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Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region

Childhood pneumonia is a leading cause of morbidity and mortality among underfives particularly in the resource-constraint part of the world. A high proportion of these deaths are due to lack of oxygen, thereby making oxygen administration a life-saving adjunctive when indicated. However, many prima...

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Autores principales: Kuti, Bankole Peter, Adegoke, Samuel Ademola, Ebruke, Benard E., Howie, Stephen, Oyelami, Oyeku Akibu, Ota, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684098/
https://www.ncbi.nlm.nih.gov/pubmed/23819060
http://dx.doi.org/10.1155/2013/435976
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author Kuti, Bankole Peter
Adegoke, Samuel Ademola
Ebruke, Benard E.
Howie, Stephen
Oyelami, Oyeku Akibu
Ota, Martin
author_facet Kuti, Bankole Peter
Adegoke, Samuel Ademola
Ebruke, Benard E.
Howie, Stephen
Oyelami, Oyeku Akibu
Ota, Martin
author_sort Kuti, Bankole Peter
collection PubMed
description Childhood pneumonia is a leading cause of morbidity and mortality among underfives particularly in the resource-constraint part of the world. A high proportion of these deaths are due to lack of oxygen, thereby making oxygen administration a life-saving adjunctive when indicated. However, many primary health centres that manage most of the cases often lack the adequate manpower and facilities to decide which patient should be on oxygen therapy. Therefore, this study aimed to determine factors that predict hypoxaemia at presentation in children with severe pneumonia. Four hundred and twenty children aged from 2 to 59 months (40% infants) with severe pneumonia admitted to a health centre in rural Gambia were assessed at presentation. Eighty-one of them (19.30%) had hypoxaemia (oxygen saturation < 90%). Children aged 2–11 months, with grunting respiration, cyanosis, and head nodding, and those with cardiomegaly on chest radiograph were at higher risk of hypoxaemia (P < 0.05). Grunting respiration (OR = 5.210, 95% CI 2.287–7.482) and cyanosis (OR = 83.200, 95% CI 5.248–355.111) were independent predictors of hypoxaemia in childhood pneumonia. We conclude that children that grunt and are centrally cyanosed should be preferentially commenced on oxygen therapy even when there is no facility to confirm hypoxaemia.
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spelling pubmed-36840982013-07-01 Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region Kuti, Bankole Peter Adegoke, Samuel Ademola Ebruke, Benard E. Howie, Stephen Oyelami, Oyeku Akibu Ota, Martin ISRN Pediatr Research Article Childhood pneumonia is a leading cause of morbidity and mortality among underfives particularly in the resource-constraint part of the world. A high proportion of these deaths are due to lack of oxygen, thereby making oxygen administration a life-saving adjunctive when indicated. However, many primary health centres that manage most of the cases often lack the adequate manpower and facilities to decide which patient should be on oxygen therapy. Therefore, this study aimed to determine factors that predict hypoxaemia at presentation in children with severe pneumonia. Four hundred and twenty children aged from 2 to 59 months (40% infants) with severe pneumonia admitted to a health centre in rural Gambia were assessed at presentation. Eighty-one of them (19.30%) had hypoxaemia (oxygen saturation < 90%). Children aged 2–11 months, with grunting respiration, cyanosis, and head nodding, and those with cardiomegaly on chest radiograph were at higher risk of hypoxaemia (P < 0.05). Grunting respiration (OR = 5.210, 95% CI 2.287–7.482) and cyanosis (OR = 83.200, 95% CI 5.248–355.111) were independent predictors of hypoxaemia in childhood pneumonia. We conclude that children that grunt and are centrally cyanosed should be preferentially commenced on oxygen therapy even when there is no facility to confirm hypoxaemia. Hindawi Publishing Corporation 2013-06-02 /pmc/articles/PMC3684098/ /pubmed/23819060 http://dx.doi.org/10.1155/2013/435976 Text en Copyright © 2013 Bankole Peter Kuti et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kuti, Bankole Peter
Adegoke, Samuel Ademola
Ebruke, Benard E.
Howie, Stephen
Oyelami, Oyeku Akibu
Ota, Martin
Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region
title Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region
title_full Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region
title_fullStr Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region
title_full_unstemmed Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region
title_short Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region
title_sort determinants of oxygen therapy in childhood pneumonia in a resource-constrained region
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684098/
https://www.ncbi.nlm.nih.gov/pubmed/23819060
http://dx.doi.org/10.1155/2013/435976
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