About: A cross-sectional study of the clinical characteristics of hospitalized children with community-acquired pneumonia in eight eastern cities in China

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About: A cross-sectional study of the clinical characteristics of hospitalized children with community-acquired pneumonia in eight eastern cities in China Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	A cross-sectional study of the clinical characteristics of hospitalized children with community-acquired pneumonia in eight eastern cities in China
Creator	Liu, Jian-Ping Cui, Zhen-Ze Deng, Li He, Chun-Hui Hu, Ying-Hui Huang, Yan Jiang, Yong-Hong Jiang, Zhi-Yan Li, Xin-Min Li, Yan-Ning Liu, Hua Liu, Zhao-Lan Ma, Rong Shang, Yun-Xiao Shen, Kun-Ling Sun, Yi-Qiu Wan, Li-Ya Wang, Li-Bo Wang, Xue-Feng Wang, Zi Wu, Zhen-Qi Xu, Hua Zhang, Han Zhao, De-Yu
source	Medline; PMC
abstract	BACKGROUND: Community-acquired pneumonia in children is common in China. To understand current clinical characteristics and practice, we conducted a cross-sectional study to analyze quality of care on childhood pneumonia in eight eastern cities in China. METHODS: Consecutive hospital records between January 1, 2010 and December 31, 2010 were collected from 13 traditional Chinese medicine (TCM) and western medicine (WM) hospitals in February, May, August, and November (25 cases per season, 100 cases over the year), respectively. A predesigned case report form was used to extract data from the hospital medical records. RESULTS: A total of 1298 cases were collected and analyzed. Symptoms and signs upon admission at TCM and WM hospitals were cough (99.3% vs. 98.6%), rales (84.8% vs. 75.0%), phlegm (83.3% vs. 49.1%), and fever (74.9% vs. 84.0%) in frequency. Patients admitted to WM hospitals had symptoms and signs for a longer period prior to admission than patients admitted to TCM hospitals. Testing to identify etiologic agents was performed in 1140 cases (88.4%). Intravenous antibiotics were administered in 99.3% (595/598) of cases in TCM hospitals and in 98.6% (699/700) of cases in WM hospitals. Besides, Chinese herbal extract injection was used more frequently in TCM hospitals (491 cases, 82.1%) than in WM hospitals (212 cases, 30.3%) (p < 0.01). At discharge, 818 cases (63.0%) were clinically cured, with a significant difference between the cure rates in TCM (87.6%) and WM hospitals (42.0%) (OR = 9.8, 95% confidence interval (CI): 7.3 ~ 12.9, p < 0.01). Pathogen and previous medical history were more likely associated with the disappearance of rales (OR = 7.2, 95% CI: 4.8 ~ 10.9). Adverse effects were not reported from the medical records. CONCLUSIONS: Intravenous use of antibiotics is highly prevalent in children with community-acquired pneumonia regardless of aetiology. There was difference between TCM and WM hospitals with regard to symptom profile and the use of antibiotics. Intravenous use of herbal injection was higher in TCM hospitals than in WM hospitals. Most of the cases were diagnosed based on clinical signs and symptoms without sufficient confirmation of aetiology. Audit of current practice is urgently needed to improve care.
has issue date	2013-12-23(xsd:dateTime)
bibo:doi	10.1186/1472-6882-13-367
bibo:pmid	24364897
has license	cc-by
sha1sum (hex)	c1e4465687748c1d03b1c648b1558d1051859b5a
schema:url	https://doi.org/10.1186/1472-6882-13-367
resource representing a document's title	A cross-sectional study of the clinical characteristics of hospitalized children with community-acquired pneumonia in eight eastern cities in China
has PubMed Central identifier	PMC3880031
has PubMed identifier	24364897
schema:publication	BMC Complement Altern Med
resource representing a document's body	covid:c1e4465687748c1d03b1c648b1558d1051859b5a#body_text
is schema:about of	named entity 'CROSS-SECTIONAL STUDY' named entity 'EASTERN' covid:arg/c1e4465687748c1d03b1c648b1558d1051859b5a named entity 'CROSS-SECTIONAL STUDY' named entity 'CHINA' named entity 'QUALITY OF CARE' named entity 'CHILDREN' named entity 'COMMUNITY-ACQUIRED PNEUMONIA' named entity 'CLINICAL CHARACTERISTICS' named entity 'CURRENT' named entity 'CHILDHOOD PNEUMONIA' named entity 'CLINICAL CHARACTERISTICS' named entity 'HOSPITALIZED CHILDREN' named entity 'COMMUNITY-ACQUIRED PNEUMONIA' named entity 'EASTERN' named entity 'CITIES' named entity 'BACKGROUND' named entity 'UNDERSTAND' named entity 'PRACTICE' named entity 'CHINA' named entity 'COMMON' named entity 'CITIES' named entity 'conducted' named entity 'clinical characteristics' named entity 'pneumonia' named entity 'community-acquired pneumonia' named entity 'cross-sectional study' named entity 'pneumonia' named entity 'TCM' named entity 'pneumonia' named entity 'China' named entity 'allergic rhinitis' named entity 'pathogen' named entity 'severe pneumonia' named entity 'cough' named entity 'nasal flaring' named entity 'intravenous injection' named entity 'TCM' named entity 'significant difference' named entity 'dyspnea' named entity 'eczema' named entity 'Beijing' named entity 'China' named entity 'Liaoning University of Traditional Chinese Medicine' named entity 'China' named entity 'multiple testing' named entity 'antibiotic' named entity 'China' named entity '1.2' named entity 'class of antibiotics' named entity 'antibiotics' named entity 'community-acquired pneumonia' named entity 'quality control' named entity 'Pneumonia' named entity 'rales' named entity 'school-age children' named entity 'TCM' named entity 'asthma'

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