MD Kasekete, P. Kuona, C. Timire, JK Chun, K. Nathoo, H. Mujuru
{"title":"Clinical characteristics and outcome of children admitted with bronchiolitis at Sally Mugabe Hospital, Harare, Zimbabwe","authors":"MD Kasekete, P. Kuona, C. Timire, JK Chun, K. Nathoo, H. Mujuru","doi":"10.4314/cajm.v68i7-12.2","DOIUrl":null,"url":null,"abstract":"Main Objective: To document clinical characteristics and outcomes of patients admitted with bronchiolitis at the Children's Hospital, Harare March 2018 to February 2019. \nStudy Design: A hospital based analytical cross sectional study. \nStudy Setting: The study was conducted at the Children's Hospital, Sally Mugabe Hospital. \nMaterials and Methods: Children aged 2months to 2 years hospitalised with bronchiolitis Results: A total of 206 children were recruited. Mean age was 5.4 (SD ±4.3) months with 148 (72%) less than six months. The male to female ratio of 1.8:1. Only 15% of the children were born preterm (85%). The main symptoms were cough (91%), rhinorrhoea (69%) and hot body (66%). Thirteen percent had a comorbid condition. Physical examination findings were mainly tachypnoea (89%) and hypoxia (83%). A severe modified Tal (mTal) score was noted in 116(56%) children at admission and 51(25%) still had a severe mTal score when repeated within 12 hours of admission. The median length of hospital stay was 4 days (IQR 3; 6) and 90(44%) children had a prolonged stay (>4 days). Only 3 (1.5%) children died. A high repeat mTal score, wasting, hypoxia and expiratory/inspiratory wheezes, were associated with a prolonged hospital stay. (p= 0.025, p= 0.004, p=0.001, p= 0.007 respectively). \nConclusion: Majority of children admitted with bronchiolitis were less than 6 months of age. There was a male predominance. Bronchiolitis causes high morbidity but low mortality in children from this low-income setting.","PeriodicalId":74979,"journal":{"name":"The Central African journal of medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Central African journal of medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/cajm.v68i7-12.2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Main Objective: To document clinical characteristics and outcomes of patients admitted with bronchiolitis at the Children's Hospital, Harare March 2018 to February 2019.
Study Design: A hospital based analytical cross sectional study.
Study Setting: The study was conducted at the Children's Hospital, Sally Mugabe Hospital.
Materials and Methods: Children aged 2months to 2 years hospitalised with bronchiolitis Results: A total of 206 children were recruited. Mean age was 5.4 (SD ±4.3) months with 148 (72%) less than six months. The male to female ratio of 1.8:1. Only 15% of the children were born preterm (85%). The main symptoms were cough (91%), rhinorrhoea (69%) and hot body (66%). Thirteen percent had a comorbid condition. Physical examination findings were mainly tachypnoea (89%) and hypoxia (83%). A severe modified Tal (mTal) score was noted in 116(56%) children at admission and 51(25%) still had a severe mTal score when repeated within 12 hours of admission. The median length of hospital stay was 4 days (IQR 3; 6) and 90(44%) children had a prolonged stay (>4 days). Only 3 (1.5%) children died. A high repeat mTal score, wasting, hypoxia and expiratory/inspiratory wheezes, were associated with a prolonged hospital stay. (p= 0.025, p= 0.004, p=0.001, p= 0.007 respectively).
Conclusion: Majority of children admitted with bronchiolitis were less than 6 months of age. There was a male predominance. Bronchiolitis causes high morbidity but low mortality in children from this low-income setting.