Length of Hospitalization and Clinical Outcomes for Pneumonia Patients at PKU Muhammadiyah Hospital, Bantul

Authors

  • Nurcholid Umam Kurniawan Universitas Ahmad Dahlan
  • Novi Wijayanti Sukirto
  • Elvina Prisilla
  • Ana Budi Rahayu Universitas Ahmad Dahlan, Yogyakarta, Indonesia
  • Dewi Yuniasih
  • Dewi Ari Mulyani Universitas Ahmad Dahlan
  • MH Muflihatul Ulfa Universitas Ahmad Dahlan

Keywords:

Length of stay: Pediatric: Pneumonia; Outcome

Abstract

Pneumonia is a lower respiratory tract infection that was the leading cause of death in developing countries in 2020, it was shown that pneumonia was the largest contributor to post-neonatal (14.5%) and under-five deaths (5.05%). The timing of hospital discharge for patients with pneumonia is determined primarily by the attending physician and is based on an assessment of the patient's clinical stability and the appropriate duration of inpatient medical therapy. The patient's discharge decision determines the length of hospital stay. Objective: To determine the length of hospitalization and clinical outcome improvement of pneumonia patients at PKU Muhammadiyah Bantul Hospital. Methods: This study was a cross-sectional descriptive study using a retrospective study conducted by taking medical record data at PKU Muhammadiyah Bantul Hospital Results: Pneumonia patients at PKU Muhammadiyah Bantul Hospital were dominated by the age group of 2 years old while by gender the majority were boys. Length of Stay (LOS) of pneumonia patients was highest with three days of treatment as many as 136 patients or 54.2%. Conclusion: Cumulatively within seven days, 98.80% of pneumonia patients showed good clinical outcomes and were allowed to leave the hospital. it is not known for certain that patient outcomes are related to the patient's length of stay because all patients returned home in improved condition after treatment at the hospital.

References

World Health Organization. Pneumonia in children. Published 2019. https://www.who.int/news-room/fact-sheets/detail/pneumonia

Marangu D, Zar HJ. Childhood pneumonia in low-and-middle-income countries: An update. Paediatr Respir Rev. 2019;32:3-9. doi:10.1016/j.prrv.2019.06.001

Casman C, Nurhaeni N. DETERMINANT FACTORS OF LENGTH OF STAY AMONG UNDER-FIVE CHILDREN WITH PNEUMONIA DISEASES: A LITERATURE REVIEW. Int J Nurs Heal Serv. 2019;2(3):80-88.

Ihtasya S, Setyoningrum RA, Kusumaningrum D. Prevalence of Pneumonia Severity in Children under 5 Years Old at Primary Health Care of Tambakrejo, Surabaya. JUXTA J Ilm Mhs Kedokt Univ Airlangga. 2021;12(1):26-28.

Badan Penelitian dan Pengembangan Kesehatan. Laporan Nasional Riskesdas 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan, Jakarta; 2018.

Menéndez R, Cremades MJ, Martínez-Moragón E, Soler JJ, Reyes S, Perpina M. Duration of length of stay in pneumonia: influence of clinical factors and hospital type. Eur Respir J. 2003;22(4):643-648.

Osman M, Manosuthi W, Kaewkungwal J, et al. Etiology, Clinical Course, and Outcomes of Pneumonia in the Elderly: A Retrospective and Prospective Cohort Study in Thailand. Am J Trop Med Hyg. 2021;104(6):2009-2016. doi:10.4269/ajtmh.20-1393

Tirore LL, Abame DE, Sedoro T, et al. Time to recovery from severe pneumonia and its predictors among children 2–59 months of age admitted to pediatric ward of nigist eleni mohammed memorial comprehensive specialized hospital, hossana, ethiopia: retrospective cohort study. Pediatr Heal Med Ther. Published online 2021:347-357.

Juwita DA, Maharani A, Permatasari D. Profile of Antibiotic Use in Pediatric Patients with Pneumonia at Dr. M. Djamil Hospital Padang, West Sumatra, Indonesia. Age. 9:30.

Le Roux DM, Nicol MP, Vanker A, Nduru PM, Zar HJ. Factors associated with serious outcomes of pneumonia among children in a birth cohort in South Africa. PLoS One. 2021;16(8):e0255790.

Chen L, Miao C, Chen Y, et al. Age-specific risk factors of severe pneumonia among pediatric patients hospitalized with community-acquired pneumonia. Ital J Pediatr. 2021;47:1-13.

Ofman G, Pradarelli B, Caballero MT, et al. Respiratory failure and death in vulnerable premature children with lower respiratory tract illness. J Infect Dis. 2020;222(7):1129-1137.

Smith LJ, McKay KO, van Asperen PP, Selvadurai H, Fitzgerald DA. Normal development of the lung and premature birth. Paediatr Respir Rev. 2010;11(3):135-142.

Moeller JJ, Ma M, Hernandez P, Marrie T, Touchie C, Patrick W. Discharge Delay in Patients with Community-acquired Pneumonia Managed on a Critical Pathway. Can J Infect Dis Med Microbiol = J Can des Mal Infect la Microbiol medicale. 2006;17(2):109-113. doi:10.1155/2006/375645

Eskandari M, Alizadeh Bahmani AH, Mardani-Fard HA, Karimzadeh I, Omidifar N, Peymani P. Evaluation of factors that influenced the length of hospital stay using data mining techniques. BMC Med Inform Decis Mak. 2022;22(1):280. doi:10.1186/s12911-022-02027-w

Grimwood K, Chang AB. Long-term effects of pneumonia in young children. Pneumonia (Nathan Qld). 2015;6:101-114. doi:10.15172/pneu.2015.6/671

World Health Organization (WHO). Pneumonia in children. Published 2022. https://www.who.int/news-room/fact-sheets/detail/pneumonia

Dean P, Florin TA. Factors associated with pneumonia severity in children: a systematic review. J Pediatric Infect Dis Soc. 2018;7(4):323-334.

Zakrzewska M, Roszkowska R, Zakrzewski M, Maciorkowska E. Pneumocystis Pneumonia: Still a serious disease in children. J mother child. 2021;23(3):159-162. doi:10.34763/devperiodmed.20192303.159162

Rytter MJH, Kolte L, Briend A, Friis H, Christensen VB. The immune system in children with malnutrition--a systematic review. PLoS One. 2014;9(8):e105017. doi:10.1371/journal.pone.0105017

Williams DJ, Zhu Y, Grijalva CG, et al. Predicting severe pneumonia outcomes in children. Pediatrics. 2016;138(4).

Hill DL, Carr EJ, Rutishauser T, et al. Immune system development varies according to age, location, and anemia in African children. Sci Transl Med. 2020;12(529):eaaw9522.

Banstola A, Banstola A. The epidemiology of hospitalization for pneumonia in children under five in the rural western region of Nepal: a descriptive study. PLoS One. 2013;8(8):e71311.

Ripoll JG, Guo W, Andersen KJ, et al. Sex differences in paediatric airway anatomy. Exp Physiol. 2020;105(4):721-731. doi:10.1113/EP088370

Naheed A, Breiman RF, Islam MS, Saha SK, Tabassum Naved R. Disparities by sex in care-seeking behaviors and treatment outcomes for pneumonia among children admitted to hospitals in Bangladesh. PLoS One. 2019;14(3):e0213238. doi:10.1371/journal.pone.0213238

Brogan T V, Hall M, Williams DJ, et al. Variability in processes of care and outcomes among children hospitalized with community-acquired pneumonia. Pediatr Infect Dis J. 2012;31(10):1036-1041.

Islands Health. Length of Stay vs. Expected Length of Stay in Acute Care.; 2024. https://www.islandhealth.ca/sites/default/files/performance-measures/documents/length-of-stay-vs-expected-length-of-stay-in-acute-care.pdf

Marfil-Garza BA, Belaunzarán-Zamudio PF, Gulias-Herrero A, et al. Risk factors associated with prolonged hospital length-of-stay: 18-year retrospective study of hospitalizations in a tertiary healthcare center in Mexico. PLoS One. 2018;13(11):e0207203.

Chaudhury H, Mahmood A, Valente M. Advantages and disadvantages of single-versus multiple-occupancy rooms in acute care environments: a review and analysis of the literature. Environ Behav. 2005;37(6):760-786.

Garau J, Baquero F, Perez-Trallero E, et al. Factors impacting on length of stay and mortality of community-acquired pneumonia. Clin Microbiol Infect. 2008;14(4):322-329.

Jroundi I, Mahraoui C, Benmessaoud R, et al. Risk factors for a poor outcome among children admitted with clinically severe pneumonia to a university hospital in Rabat, Morocco. Int J Infect Dis. 2014;28:164-170.

Muljono MP, Halim G, Heriyanto RS, et al. Factors associated with severe childhood community-acquired pneumonia: a retrospective study from two hospitals. Egypt Pediatr Assoc Gaz. 2022;70(1):30.

Downloads

Published

2024-06-18

How to Cite

Umam Kurniawan, N., Sukirto, N. W., Prisilla, E., Rahayu, A. B., Yuniasih, D., Ari Mulyani, D., & Ulfa, M. M. (2024). Length of Hospitalization and Clinical Outcomes for Pneumonia Patients at PKU Muhammadiyah Hospital, Bantul. Ahmad Dahlan Medical Journal, 5(1), 124–132. Retrieved from https://journal2.uad.ac.id/index.php/admj/article/view/10402

Issue

Section

Articles

Most read articles by the same author(s)

1 2 3 > >>