Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil

Detalhes bibliográficos
Autor(a) principal: Carvalho, Cristiana Maria Costa Nascimento de
Data de Publicação: 2002
Outros Autores: Rocha, Heonir, Benguigui, Yehuda
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/14501
Resumo: Texto completo: acesso restrito. p. 244–248
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spelling Carvalho, Cristiana Maria Costa Nascimento deRocha, HeonirBenguigui, YehudaCarvalho, Cristiana Maria Costa Nascimento deRocha, HeonirBenguigui, Yehuda2014-01-30T13:06:47Z20028755-6863http://repositorio.ufba.br/ri/handle/ri/14501v. 33, n. 4Texto completo: acesso restrito. p. 244–248Two different socioeconomic groups of children with pneumonia were studied, and their clinical and demographic aspects were evaluated. The diagnosis of pneumonia was based on findings of cough and tachypnea, or on crackles on auscultation or on radiologically confirmed infiltrate. This was a prospective cross-sectional study conducted at the Professor Hosannah de Oliveira Pediatric Center, which cares for children of lower socioeconomic status (PHOPC), and at one private hospital which cares for children from middle to high socioeconomic status (Aliança Hospital, AH). Demographics and clinical differences were assessed by the Pearson chi-square test or Fisher's exact test as appropriate; means of continuous variables were compared by Mann-Whitney U-test. In a 26-month period, 3,431 cases were recruited. The 2,476 cases identified at the PHOPC were younger than the 955 identified at AH (2.2 ± 2.3 vs. 4.5 ± 3.1 years, P < 0.0001) and had higher scores for severity (3.5 ± 1.5 vs. 2.7 ± 1.7, P < 0.0001), duration of hospitalization (days) (10.9 ± 12.1 vs. 6.2 ± 7, P < 0.0001), frequency of tobacco smoker in the household (48% vs. 31%, P < 0.0001), cardiopathy (15.3% vs. 5.9%, P = 0.003), fever (44.4% vs. 36.3%, P = 0.0001), tachypnea (67.6% vs. 32.3%, P < 0.0001), crackles (69.5% vs. 64.9%, P = 0.02), somnolence (19.9% vs. 10.4%, P < 0.0001), malnutrition (13.7% vs. 5%, P < 0.0001), hospitalization rate (27.4% vs. 22.5%, P = 0.003), and death (0.9% vs. 0.1%, P = 0.009). However, other features were more frequent among AH cases: parent's university level of education (38.2% vs. 1.0%, P < 0.0001), underlying chronic illness (40.6% vs. 28.5%, P < 0.0001), asthma (62.7% vs. 50.8%, P = 0.01), rhinitis (9.2% vs. 0.4%, P < 0.0001), previous use of antibiotics (34.3% vs. 27.1%, P = 0.001), and wheezing (53.1% vs. 42.2%, P < 0.0001). Children of lower socioeconomic status have more serious lower respiratory tract disease, whereas children with pneumonia of middle to high socioeconomic status have more allergic diseases (rhinitis, asthma) and wheezing. Pediatr Pulmonol. 2002; 33:244–248. © 2002 Wiley-Liss, Inc.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-01-28T13:44:09Z No. of bitstreams: 1 Cristiana M. Nascimento Carvalho.pdf: 104585 bytes, checksum: 39151a347ffc7fe30c68a50571f2c25e (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2014-01-30T13:06:47Z (GMT) No. of bitstreams: 1 Cristiana M. Nascimento Carvalho.pdf: 104585 bytes, checksum: 39151a347ffc7fe30c68a50571f2c25e (MD5)Made available in DSpace on 2014-01-30T13:06:47Z (GMT). No. of bitstreams: 1 Cristiana M. Nascimento Carvalho.pdf: 104585 bytes, checksum: 39151a347ffc7fe30c68a50571f2c25e (MD5) Previous issue date: 2002http://dx.doi.org/ 10.1002/ppul.10078reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAPneumoniaAsthmaChildrenHospitalizationMortalityOutpatientsRhinitisSocioeconomic statusLower respiratory tract diseaseSecond-hand smokeEpidemiologyEffects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast BrazilPediatric Pulmonologyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINALCristiana M. Nascimento Carvalho.pdfCristiana M. 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dc.title.pt_BR.fl_str_mv Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil
dc.title.alternative.pt_BR.fl_str_mv Pediatric Pulmonology
title Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil
spellingShingle Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil
Carvalho, Cristiana Maria Costa Nascimento de
Pneumonia
Asthma
Children
Hospitalization
Mortality
Outpatients
Rhinitis
Socioeconomic status
Lower respiratory tract disease
Second-hand smoke
Epidemiology
title_short Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil
title_full Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil
title_fullStr Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil
title_full_unstemmed Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil
title_sort Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil
author Carvalho, Cristiana Maria Costa Nascimento de
author_facet Carvalho, Cristiana Maria Costa Nascimento de
Rocha, Heonir
Benguigui, Yehuda
author_role author
author2 Rocha, Heonir
Benguigui, Yehuda
author2_role author
author
dc.contributor.author.fl_str_mv Carvalho, Cristiana Maria Costa Nascimento de
Rocha, Heonir
Benguigui, Yehuda
Carvalho, Cristiana Maria Costa Nascimento de
Rocha, Heonir
Benguigui, Yehuda
dc.subject.por.fl_str_mv Pneumonia
Asthma
Children
Hospitalization
Mortality
Outpatients
Rhinitis
Socioeconomic status
Lower respiratory tract disease
Second-hand smoke
Epidemiology
topic Pneumonia
Asthma
Children
Hospitalization
Mortality
Outpatients
Rhinitis
Socioeconomic status
Lower respiratory tract disease
Second-hand smoke
Epidemiology
description Texto completo: acesso restrito. p. 244–248
publishDate 2002
dc.date.issued.fl_str_mv 2002
dc.date.accessioned.fl_str_mv 2014-01-30T13:06:47Z
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/14501
dc.identifier.issn.none.fl_str_mv 8755-6863
dc.identifier.number.pt_BR.fl_str_mv v. 33, n. 4
identifier_str_mv 8755-6863
v. 33, n. 4
url http://repositorio.ufba.br/ri/handle/ri/14501
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.pt_BR.fl_str_mv http://dx.doi.org/ 10.1002/ppul.10078
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