Socio-demographic and clinical factors predicting time to presentation for children with pneumonia in Ilorin, Nigeria.
No Thumbnail Available
Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
Faculty of Medicine, Alexandria University, Egypt
Abstract
Background: Pneumonia is a major contributor to morbidity and mortality in children, and the time to
presentation is a recognized contributor towards disease severity and outcome.
Objectives: The current study aimed to explore the influence of some socio-demographic and clinical factors
in children with pneumonia on the time to presentation at a health facility in Ilorin, North Central
Nigeria.
Materials and method: A prospective cross-sectional study of 167 children with pneumonia was done. The
duration of the various symptoms and first presentation to a health facility was obtained. Time to presentation
was categorized as 0–2 days (early), 3–5 days (intermediate) and greater than five days (late).
Multinomial logistic regression analysis was used to identify significant predictors of either early or intermediate
presentation compared with late presentation. A p-value of less than 0.05 was considered significant.
Results: Fifty-one (30.5%) children with pneumonia had an early presentation, 73 (43.7%) had intermediate
presentation and 43 (25.7%) were late in presentation. Predictors of early presentation were younger
age (OR 0.96, 95%CI 0.93–0.99), higher respiratory rates (OR 1.03, 95%CI 1.01–1.06) and bronchopneumonia
(OR 6.93, 95%CI 1.52–31.63). Predictors of intermediate presentation were families with few number
of children (OR 0.73, 95%CI 0.57–0.92) and bronchopneumonia (OR 3.41, 95%C.I. 1.02–11.38).
Conclusion: Infancy and families with few children are socio-demographic features that are likely to
determine early-to-intermediate presentation of children with pneumonia while high respiratory rates
and bronchopneumonia are disease related factors that predict early presentation.
Description
Keywords
Socio-demographic, Children, Pneumonia, Time to presentation, Nigeria
Citation
Ibraheem, R.M., Abdulkadir, M.B., Gobir, A.A. & Johnson, W.B.R. (2017): Socio-demographic and clinical factors predicting time to presentation for children with pneumonia in Ilorin, Nigeria. Alexandria Journal of Medicine. doi:10.1016/j.ajme.2017.05.013