Severity of childhood community-acquired pneumonia and chest radiographic findings

Detalhes bibliográficos
Autor(a) principal: Key, Ng Kin
Data de Publicação: 2009
Outros Autores: Araujo Neto, Cesar Augusto de, Carvalho, Cristiana Maria Costa Nascimento de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/13335
Resumo: Texto completo: acesso restrito. p. 249-252
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spelling Key, Ng KinAraujo Neto, Cesar Augusto deCarvalho, Cristiana Maria Costa Nascimento de2013-10-30T17:48:50Z20098755-6863http://repositorio.ufba.br/ri/handle/ri/13335v. 44, n. 3Texto completo: acesso restrito. p. 249-252To assess if chest radiographic findings present on admission are associated with severity of childhood community-acquired pneumonia (CAP), a total of 161 children hospitalized with pulmonary infiltrate were enrolled in the study; 48 (30%) patients were excluded because of presence of bilateral chest radiographic alterations (33; 20%) and presence of underlying diseases (15; 9%). According to WHO and BTS criteria, severe CAP was present in 57 (50%) and in 96 (85%) cases, respectively; 29 (26%) were aged less than 1 year. The median age (months) was 22 (mean 24 ± 14, range 2–58). Overall, radiographic finding was right-sided in 77 (68%) cases and the upper lobe was compromised in 36 (32%) cases. By analyzing data stratified to age, the frequency of upper lobe involvement was significantly higher among severe cases (WHO criteria) only for those patients aged ≥1 year (13/35 [37%] vs. 7/45 [16%], P = 0.03, OR [95% CI] 3.2 [1.1–9.2]). The specificity and positive predictive value of upper lobe involvement for severity among the latter group of patients were 84% (95% CI 70–93%) and 65% (95% CI 41–84%), respectively. No association was found by using the BTS criteria. The admission chest radiography was useful to predict severity of children aged ≥1 year hospitalized with CAP. Pediatr Pulmonol. 2009; 44:249–252. © 2009 Wiley-Liss, Inc.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-10-15T17:35:42Z No. of bitstreams: 1 Ng Kin Key20988_ftp.pdf: 53710 bytes, checksum: 821c5c25e7ec67f743fa893aad4d7d27 (MD5)Approved for entry into archive by Rodrigo Meirelles (rodrigomei@ufba.br) on 2013-10-30T17:48:50Z (GMT) No. of bitstreams: 1 Ng Kin Key20988_ftp.pdf: 53710 bytes, checksum: 821c5c25e7ec67f743fa893aad4d7d27 (MD5)Made available in DSpace on 2013-10-30T17:48:50Z (GMT). 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dc.title.pt_BR.fl_str_mv Severity of childhood community-acquired pneumonia and chest radiographic findings
dc.title.alternative.pt_BR.fl_str_mv Pediatric Pulmonology
title Severity of childhood community-acquired pneumonia and chest radiographic findings
spellingShingle Severity of childhood community-acquired pneumonia and chest radiographic findings
Key, Ng Kin
Pulmonary infiltrate
Pneumonia location
Severity predictor
title_short Severity of childhood community-acquired pneumonia and chest radiographic findings
title_full Severity of childhood community-acquired pneumonia and chest radiographic findings
title_fullStr Severity of childhood community-acquired pneumonia and chest radiographic findings
title_full_unstemmed Severity of childhood community-acquired pneumonia and chest radiographic findings
title_sort Severity of childhood community-acquired pneumonia and chest radiographic findings
author Key, Ng Kin
author_facet Key, Ng Kin
Araujo Neto, Cesar Augusto de
Carvalho, Cristiana Maria Costa Nascimento de
author_role author
author2 Araujo Neto, Cesar Augusto de
Carvalho, Cristiana Maria Costa Nascimento de
author2_role author
author
dc.contributor.author.fl_str_mv Key, Ng Kin
Araujo Neto, Cesar Augusto de
Carvalho, Cristiana Maria Costa Nascimento de
dc.subject.por.fl_str_mv Pulmonary infiltrate
Pneumonia location
Severity predictor
topic Pulmonary infiltrate
Pneumonia location
Severity predictor
description Texto completo: acesso restrito. p. 249-252
publishDate 2009
dc.date.issued.fl_str_mv 2009
dc.date.accessioned.fl_str_mv 2013-10-30T17:48:50Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/13335
dc.identifier.issn.none.fl_str_mv 8755-6863
dc.identifier.number.pt_BR.fl_str_mv v. 44, n. 3
identifier_str_mv 8755-6863
v. 44, n. 3
url http://repositorio.ufba.br/ri/handle/ri/13335
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.country.fl_str_mv Brasil
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1002/ppul.20988
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