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ORIGINAL RESEARCH article

Front. Pediatr.
Sec. Children and Health
Volume 12 - 2024 | doi: 10.3389/fped.2024.1447363

Predictors and Time to poor management outcomes among pediatric patients hospitalized with pneumonia in the Gedeo zone, southern Ethiopia: A prospective follow-up study

Provisionally accepted
Wagaye Alemu Wagaye Alemu 1*Mebrat Admasu Mebrat Admasu 2Firehiwot Belayneh Firehiwot Belayneh 3Yabibal Gebeyehu Yabibal Gebeyehu 1Getachew Assefa Zenebe Getachew Assefa Zenebe 1Temesgen Leka Lerango Temesgen Leka Lerango 1
  • 1 School of Public Health, College of Health and Medical Science, Dilla University, Dilla, Ethiopia
  • 2 Department of Midwifery, College of Health and Medical Science, Dilla University, Dilla, Ethiopia
  • 3 Department of pharmacy, College of Medicine and Health Sciences, Dilla university, Dilla, SNNPR, Ethiopia

The final, formatted version of the article will be published soon.

    Background: Pneumonia and other lower respiratory tract infections are the leading causes of death worldwide. Accurate diagnosis of pneumonia, identification of complications and underlying conditions, and appropriate treatment are essential for preventing pneumonia-related morbidity and mortality. Children in developing countries, such as Ethiopia, are at risk of contracting pneumonia, which could lead to death if not treated correctly. Therefore, we sought to assess the predictors and time to management outcomes among pediatric patients hospitalized with pneumonia in the Gedeo zone, southern Ethiopia.Methods:A multicenter institution-based prospective follow-up study was conducted among 484 pediatric patients hospitalized withpneumonia in the Gedeo zone, southern Ethiopia. The data were entered into EpiInfo version 7 and exported to STATA version 15 for analysis. Survival analysis with a Cox proportional hazard model was performed to identify predictors of poor management outcomes.A p-value of less than 0.05 and an adjusted hazard ratio with 95% CI were used to estimate the associations between the predictors and poor management outcomes.Results: Among 484 patients admitted with pneumonia, 381(78.7%), 16(3.3%), 6(1.2%), and 81(16.7%) recovered, died, transferred out, and defaulted, respectively. Over the study period, the incidence rate of poor management outcomes was 4 per 100 person-days of observation, and the incidence rate of recovery was 15 per 100 person-days of observation. According to the multivariable Cox regression analysis, the factors significantly associated with poor management outcomes were comorbidities at admission(

    Keywords: time, Poor outcome, Pneumonia, Hospitalized, pediatric, Ethiopia, Prospective, follow-up

    Received: 18 Jun 2024; Accepted: 18 Dec 2024.

    Copyright: © 2024 Alemu, Admasu, Belayneh, Gebeyehu, Zenebe and Lerango. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Wagaye Alemu, School of Public Health, College of Health and Medical Science, Dilla University, Dilla, Ethiopia

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.