Etiologies and Prognostic Factors of Dyspnea in Infants at the University Hospital Center (CHU) of Bouaké (Ivory Coast) ()
ABSTRACT
Identify the epidemiological characteristics, etiologies and evolutionary
aspects of dyspnea in infants. This was a retrospective study of infants hospitalized for dyspnea from
January 1 to December 31, 2020. The parameters studied were sex, age, origin,
vaccination status, existence of underlying pathology. Underlying, the
diagnosis and the evolutionary modalities. Data analysis and processing were
possible using Word, Excel and EPI info version 7 software. We retained 152
infants. The sex ratio was 1.34 and the median age was 4 months. Vaccines according to expanded immunization program (EPI) were
up to date in 76.32%. The main antecedents with risk identified were
malnutrition, hypotrophy at birth, interventricular communication. The
pathologies observed were low acute respiratory diseases in 90.79%, ENT
diseases in 04.60% and cardiac diseases in 03.95%. The median length of
hospitalization was 4 days. Infants who died accounted for 15.13%. The median
age of infants who died was 4 months. The median time to onset of death was
1.63 days. The risk factors for death were age < 6 months (p = 0.003; CI
[1.27; 9.33]), outdated vaccines (p = 0.012; CI [1.18; 5.17]), history with
risk (p = 0.031; CI [1.02; 4.54]). Dyspnea in infants remains a concern in our
service. Reducing mortality involves developing procedures for the management
of lower respiratory ailments, continuous staff training and strengthening the
technical platform.
Share and Cite:
Patrick, Y. , Roland, Y. , Christian, Y. , Hélène, A. , Alamun, A. , Landryse, S. , Romeo, A. , Eleonore, A. , Honorine, A. and Vincent, A. (2023) Etiologies and Prognostic Factors of Dyspnea in Infants at the University Hospital Center (CHU) of Bouaké (Ivory Coast).
Open Journal of Pediatrics,
13, 313-323. doi:
10.4236/ojped.2023.133037.
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