Under-Five Pneumonia Patients in Menz Geramidr Mehalmeda Hospital North Shewa, Ethiopia:Bayesian Parametric Survival Model

FekadeGetabile, AdimiasWendimagegn
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Abstract

Background: Pneumonia is that the most wanted largest infectious reason for death in children worldwide. It’s most prevalent in South Asia and geographic region. In Ethiopia, pneumonia could be a leading single disease killing under-five children. Parametric survival analysis is defined as a group of longitudinal analysis methods for interrogating data having time as an outcome variable and Bayesian analysis is employed to boost the precision of the results by introducing external information in terms of the prior distribution. The aim of this study was to analyze the survival rate of under-five pneumonia patients in Menz Gera Mehalmeda Hospital using Bayesian survival analysis. Methodology: Retrospective study was conducted in Menz Gera Mehalmeda Hospital from September1,2002 up to August 30,2020. Children whose age between greater than 29 days and less than five year were included within the study and Patients with insufficient information were excluded from the study. The parametric classical AFT models and Bayesian AFT models were used for the analysis. Result: The results implied that patients whose residence were urban, male patients, age groups of patient at the age (12-23) months, (24-35) months, (36-47) months and (48-59) months, patients without comorbidity, patients without severe acute malnutrition (SAM), was prolonged timing death of under-five pneumonia patients, while female patients, age of patients at the age of(1-11) months, patients with comorbidity, patients whose residence was rural and patients with severe acute malnutrition (SAM) were statistically significantly shorten timing of death. Conclusion: Finally, the findings of this study implied that the sex of children, residence of children, age of children, Co-morbidity, Severe Acute Malnutrition(SAM) and weight were major factors related to survival time of under-five pneumonia patients in Menz Gera Mehalmeda Hospital.
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埃塞俄比亚北谢瓦Menz Geramidr Mehalmeda医院五岁以下肺炎患者:贝叶斯参数生存模型
背景:肺炎是全世界儿童死亡的最大传染病。它在南亚和其他地理区域最为普遍。在埃塞俄比亚,肺炎可能是导致五岁以下儿童死亡的主要单一疾病。参数生存分析是一组以时间为结果变量对数据进行查询的纵向分析方法,采用贝叶斯分析通过引入先验分布的外部信息来提高结果的精度。本研究的目的是利用贝叶斯生存分析分析Menz Gera Mehalmeda医院五岁以下肺炎患者的生存率。方法:回顾性研究于2002年9月1日至2020年8月30日在Menz Gera Mehalmeda医院进行。年龄大于29天至小于5岁的儿童被纳入研究,信息不足的患者被排除在研究之外。采用参数化经典AFT模型和贝叶斯AFT模型进行分析。结果:结果表明:居住地为城市、男性、患者年龄为(12-23)个月、(24-35)个月、(36-47)个月和(48-59)个月、无合并症、无严重急性营养不良(SAM)的5岁以下肺炎患者为延长时间死亡,而女性、患者年龄为(1-11)个月、合并合并症的患者为延长时间死亡。农村和严重急性营养不良(SAM)患者的死亡时间明显缩短。结论:最后,本研究结果提示,儿童性别、儿童居住地、儿童年龄、合并发病率、严重急性营养不良(SAM)和体重是影响Menz Gera Mehalmeda医院5岁以下肺炎患者生存时间的主要因素。
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