Validity of Pneumonia Severity Score in Predicting Mortality of Pediatric Patients in a Tertiary Care Hospital

  • Shweta Pathak NSCB MCH, Jabalpur, Madhya Pradesh, India
  • Deepak Gupta NSCB MCH, Jabalpur, Madhya Pradesh, India
Keywords: Modified PSI, Outcome, PICU,, Pneumonia

Abstract

Background: Pneumonia is estimated to kill 410,000 children in India every year. In India, recent estimates in under-fives suggest that 13% of deaths and 24% of the National Burden of Disease is due to pneumonia. Very few studies have evaluated the predictors of mortality in children with pneumonia in developing countries. Hence, this study was planned to study predictors of mortality in children aged 1–59 months based on pneumonia severity score (PSS) in hospitalized patients with severe pneumonia.
Objective: The objective of this study is to assess the factors (clinical and investigational) contributing to the mortality in patients based on PSS in hospitalized patients diagnosed with severe pneumonia.
Materials and Methods: The present observational longitudinal study was carried out in a tertiary care PICU in a Govt. NSCB Medical College, Jabalpur for of 1 years (Ian 2019–December 2019). Children diagnosed as severe pneumonia of either sex between age group 1–59 months admitted in a hospital were enrolled in the study. Demographic data, clinical details, and laboratory parameters of the enrolled cases were recorded in a predesigned pretested pro forma. PSS was calculated and correlated with the outcome of the patients enrolled and followed up till discharge or death.
Results: Mortality was observed in 11 cases, and of them, 4 (36.4%) were males and 7 (63.6%) patients were females. This study showed that among clinical parameters pulse rate and SpO2 were significantly raised (63.6%) and saturation was significantly <90 (72.7%) in children who succumbed to death (P < 0.05). This study observed a statistically highly significant association of PSS with the outcome of children (P < 0.01).

Author Biographies

Shweta Pathak, NSCB MCH, Jabalpur, Madhya Pradesh, India

Assistant Professor,, Department of Paediatrics

Deepak Gupta, NSCB MCH, Jabalpur, Madhya Pradesh, India

Post Graduate student of DCH, Department of Paediatrics

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Published
2021-09-28