ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2014
Risk factors for a poor outcome among children admitted with clinically severe pneumonia to a university hospital in Rabat, Morocco.
Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- What are the risk factors for death among children with pneumonia in low- and middle-income countries? A systematic review.Journal of global health · 2023Pooled it
- A systematic review of the clinical features of pneumonia in children aged 5-9 years: Implications for guidelines and research.Journal of global health · 2022Pooled it
- Human metapneumovirus in patients hospitalized with acute respiratory infections: A meta-analysis.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2016Pooled it
- Time to recovery and predictors among under five children with severe pneumonia admitted to public hospitals in West Gojjam zone Northwest Ethiopia.Scientific reports · 2025Article
- Multilevel Analysis of Community Acquired Pneumonia Among 2-59 Months Old Children in Awi Zone, Northwest Ethiopia: A Community-Based Cross-Sectional Study.Health science reports · 2025Article
- The Trends of Time to Recovery Pneumonia Hospitalized Patients in Northwestern Ethiopia During 2018-2020: Retrospective Study.Health science reports · 2025Article
- Time to recovery from severe community-acquired pneumonia and its predictors among 6 to 59 months of age children admitted to South Wollo zone public hospitals, North East Ethiopia: a prospective follow-up study.Pneumonia (Nathan Qld.) · 2024Article
- Time to recovery and its predictors among under-five children admitted with severe pneumonia in East Wallaga Zone public hospitals, western Ethiopia, 2023; a retrospective cohort study.BMC pediatrics · 2024Article
- Article
- Treatment outcome of pneumonia and its associated factors among pediatric patients admitted to Hiwot Fana Comprehensive Specialized University Hospital, Eastern Ethiopia.Frontiers in pediatrics · 2024Article
- Pediatric Respiratory Pathogens Circulate in Children and Adults in Communities Near Susceptible Wild Great Ape Populations in Uganda.Transboundary and emerging diseases · 2024Article
- Predictors and time to poor management outcomes among pediatric patients hospitalized with pneumonia in the Gedeo Zone, southern Ethiopia: a prospective follow-up study.Frontiers in pediatrics · 2024Article
- Clinical features and risk factors analysis for poor outcomes of severe community-acquired pneumonia in children: a nomogram prediction model.Frontiers in pediatrics · 2023Article
- Predictors of prolonged hospitalization among children aged 2-59 months with severe community-acquired pneumonia in public hospitals of Benishangul-Gumuz Region, Ethiopia: a multicenter retrospective follow-up study.Frontiers in pediatrics · 2023Article
- Epidemiology and mortality predictors for severe childhood community-acquired pneumonia in ICUs: A retrospective observational study.Frontiers in pediatrics · 2023Article
- Severe pneumonia: Treatment outcome and its determinant factors among under-five patients, Jimma, Ethiopia.SAGE open medicine · 2022Article
- Predictors of Treatment Outcomes among Pediatric Patients Hospitalized with Pneumonia in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.Advances in pharmacological and pharmaceutical sciences · 2021Article
- Pneumonia among under-five children in Alexandria, Egypt: a case-control study.The Journal of the Egyptian Public Health Association · 2020Article
- Incidence and Risk Factors for Severe Pneumonia in Children Hospitalized with Pneumonia in Ujjain, India.International journal of environmental research and public health · 2020Article
- Influenza epidemiology and risk factors for severe acute respiratory infection in Morocco during the 2016/2017 and 2017/2018 seasons.The Pan African medical journal · 2020Article
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13 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesData 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).
methodsChildren 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.
resultsOf 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.
conclusionsThe early identification of factors associated with a poor prognosis could improve management strategies and the likelihood of survival of Moroccan children with severe pneumonia.
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