TY - JOUR T1 -越南中部因肺炎住院儿童的特征:前瞻性研究JF -欧洲呼吸杂志》乔和J - 10.1183/13993003.02256 -2018欧元六世- 54 - 1 SP - 1802256 AU Nguyen Phuong T.K. AU - Tran黄平君t . AU -菲茨杰拉德,多米尼克·a . AU - Tran Thach s . AU -格雷厄姆,斯蒂芬·m . AU - Marais说本J. Y1 - 2019/07/01 UR - //www.qdcxjkg.com/content/54/1/1802256.abstract N2 -肺炎是越南儿科住院最常见的原因。在越南使用世界卫生组织(世卫组织)病例管理方法的潜在价值尚未得到记录。我们对岘港妇幼医院所有因“肺炎”(由住院医生评估)入院的儿童(2-59个月)进行了前瞻性描述性研究，以确定他们的疾病特征，并评估不良结局的危险因素。根据WHO肺炎标准对疾病概况进行分类，以呼吸急促或胸部吸气作为定义的临床体征。不良结局定义为死亡、重症监护室入院、三级护理中转或住院10天。4206例入院患者中，1758例(41.8%)根据WHO标准被归类为“无肺炎”，只有252例(6.0%)符合修订后的“严重肺炎”标准。住院病人死亡率很低(住院病人的0.4%)，死亡人数最多(16人中有11人死亡;68.8%)发生在“重症肺炎”组。 An adverse outcome was recorded in 18.7% of all admissions and 60.7% of the “severe pneumonia” group. Children were hospitalised for a median of 7 days at an average cost of 253 USD per admission. Risk factors for adverse outcome included WHO-classified “severe pneumonia”, age <1 year, low birth weight, previous recent admission with an acute respiratory infection and recent tuberculosis exposure. Breastfeeding, day-care attendance and pre-admission antibiotic use were associated with reduced risk.Few hospital admissions met WHO criteria for “severe pneumonia”, suggesting potential unnecessary hospitalisation and use of intravenous antibiotics. Better characterisation of the underlying diagnosis requires careful consideration.Many child “pneumonia” admissions in central Vietnam do not meet WHO case management criteria for hospitalisation or intravenous antibiotics. Accurate aetiological diagnosis is challenging and astute clinical judgement should guide optimal management. http://ow.ly/vkHV30ojiOY ER -