PMID- 29528913
OWN - NLM
STAT- MEDLINE
DCOM- 20190612
LR  - 20190613
IS  - 1532-0987 (Electronic)
IS  - 0891-3668 (Linking)
VI  - 37
IP  - 11
DP  - 2018 Nov
TI  - Community-acquired Pneumonia With Pleural Effusion in Children and Municipal 
      Human Development Index in Rio de Janeiro, Brazil.
PG  - 1093-1096
LID - 10.1097/INF.0000000000001980 [doi]
AB  - BACKGROUND: This study evaluated admissions with severe community-acquired 
      pneumonia (CAP) with pleural effusion (PE) in a pediatric university hospital and 
      the impact of the increased average municipal human development index (M-HDI) in 
      the local incidence of the disease in the last decade. METHODS: This is a 
      retrospective longitudinal study of patients (0-13 years old) with CAP. The 
      municipal human development index (M-DHI) of the place of residence of patients 
      was obtained. We calculate the crude odds ratios (ORs) of variables related to 
      risk of developing PE. The variables that reached a significance level of 80% (P 
      < 0.20) were selected for multivariate analysis. The logistic regression model 
      was used for the selection of the parsimonious model, according to the likelihood 
      ratio. RESULTS: The 465 patients' ages ranged from 1 to 174 months. The median of 
      age (months) in children with PE was 36.00; in children without the PE was 29.00 
      (P < 0.011); media of variation in M-HDI in the period in patients with PE was 
      0.767 +/- 0.002 and in patients without PE was 0.778 +/- 0.002 (P < 0.001). In the 
      logistic regression model, the absence of comorbidity (OR = 2.909) and the HDI < 
      0.770 (OR = 3.015) were predictive factors associated with PE. CONCLUSION: The 
      progressive increase of the M-DHI during the study period, although to a slightly 
      higher level, was correlated with the reduction in the number of admissions with 
      CAP with PE.
FAU - Land, Marcelo
AU  - Land M
AD  - From the Department of Pediatrics, Faculty of Medicine of Federal University of 
      Rio de Janeiro, Brazil.
FAU - Maia, Paula
AU  - Maia P
AD  - From the Department of Pediatrics, Faculty of Medicine of Federal University of 
      Rio de Janeiro, Brazil.
FAU - de Fatima March, Maria
AU  - de Fatima March M
AD  - From the Department of Pediatrics, Faculty of Medicine of Federal University of 
      Rio de Janeiro, Brazil.
FAU - Ferreira, Alvaro
AU  - Ferreira A
AD  - Pontificia Universidade Catolica do Rio de Janeiro, Brazil.
FAU - Sant Anna, Clemax
AU  - Sant Anna C
AD  - From the Department of Pediatrics, Faculty of Medicine of Federal University of 
      Rio de Janeiro, Brazil.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Pediatr Infect Dis J
JT  - The Pediatric infectious disease journal
JID - 8701858
SB  - IM
MH  - Adolescent
MH  - Brazil/epidemiology
MH  - Child
MH  - Child, Preschool
MH  - Community-Acquired Infections/diagnosis/*epidemiology
MH  - Female
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Infant, Newborn
MH  - Logistic Models
MH  - Longitudinal Studies
MH  - Male
MH  - Odds Ratio
MH  - Pleural Effusion/*epidemiology
MH  - Pneumonia/diagnosis/*epidemiology
MH  - Retrospective Studies
EDAT- 2018/03/13 06:00
MHDA- 2019/06/14 06:00
CRDT- 2018/03/13 06:00
PHST- 2018/03/13 06:00 [pubmed]
PHST- 2019/06/14 06:00 [medline]
PHST- 2018/03/13 06:00 [entrez]
AID - 10.1097/INF.0000000000001980 [doi]
PST - ppublish
SO  - Pediatr Infect Dis J. 2018 Nov;37(11):1093-1096. doi: 
      10.1097/INF.0000000000001980.