CLINICAL PROFILE OF CHILDREN WITH AND WITHOUT COMORBIDITIES HOSPITALIZED WITH COMMUNITY-ACQUIRED PNEUMONIA Article Swipe
Rafaela Baroni Aurílio
,
Clemax Couto Sant’Anna
,
Maria de Fátima B. Pombo March
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1590/1984-0462/2020/38/2018333
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1590/1984-0462/2020/38/2018333
Objective: To describe the clinical profile of children and adolescents hospitalized with community-acquired pneumonia (CAP). They were divided into two groups: those with and those without comorbidities. Methods: An observational, cross-sectional, descriptive study with prospective data collection, was carried out in a cohort of patients aged zero to 11, who were hospitalized with a clinical and radiological diagnosis of community-acquired pneumonia, from January 2010 to January 2012. As an exploratory study, the two groups were compared through logistic regression for possible risk factors associated with community-acquired pneumonia. Relative risk (RR) was used with a 95% confidence interval (95%CI). The process of selection for independent variables was stepwise forward, with a significance level of 5%. Results: There were 121 cases of community-acquired pneumonia evaluated, and 47.9% had comorbidities. In the bivariate analysis, patients with comorbidities demonstrated higher chances for: age >60 months (p=0.005), malnutrition (p=0.002), previous use of antibiotics (p=0.008) and previous hospitalization for community-acquired pneumonia in the last 24 months (p=0.004). In the multivariate analysis, these variables were independent predictors of community-acquired pneumonia in patients with the comorbidities: age >60 months (p=0.002; RR=5.39; 95%CI 1.89-15.40); malnutrition (p=0.008; RR=1.75; 95%CI 1.75-44.60); previous use of antibiotics (p=0.0013; RR=3.03; 95%CI 1.27-7.20); and previous hospitalization for community-acquired pneumonia (p=0.035; RR=2.91; 95%CI 1.08-7.90). Conclusions: Most patients with community-acquired pneumonia and comorbidities were aged >60 months, were malnourished, had used antibiotics and had been hospitalized for community-acquired pneumonia. Comorbidities were associated with a higher chance of malnutrition and hospitalizations for community-acquired pneumonia in an older age group, compared to children without comorbidities. Knowledge of this clinical profile may contribute to better assist pediatric patients with community-acquired pneumonia hospitalized in referral centers.
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Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1590/1984-0462/2020/38/2018333
- https://www.scielo.br/j/rpp/a/rfrF33ZC9fJhBsfJ5znQdzy/?lang=en&format=pdf
- OA Status
- diamond
- Cited By
- 7
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3024753461
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3024753461Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1590/1984-0462/2020/38/2018333Digital Object Identifier
- Title
-
CLINICAL PROFILE OF CHILDREN WITH AND WITHOUT COMORBIDITIES HOSPITALIZED WITH COMMUNITY-ACQUIRED PNEUMONIAWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-01-01Full publication date if available
- Authors
-
Rafaela Baroni Aurílio, Clemax Couto Sant’Anna, Maria de Fátima B. Pombo MarchList of authors in order
- Landing page
-
https://doi.org/10.1590/1984-0462/2020/38/2018333Publisher landing page
- PDF URL
-
https://www.scielo.br/j/rpp/a/rfrF33ZC9fJhBsfJ5znQdzy/?lang=en&format=pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://www.scielo.br/j/rpp/a/rfrF33ZC9fJhBsfJ5znQdzy/?lang=en&format=pdfDirect OA link when available
- Concepts
-
Medicine, Community-acquired pneumonia, Pneumonia, Confidence interval, Internal medicine, Logistic regression, Relative risk, Comorbidity, Cohort study, Prospective cohort study, Observational study, Malnutrition, PediatricsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 2, 2023: 2, 2021: 2Per-year citation counts (last 5 years)
- References (count)
-
35Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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