score, in an urban setting in eastern part of India and also to determine significant risk factors for LRTI in young children Our study concluded that the RISC score maybe used as an index of severity in children with LRTI, as a complementary tool to the current IMCI framework, to ensure appropriate treatment and hospitalization in children, who are most in need. Also, recognizing the risk factors at presentation, may facilitate decisions about the most appropriate site of treatment (i.e., home vs. hospital) or the need for additional supportive care (i.e., supplemental oxygen or intensive care). Keywords: Morbidity, Mortality in Children, Lower Respiratory Tract Infection, LRTI, etc.

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Evaluation of risk factors for morbidity and mortality in children aged 1 month- 6 years presenting with lower respiratory tract infection to a referral hospital

Tewary¹,

De²,

Khawash³

2023

Int J Contemp Pediatr

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Background: Acute lower respiratory tract infection (LRTI) is the single largest cause of death in children in most developing countries. It can be prevented by simple interventions and treated with low-cost medication and care. Hence we undertook this study with the aim to assess the severity of LRTI in children using the respiratory index of severity in children (RISC) scoring system and to evaluate the prognosis of these children using this scoring model and to evaluate which are the risk factors that consistently predict mortality and morbidity in LRTI in young children. Methods: It was a prospective observational study which included 104 children aged 1 month-6 years presenting with LRTI. Data was collected using a pre-coded proforma and analysed using R 2.6.2 (2008-02-08) and Microsoft excel. Results: The risk factors for adverse outcome in children with LRTI were age <6 months, refusal of feeds, hypoxemia (SpO2 <90% in room air), and positive chest X-ray findings for prolonged hospitalization, age <6 months for need for assisted ventilation. 62.79% of children with a RISC score of ≤0, were managed as outpatients and all children with a RISC score of ≥3 required hospitalization, of which, 88.89% required prolonged hospitalization and 19.4% required ventilation. Conclusions: A high RISC score (≥3) can determine poor outcome in children with LRTI with high specificity and sensitivity. This study may be used to limit hospital referrals to those most in need, especially in resource limited regions, thereby improving the number of children receiving appropriate treatment.

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Accuracy of Risk Assessment Tool in Predicting Pneumonia’s Outcome among Egyptian Children: Hospital Based Study

Cited by 3 publications

References 26 publications

Neumonía Grave Adquirida en la Comunidad en pacientes pediátricos en UCI: serie de casos. Hospital Docente Materno Infantil Dr A.A.Aballí. Enero de 2014 a septiembre de 2016

Neumonía Grave Adquirida en la Comunidad en pacientes pediátricos en UCI: serie de casos. Hospital Docente Materno Infantil Dr A.A.Aballí. Enero de 2014 a septiembre de 2016

Evaluation of Risk Factors for Morbidity and Mortality in Children Aged 6 Month- 5 Years Presenting With Lower Respiratory Tract Infection to a Referral Hospital

Evaluation of risk factors for morbidity and mortality in children aged 1 month- 6 years presenting with lower respiratory tract infection to a referral hospital

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