Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)
Abstract Objectives: to describe the clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011) Methods: pneumonia case series of 80 children aged 28 days to 14 years old at Hospital da Restauração in...
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| Veröffentlicht in: | Revista Brasileira de Saúde Materno Infantil 2016-09, Vol.16 (3), p.247-257 |
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| creator | Brito, Rita de Cássia Coelho Moraes de Guerra, Talitha Coelho Moraes Câmara, Luciana de Holanda Lima Dornelas Mattos, Juliana Dias Pereira Gomes de Mello, Maria Julia Gonçalves de Correia, Jaílson de Barros Silva, Norma Lucena Silva, Giselia Alves Pontes da |
| description | Abstract Objectives: to describe the clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011) Methods: pneumonia case series of 80 children aged 28 days to 14 years old at Hospital da Restauração in Pernambuco, Brazil, from 2010 to 2011. Information was noted from medical files, and two comparison groups were created according to the severity of the disease, considering the presence of pleural effusion. Fisher or Mann-Whitney tests were used for comparative analyses. Results: severe pneumonia with pleural effusion was more frequent in children under five years of age (p=0,025), and was associated with longer period of fever (19 x 15 days) and coughing (17 x 13 days), when compared to non-complicated pneumonia cases. Six children (7,5%, 6/80) died, 50% before the fourth day of hospitalization (p=0,001). All deaths were from the pleural effusion group in children from the countryside (p=0,026). Conclusions: the severity of pneumonia in children attended at this hospital is related to younger children, and those transferred from the health units in the countryside, so, early diagnosis and medical intervention are limited by infrastructure and available resources for the health.
Resumo Objetivos: descrever as características clínicas e desfechos de pneumonia comunitária aguda em crianças assistidas em hospital público de referência no Estado de Pernambuco, Brasil (2010-2011). Métodos: série de casos de pneumonia em 80 crianças de 28 dias a 14 anos no Hospital da Restauração em Pernambuco, Brasil, entre maio de 2010 a 2011. As informações foram anotadas do registro hospitalar, sendo criado dois grupos de comparação de acordo com a gravidade da doença, considerando a presença ou não de derrame pleural. A análise comparativa utilizou os testes de Fisher ou Mann-Whitney. Resultados: pneumonia grave com derrame pleural foi mais frequente em menores de cinco anos (p=0,025), associado a maior período de febre (19 x 15 dias) e tosse (17 x 13 dias), compardo com casos de pneumonia não-complicada. Seis crianças (7,5%, 6/80) morreram. 50% antes do quarto dia de internação (p= 0,001). As mortes foram no grupo com derrame pleural, em crianças do interior do estado (p= 0,026). Conclusões: a gravidade da pneumonia em crianças atendidas neste hospital está relacionada a crianças menores, e naquelas transferidas de unidades de saúde do interior, cujo diagnóstico precoce e inte |
| doi_str_mv | 10.1590/1806-93042016000300003 |
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Resumo Objetivos: descrever as características clínicas e desfechos de pneumonia comunitária aguda em crianças assistidas em hospital público de referência no Estado de Pernambuco, Brasil (2010-2011). Métodos: série de casos de pneumonia em 80 crianças de 28 dias a 14 anos no Hospital da Restauração em Pernambuco, Brasil, entre maio de 2010 a 2011. As informações foram anotadas do registro hospitalar, sendo criado dois grupos de comparação de acordo com a gravidade da doença, considerando a presença ou não de derrame pleural. A análise comparativa utilizou os testes de Fisher ou Mann-Whitney. Resultados: pneumonia grave com derrame pleural foi mais frequente em menores de cinco anos (p=0,025), associado a maior período de febre (19 x 15 dias) e tosse (17 x 13 dias), compardo com casos de pneumonia não-complicada. Seis crianças (7,5%, 6/80) morreram. 50% antes do quarto dia de internação (p= 0,001). As mortes foram no grupo com derrame pleural, em crianças do interior do estado (p= 0,026). Conclusões: a gravidade da pneumonia em crianças atendidas neste hospital está relacionada a crianças menores, e naquelas transferidas de unidades de saúde do interior, cujo diagnóstico precoce e intervenção médica adequada são limitados pela infraestrutura e recursos disponíveis para a saúde.</description><identifier>ISSN: 1519-3829</identifier><identifier>ISSN: 1806-9304</identifier><identifier>EISSN: 1519-3829</identifier><identifier>DOI: 10.1590/1806-93042016000300003</identifier><language>eng</language><publisher>Instituto de Medicina Integral Prof. Fernando Figueira</publisher><subject>Child ; Epidemiological profile ; PEDIATRICS ; Pleural effusion ; Pneumonia</subject><ispartof>Revista Brasileira de Saúde Materno Infantil, 2016-09, Vol.16 (3), p.247-257</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3233-ee2b105e03c354da2ca257fc8c30cdeb84e3870ef2c0f9a9eac298f5267f0fd73</citedby><cites>FETCH-LOGICAL-c3233-ee2b105e03c354da2ca257fc8c30cdeb84e3870ef2c0f9a9eac298f5267f0fd73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,864,885,27924,27925</link.rule.ids></links><search><creatorcontrib>Brito, Rita de Cássia Coelho Moraes de</creatorcontrib><creatorcontrib>Guerra, Talitha Coelho Moraes</creatorcontrib><creatorcontrib>Câmara, Luciana de Holanda Lima Dornelas</creatorcontrib><creatorcontrib>Mattos, Juliana Dias Pereira Gomes de</creatorcontrib><creatorcontrib>Mello, Maria Julia Gonçalves de</creatorcontrib><creatorcontrib>Correia, Jaílson de Barros</creatorcontrib><creatorcontrib>Silva, Norma Lucena</creatorcontrib><creatorcontrib>Silva, Giselia Alves Pontes da</creatorcontrib><title>Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)</title><title>Revista Brasileira de Saúde Materno Infantil</title><addtitle>Rev. Bras. Saude Mater. Infant</addtitle><description>Abstract Objectives: to describe the clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011) Methods: pneumonia case series of 80 children aged 28 days to 14 years old at Hospital da Restauração in Pernambuco, Brazil, from 2010 to 2011. Information was noted from medical files, and two comparison groups were created according to the severity of the disease, considering the presence of pleural effusion. Fisher or Mann-Whitney tests were used for comparative analyses. Results: severe pneumonia with pleural effusion was more frequent in children under five years of age (p=0,025), and was associated with longer period of fever (19 x 15 days) and coughing (17 x 13 days), when compared to non-complicated pneumonia cases. Six children (7,5%, 6/80) died, 50% before the fourth day of hospitalization (p=0,001). All deaths were from the pleural effusion group in children from the countryside (p=0,026). Conclusions: the severity of pneumonia in children attended at this hospital is related to younger children, and those transferred from the health units in the countryside, so, early diagnosis and medical intervention are limited by infrastructure and available resources for the health.
Resumo Objetivos: descrever as características clínicas e desfechos de pneumonia comunitária aguda em crianças assistidas em hospital público de referência no Estado de Pernambuco, Brasil (2010-2011). Métodos: série de casos de pneumonia em 80 crianças de 28 dias a 14 anos no Hospital da Restauração em Pernambuco, Brasil, entre maio de 2010 a 2011. As informações foram anotadas do registro hospitalar, sendo criado dois grupos de comparação de acordo com a gravidade da doença, considerando a presença ou não de derrame pleural. A análise comparativa utilizou os testes de Fisher ou Mann-Whitney. Resultados: pneumonia grave com derrame pleural foi mais frequente em menores de cinco anos (p=0,025), associado a maior período de febre (19 x 15 dias) e tosse (17 x 13 dias), compardo com casos de pneumonia não-complicada. Seis crianças (7,5%, 6/80) morreram. 50% antes do quarto dia de internação (p= 0,001). As mortes foram no grupo com derrame pleural, em crianças do interior do estado (p= 0,026). Conclusões: a gravidade da pneumonia em crianças atendidas neste hospital está relacionada a crianças menores, e naquelas transferidas de unidades de saúde do interior, cujo diagnóstico precoce e intervenção médica adequada são limitados pela infraestrutura e recursos disponíveis para a saúde.</description><subject>Child</subject><subject>Epidemiological profile</subject><subject>PEDIATRICS</subject><subject>Pleural effusion</subject><subject>Pneumonia</subject><issn>1519-3829</issn><issn>1806-9304</issn><issn>1519-3829</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNplkc9u1DAQxiMEEqXwCshHkEgZ28kmPsKq0EqVQCqcrclkTL1K4sV2DuVheFYcFhUkLmN_luc3f76qeinhQrYG3soedrXR0CiQOwDQsIVH1Zlspal1r8zjf-5Pq2cpHQCUAdOeVT_3k1884SToDiNS5uhT9pQELqMIa6YwcxLBCaQ1syhyXhef74v-vvrIozguvM5h8Sj8Uih-GiMvArNAEdlxEcTiuA6TJ3EX0tHnUq18_cxxwXlYKYjbjJnfiPcRf_hJvCqDQF2CfP28euJwSvziz3leff1w-WV_Vd98-ni9f3dTk1Za18xqkNAyaNJtM6IiVG3nqCcNNPLQN6z7DtgpAmfQMJIyvWvVrnPgxk6fV9cn7hjwYI_RzxjvbUBvfz-E-M1iLGuZ2KJqOtWY3jinGjkMqIbCUSRLvy02UFgXJ1Yiz1Owh7CWQadkbzcT7GbCX6cKrCTsTgkUQ0plZw8NSLCbxXaz2P5nsf4FeZyXhw</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Brito, Rita de Cássia Coelho Moraes de</creator><creator>Guerra, Talitha Coelho Moraes</creator><creator>Câmara, Luciana de Holanda Lima Dornelas</creator><creator>Mattos, Juliana Dias Pereira Gomes de</creator><creator>Mello, Maria Julia Gonçalves de</creator><creator>Correia, Jaílson de Barros</creator><creator>Silva, Norma Lucena</creator><creator>Silva, Giselia Alves Pontes da</creator><general>Instituto de Medicina Integral Prof. Fernando Figueira</general><general>Instituto Materno Infantil de Pernambuco</general><scope>AAYXX</scope><scope>CITATION</scope><scope>GPN</scope><scope>DOA</scope></search><sort><creationdate>20160901</creationdate><title>Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)</title><author>Brito, Rita de Cássia Coelho Moraes de ; Guerra, Talitha Coelho Moraes ; Câmara, Luciana de Holanda Lima Dornelas ; Mattos, Juliana Dias Pereira Gomes de ; Mello, Maria Julia Gonçalves de ; Correia, Jaílson de Barros ; Silva, Norma Lucena ; Silva, Giselia Alves Pontes da</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3233-ee2b105e03c354da2ca257fc8c30cdeb84e3870ef2c0f9a9eac298f5267f0fd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Child</topic><topic>Epidemiological profile</topic><topic>PEDIATRICS</topic><topic>Pleural effusion</topic><topic>Pneumonia</topic><toplevel>online_resources</toplevel><creatorcontrib>Brito, Rita de Cássia Coelho Moraes de</creatorcontrib><creatorcontrib>Guerra, Talitha Coelho Moraes</creatorcontrib><creatorcontrib>Câmara, Luciana de Holanda Lima Dornelas</creatorcontrib><creatorcontrib>Mattos, Juliana Dias Pereira Gomes de</creatorcontrib><creatorcontrib>Mello, Maria Julia Gonçalves de</creatorcontrib><creatorcontrib>Correia, Jaílson de Barros</creatorcontrib><creatorcontrib>Silva, Norma Lucena</creatorcontrib><creatorcontrib>Silva, Giselia Alves Pontes da</creatorcontrib><collection>CrossRef</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista Brasileira de Saúde Materno Infantil</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brito, Rita de Cássia Coelho Moraes de</au><au>Guerra, Talitha Coelho Moraes</au><au>Câmara, Luciana de Holanda Lima Dornelas</au><au>Mattos, Juliana Dias Pereira Gomes de</au><au>Mello, Maria Julia Gonçalves de</au><au>Correia, Jaílson de Barros</au><au>Silva, Norma Lucena</au><au>Silva, Giselia Alves Pontes da</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)</atitle><jtitle>Revista Brasileira de Saúde Materno Infantil</jtitle><addtitle>Rev. Bras. Saude Mater. Infant</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>16</volume><issue>3</issue><spage>247</spage><epage>257</epage><pages>247-257</pages><issn>1519-3829</issn><issn>1806-9304</issn><eissn>1519-3829</eissn><abstract>Abstract Objectives: to describe the clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011) Methods: pneumonia case series of 80 children aged 28 days to 14 years old at Hospital da Restauração in Pernambuco, Brazil, from 2010 to 2011. Information was noted from medical files, and two comparison groups were created according to the severity of the disease, considering the presence of pleural effusion. Fisher or Mann-Whitney tests were used for comparative analyses. Results: severe pneumonia with pleural effusion was more frequent in children under five years of age (p=0,025), and was associated with longer period of fever (19 x 15 days) and coughing (17 x 13 days), when compared to non-complicated pneumonia cases. Six children (7,5%, 6/80) died, 50% before the fourth day of hospitalization (p=0,001). All deaths were from the pleural effusion group in children from the countryside (p=0,026). Conclusions: the severity of pneumonia in children attended at this hospital is related to younger children, and those transferred from the health units in the countryside, so, early diagnosis and medical intervention are limited by infrastructure and available resources for the health.
Resumo Objetivos: descrever as características clínicas e desfechos de pneumonia comunitária aguda em crianças assistidas em hospital público de referência no Estado de Pernambuco, Brasil (2010-2011). Métodos: série de casos de pneumonia em 80 crianças de 28 dias a 14 anos no Hospital da Restauração em Pernambuco, Brasil, entre maio de 2010 a 2011. As informações foram anotadas do registro hospitalar, sendo criado dois grupos de comparação de acordo com a gravidade da doença, considerando a presença ou não de derrame pleural. A análise comparativa utilizou os testes de Fisher ou Mann-Whitney. Resultados: pneumonia grave com derrame pleural foi mais frequente em menores de cinco anos (p=0,025), associado a maior período de febre (19 x 15 dias) e tosse (17 x 13 dias), compardo com casos de pneumonia não-complicada. Seis crianças (7,5%, 6/80) morreram. 50% antes do quarto dia de internação (p= 0,001). As mortes foram no grupo com derrame pleural, em crianças do interior do estado (p= 0,026). Conclusões: a gravidade da pneumonia em crianças atendidas neste hospital está relacionada a crianças menores, e naquelas transferidas de unidades de saúde do interior, cujo diagnóstico precoce e intervenção médica adequada são limitados pela infraestrutura e recursos disponíveis para a saúde.</abstract><pub>Instituto de Medicina Integral Prof. Fernando Figueira</pub><doi>10.1590/1806-93042016000300003</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Child Epidemiological profile PEDIATRICS Pleural effusion Pneumonia |
| title | Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011) |
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