title: Observational follow-up study on a cohort of children with severe pneumonia after discharge from a day-care clinic in Dhaka, Bangladesh.
abstract: Compliance, morbidity, mortality, and hospitalization during fortnightly follow-up were evaluated by an observational study on a cohort of children with severe and very severe pneumonia after day-care treatment at an urban clinic. The primary outcome measures were proportions of success (compliance) and failure (non-compliance) of follow-up visits at the day-care clinic. In total, 251 children were followed up, with median (IQR) age of 5.0 (3.0-9.0) months, and their compliance dropped from 92% at the first to 85% at the sixth visit. Cough (28%), fever (20%), and rapid breathing (13%) were common morbidities. Successful follow-up visits were possible in 180 (95.2%) and 56 (90.3%) of the children with severe and very severe pneumonia respectively. Eleven (4.4%) needed hospitalization, and four (1.6%) died. Majority (approximately 90%) of the children could be successfully followed up; some failed to attend their scheduled follow-up visits due to hospitalization and death. The common morbidities indicate the importance of follow-up for detecting medical problems and early treatment, thus reducing risk of death.
authors: Hasan
authors: H
authors: Ashraf
authors: Nur H
authors: NH
authors: Alam
authors: Mohammod J
authors: MJ
authors: Chisti
authors: Mohammed A
authors: MA
authors: Salam
authors: Tahmeed
authors: T
authors: Ahmed
authors: Niklaus
authors: N
authors: Gyr
mesh_terms: D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D001459:Bangladesh / Q000453:epidemiology; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011014:Pneumonia / Q000453:epidemiology* / Q000628:therapy*; D012720:Severity of Illness Index; D014505:Urban Population / Q000706:statistics & numerical data