Correlation of weight and hypoxemia in children aged between six months to five years with acute lower respiratory tract infection in a tertiary care hospital

Authors

  • Karthikeyan S. Department of Pediatrics, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka, India
  • Adarsh E. Department of Pediatrics, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20203162

Keywords:

Acute lower respiratory tract infection, Hypoxemia, Weight

Abstract

Background: Acute respiratory infections (ARIs) are the leading cause of death among children less than 5 years in India. Poverty and malnutrition underlie both the high incidence and deaths of young children from pneumonia in SEAR countries.

Methods: A hospital based prospective observational study was conducted in a tertiary care hospital. A total of 200 children admitted with signs of ALRI were included in the study. A portable oximeter was used to measure oxygen saturation with an appropriately sized sensor on the finger or the toe. Weight was recorded on a standardized digital weighing scale and plotted on standard WHO weight for age chart. Chi-square test was used to test the significance.

Results: Out of 200 children studied hypoxemia was present in 90 children with a percentage of 45% and absent in 110 children with a percentage of 55%. Out of 90 children who had hypoxemia, 40 children had weight less than 3rd centile. Out 110 children who had did not have hypoxemia, only 24 children had weight less than 3rd centile. It was observed that children with Weight for age less than 3rd centile according to standard WHO charts had higher incidence of hypoxemia. This correlation was statistically significant at p value of 0.001.

Conclusions: Based on the results of this study hypoxemia is widely prevalent in children aged between six months to five years presenting with acute lower respiratory tract infection. There was significant correlation with weight and hypoxemia in children aged between six months to five years with acute lower respiratory tract infection.

References

Simoes EAF, Cherian T, Chow J, Shahid-Salles SA, Laxminarayan R, Jacob JT. Chapter 25 Acute Respiratory Infections in Children. In: Jamison DT, Breman JG, Measham AR., eds. Disease Control Priorities in Developing Countries. 2nd ed., The International Bank for Reconstruction and Development / The World Bank; New York: Oxford University Press; 2006:483-497.

Selvaraj K, Chinnakali P, Majumdar A, Krishnan IS. Acute respiratory infections among under-5 children in India: A situational analysis. J Nat Sci Biol Med. 2014;5(1):15-20.

Vashishtha VM. Current status of tuberculosis and acute respiratory infections in India: Much more needs to be done. Indian Pediatr. 2010;47:88-9.

Rudan I, Boschi Pinto C, Biloglav Z, Mulholland K, Campbell H. Epidemiology and etiology of childhood pneumonia. Bull World Health Organ. 2008;86:408-16.

Ghimire M, Bhattacharya SK, Narain JP. Pneumonia in South-East Asia Region: public health perspective. Indian J Med Res. 2012;135(4):459-68.

Jain DL, Sarathi V, Jawalekar S. Predictors of treatment failure in hospitalized children (3-59 months) with severe and very severe pneumonia. Indian Pediatr. 2013;50(8):787-9.

Duke T, Frank D, Mgone J. Hypoxemia in children with severe pneumonia in Papua New Guinea. Int J Tuberc Lung Dis. 2000;5:511-9.

Onyango FE, Steinoff MC, Wafula EM, Wariera, Musia J, Kitonia J. Hypoxemia in young Kenyan children with ALRI. BMJ. 1993;306:612-4.

Pologe J. Pulse oximetry: technical aspects of machine designs. Int Anesthesiol Clin. 1987;25:135-53.

Ramawat P, Sharma B. Determinants of hypoxemia in children associated with pneumonia. Asian J Med Sci. 2016;7(2):64-70.

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Published

2020-07-22

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Section

Original Research Articles