Pediatric Health, Medicine and Therapeutics (Apr 2021)
Time-to-Recovery from Severe Pneumonia and Its Determinants Among Children Under-Five Admitted to University of Gondar Comprehensive Specialized Hospital in Ethiopia: A Retrospective Follow-Up Study; 2015–2020
Abstract
Tigabnesh Assfaw,1 Chalachew Yenew,1 Kassahun Alemu,2 Wullo Sisay,2 Teshome Geletaw3 1Public Health, College of Medicine and Health Science, Debre Tabor University, Debre Tabor, Ethiopia; 2Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia; 3Pediatrics and Child Health Nursing, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaCorrespondence: Tigabnesh AssfawPublic Health, College of Health Science, Debre Tabor University, Debre Tabor, EthiopiaTel +251 989763993Email [email protected]: Pneumonia, which is an infection and inflammation of an air-space in the lungs due to an impurity. Child mortality due to pheumonia is estimated at 921,000 children under 5 years (U5) in 2015.Objective: To determine the TTR and factors of severe pneumonia among U5 children admitted at UOGCSH, Northwest Ethiopia.withMethods: A facility-based retrospective follow-up study was conducted on children U5 severe pneumonia from 2015 to 2020. The data were collected using pre-test and structured questionnaires. Statistical analysis was performed using Stata version 14.1.Result: The average TTR was 3 days IQR (3– 6). TTR from severe pneumonia was 13.5 (95% CI: 13.54– 17.15) per 100-persons. The cumulative time for children at risk was 1112 days, with a TTR of 29.7 per 100 children per day. Severity, signs and symptoms of pneumonia (AHR, 3.88 (95% CI =3.12– 5.57)); mode of infancy feeding (cows milk feeding) (AHR, 2.4, (95% CI: 2.22– 6.6)), and formula feeding (AHR, 0.68, (95% CI 0.58– 1.25)) as compared to breastfeeding; nutritional status (underweight) (AHR, 2.2, (95% CI: (2.1– 3.76)) as compared to normal, age (2– 3-years) (AHR, 1.4, (95% CI: 1.31– 2.22)), and ≥ 4-years (AHR, 1.32, (95% CI: 1.3– 2.32)) as compared to age of ≤ 1 year were important factors of TTR.Conclusion: The overall TTR was 3 days IQR (2– 6). This study identifies severity, signs, and symptoms of pneumonia, Mode of infancy feeding (cows milk feeding, formula feeding), nutritional status, and age were main determinants of TTR.Keywords: predictors, severe pneumonia, TTR, Gondar, Northwest Ethiopia
