Factores de riesgo de fallecer en domicilio por neumonía de niños chilenos de estratos socioeconómicos bajos, Santiago de Chile: 1990-1994 / Risk factors for home deaths due to pneumonia among low socioeconomic level Chilean children, Santiago de Chile: 1990-1994
Rev. méd. Chile
; 128(6): 627-32, jun. 2000. tab
Article
in Spanish
| LILACS
| ID: lil-268147
Responsible library:
CL1.1
RESUMO
Background:
Pneumonia is the main cause of late infant mortality in Chile. Over 60 percent of these deaths occur at home. The lack of hospital beds and the inadequate outpatient management are contributing factors.Aim:
To assess risk factors for home deaths due to pneumonia in Chilean children. Patients andmethods:
The clinical and environmental histories of 53 (39 male) children that died due to pneumonia in their homes were analyzed. The cause of death was confirmed by necropsy with histopathological studies in all cases. These cases were compared with 88 control children of similar age, gender, socioeconomic status and living in the same geographical area of Metropolitan Santiago.Results:
Fifty four percent of deceased children were of less than 3 months of age and only 3 cases and their controls were above1 year old. Identified risk factors for death were malnutrition with an odds ratio of 30.6 (CI 3.9-64.8, p< 0.001), low birth weight with an odds ratio of 5 (CI 1.8-14.1, p< 0.001), previous admissions to hospitals with an odds ratio of 5.79 (CI 2-17.1, p< 0.001), congenital malformations (mainly cardiac) with an odds ratio of 8.4 (CI 2-39.9, p= 0.001) and a history of bronchial obstruction with an odds ratio of 5.68 (p< 0.001). Identified maternal risk factors were smoking with an odds ratio of 4.13 (CI 1.6-10.7 p< 0.001) and being a teenager with an odds ratio of 4.3 (CI 1.7-11, p<0.001). Malnutrition, low birth weight, history of previous hospital admissions and having a teenager or smoker mother were considered as independent risk factors using a stepwise analysis.Conclusions:
Chilean low income children have identifiable risk factors for death at their homes due to pneumonia, that can be preventively managed
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
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SDG3 - Target 3.3 End transmission of communicable diseases
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SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
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SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5
Health problem:
Target 3.8 Achieve universal access to health
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Target 3.1: Reduce maternal mortality
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Target 3.2: Reduce avoidable death in newborns and children under 5
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Pneumonia
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Other Respiratory Diseases
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Environmental Health
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Infections
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Neonatal Healthcare
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Noncommunicable Diseases
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Nutrition
Database:
LILACS
Main subject:
Pneumonia
Type of study:
Etiology study
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Prognostic study
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Risk factors
Aspects:
Social determinants of health
Limits:
Child, preschool
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Female
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Humans
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Infant
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Male
Country/Region as subject:
South America
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Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2000
Document type:
Article