Factors Affecting the Length of Stay for Children Hospitalized with Community-Acquired Pneumonia
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Abstract
BACKGROUND: Community-acquired pneumonia is an acute form of lower respiratory infection that is most common in children. The length of stay in hospital depends on the characteristics of the patient and hospital, though several clinical factors may impact the pneumonia-associated length of stay.
OBJECTIVES: To determine the factors affecting the length of stay for patients with pneumonia and evaluate the average length of hospital stay, death rate and epidemiology of patients with pneumonia.
METHODS: This study is a retrospective cohort study of children aged 1 month to 15 years old who were admitted to Prapokklao Hospital with community-acquired pneumonia between October 2018 and September 2019. Multivariate regression analysis was used to determine the adjusted variables that affected the length of hospital stay.
RESULTS: Based on the study of the medical records of 230 patients with community- acquired pneumonia admitted to Prapokklao Hospital, patients with prolonged hospital stay spent an average of 8 days in hospital (p<0.01). The factors using the heated humidified high flow nasal cannula (HHHFNC) (p=0.001), preterm (p=0.02) and tachypnea (p=0.04) were found to be significantly associated with a longer length of stay. Mortality was not found in the study. This disease usually occurs during the rainy season, with the highest prevalence in September.
CONCLUSIONS: Using the heated humidified high flow nasal cannula (HHHFNC), preterm and tachypnea were considered factors affecting prolonged length of stay for patients with community-acquired pneumonia at Prapokklao Hospital.
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