Table 7.
Length of stay of severe pneumonia in hospital in low– and middle–income countries
| Country, year | Description | Length of stay (SD) in days‡ | Sample size |
|---|---|---|---|
|
Viet Nam, 2010 [18] |
Probable pneumonia |
7.2 (5.0) |
40 |
| Radiograph confirmed |
6.7 (3.8) |
426 |
|
| Probable severe pneumonia |
6.2 (3.3) |
59 |
|
| Radiograph confirmed severe pneumonia |
6.4 (2.7) |
193 |
|
|
Bangladesh, 2010 [24] |
Hospital care |
6.0 (5.0–7.0) |
180 |
|
Bangladesh, 2005* |
Public health care |
7.1 |
73 |
| Private health care |
6.4 |
41 |
|
|
Bangladesh, 2010* |
Hospital stay |
7.0 (3.0)† |
93 |
|
Pakistan, 2003 [25] |
Antibiotic use duration |
Approx. 8 |
124 |
|
Kenya, 2009 [32] |
National hospitals |
8.2 |
49 |
| District hospitals |
6.7 |
30 |
|
| District hospitals |
4.8 |
29 |
|
| District hospitals |
4.2 |
17 |
|
| Provincial hospitals |
6.6 |
31 |
|
| Mission Hospitals |
7.8 |
30 |
|
| Mission Hospitals |
3.4 |
19 |
|
|
Zambia, 2009 [31] |
Tertiary health center |
4.0 |
221 |
|
Pakistan, 2008 [19] |
Time spent at health facility for severe pneumonia |
3.3 |
65 |
|
Pakistan, 2006 [20] |
Secondary hospital |
3.0 |
502 |
|
Jordan, 2010 [35] |
In–patient days |
4.0–5.0 |
728 |
|
India, 2009 [30] |
Secondary hospital |
3.5 (2.9–4.1) |
31 |
| Tertiary hospital |
3.7 (3.0–4.4) |
25 |
|
|
India, 2002 [29] |
Tertiary hospital |
6.5 (2.5) |
52 |
|
Brazil, 2011* |
Public health system |
3.9 (2.2) |
59 |
| Supplementary health system |
5.3 (4.7) |
20 |
|
|
Colombia, 2013 [27] |
Primary |
2.0 (1.0–2.0) |
247 |
| Secondary hospital |
4.0 (1.0–5.0) |
1208 |
|
| Tertiary hospital |
6.0 (3.0–9.0) |
47 |
|
|
South Africa, 2011 [33] |
Public sector ward |
8.7 |
86 |
| Fee for service sector |
5.6 |
7786 |
|
|
South Africa, 2012 [22] |
Paediatric ward |
8.1 (7.4–8.8) |
513 |
|
Indonesia, 2001* |
Non–ICU |
6.7 |
– |
|
Argentina, 2012* |
Severe pneumonia |
7.5(8.5) |
42 |
| Unilateral focal pneumonia without complications |
7.4 (6.0) |
1994 |
|
| Multifocal pneumonia without complications |
8.0 (6.5) |
323 |
|
| Median (IQR) | 6.4 (4.1–7.1) |
ICU – intensive care unit
*Unpublished data..
†Combined HIV+ and HIV–, HIV+ had longer stay in ward (9.3 vs 7.0 days)
‡Length of stay (LOS) reported as mean, mean (standard deviation) or median (interquartile range). When stratified LOS available, then stratified LOS was reported, not average length of stay of all pneumonia.