Bibliographic citations
Estremadoyro, A., (2021). Factores asociados a casos severos y casos fatales de neumonía adquirida en la comunidad (NAC) en niños menores de 5 años atendidos en el INSN entre los años 2013 – 2015, Lima, Perú [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/658774
Estremadoyro, A., Factores asociados a casos severos y casos fatales de neumonía adquirida en la comunidad (NAC) en niños menores de 5 años atendidos en el INSN entre los años 2013 – 2015, Lima, Perú [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2021. http://hdl.handle.net/10757/658774
@misc{renati/1291453,
title = "Factores asociados a casos severos y casos fatales de neumonía adquirida en la comunidad (NAC) en niños menores de 5 años atendidos en el INSN entre los años 2013 – 2015, Lima, Perú",
author = "Estremadoyro Gallardo, Alberto Martín",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2021"
}
Introduction: Pneumonia is the leading cause of death in children under 5 years of age globally and 90% of its cases are registered in developing countries. To determine the factors associated (AF) to severe cases (SC) and fatal cases (CF) of community-acquired pneumonia (CAP) in children under five years of age treated at the INSN between the years 2013-2015 in Lima, Peru. Materials and Methods: An observational, retrospective, analytical case-control study was carried out in patients treated at the INSN between 2013 and 2015; The study was divided into 2 sub-studies, to determine the factors associated with fatal cases we have the so-called “A” sub-study and the so-called “B” sub-study to determine the factors associated with severe cases. Results: The factors associated with fatal cases in children between 1 to 59 months with CAP treated at the INSN were: Being between 1 to 5 months old (ORa = 3.61, CI: 1.1-11.76), acute malnutrition (ORa = 3.74, CI: 1.1-12.63), have multilobar consolidated (ORa = 3.1, CI: 1.006-9.5) and have consolidated in patch (ORa = 0.17, CI: 0.057-0.5). The factors associated with severe cases were: Being between 1 and 5 months old (ORa = 0.28, CI: 0.18-0.55), being preterm (ORa = 0.36, CI: 0.17-0.77), having diarrhea (ORa = 0.36, CI : 0.15-0.87), that the caregiver has a secondary education grade (ORa = 2.43, IC: 1.36-4.35), refuse to eat (ORa = 3.84, IC: 1.14-12.84) and have asthma (ORa = 10.66, IC: 1.11-102.3). Conclusions: The factors associated with mortality identified are: age between 1 to 5 months, having acute malnutrition, having consolidated multilobar. Risk factors for severity are: secondary caregiver education level, refusal to eat, and asthma.
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