Table 6.
Unadjusted odds ratios for predictors of TF and mortality among children with very severe pneumonia
| Predictor | Risk of TF 1 – a priori definition OR (95% CI) | P | Risk of TF 2 – alternative definition OR (95% CI) | P | Risk of mortality OR (95% CI) | P |
|---|---|---|---|---|---|---|
| Age (2–11 vs. 12–59 months) | 2.08 (1.05–4.10) | 0.03 | 3.00 (1.17–7.74) | 0.02 | 1.80 (0.57–5.67) | 0.31 |
| Female gender | 1. 45 (0.81–2.59) | 0.21 | 1.69 (0.83–3.42) | 0.14 | 5.61 (1.55–20.39) | 0.003 |
| Hib* immunization status up to date | 0.76 (0.43–1.34) | 0.34 | 0.79 (0.41–1.49) | 0.44 | 0.70 (0.26–1.89) | 0.49 |
| Severe malnutrition† | 1.33 (0.74–2.39) | 0.33 | 1.56 (0.78–3.13) | 0.21 | 1.91 (0.67–4.92) | 0.23 |
| Central cyanosis | 1.67 (0.71–3.97) | 0.24 | 1.58 (0.61–4.11) | 0.34 | 1.85 (0.56–6.08) | 0.30 |
| Inability to drink | 2.08 (1.12–3.90) | 0.02 | 2.27 (1.03–4.99) | 0.04 | 6.39 (1.40–29.23) | 0.006 |
| Altered consciousness | 2.58 (1.26–5.31) | 0.008 | 2.09 (0.96–4.55) | 0.06 | 3.58 (1.36–9.43) | 0.006 |
| Head nodding | 0.92 (0.52–1.63) | 0.77 | 0.79 (0.40–1.57) | 0.51 | 1.02 (0.40–2.59) | 0.97 |
| Grunting | 2.33 (1.29–4.23) | 0.004 | 1.74 (0.88–3.46) | 0.11 | 2.15 (0.84–5.50) | 0.10 |
| Hypoxia (SpO2 <90%) | 0.94 (0.51–1.74) | 0.95 | 0.83 (0.40–1.70) | 0.61 | 0.71 (0.27–1.86) | 0.49 |
| Wheeze on admission | 0.37 (0.17–0.79) | 0.01 | 0.45 (0.17–1.15) | 0.09 | 0.31 (0.07–1.42) | 0.11 |
| Previous hospital admission | 0.63 (0.29–1.37) | 0.24 | 0.86 (0.35–2.14) | 0.75 | 1.05 (0.33–3.35) | 0.93 |
| Benzyl penicillin/gentamicin vs. benzyl penicillin alone | 0.25 (0.09–0.68) | 0.007 | 0.12 (0.02–0.90) | 0.04 | 0.27 (0.03–2.11) | 0.21 |
| Benzyl penicillin/gentamicin vs. other antibiotics | 1.84 (0.84–4.00) | 0.13 | 2.82 (1.26–6.30) | 0.01 | 1.84 (0.65–5.20) | 0.25 |
| HIV rapid antibody test positive | 1.91 (0.77–4.72) | 0.16 | 2.88 (1.08–7.68) | 0.03 | 2.46 (0.72–8.46) | 0.14 |
TF, treatment failure.
Haemophilus influenzae type b.
Visible severe wasting or oedema of both feet due to kwashiorkor.