Table 2.
Study | Location | Study design | Age range (months) | Sample size, N | Deaths, n (%) | Inclusion and exclusion criteria | Score(s) applied (n) |
---|---|---|---|---|---|---|---|
Hooli 2016 [6] |
Mchinji and Lilongwe Districts, Malawi |
Prospective cohort |
0-59 |
16 475 |
524 (3.2) |
Inclusion: children with World Health Organization (WHO)-defined pneumonia* of any severity |
Respiratory Index of Severity in Children (RISC) HIV-negative (2435) |
Mathew 2015 [17] |
Chandigarh, India |
Prospective cohort |
1-59 |
2400 |
157 (6.5) |
Inclusion: children with WHO-defined pneumonia* of any severity |
RISC HIV-negative (104) |
RISC-Malawi (1,689) | |||||||
Pneumonia Etiology Research for Child Health (PERCH) (128) | |||||||
Benet 2017 [18] |
Phnom Penh, Cambodia |
Prospective, case-control study |
2-59 |
888 |
20 (2.2) |
Inclusion for cases: Children with WHO-defined pneumonia with first symptoms lasting <14 days |
RISC HIV-negative (445) |
Beijing, China | |||||||
Port au Prince, Haiti | |||||||
Lucknow, India | |||||||
Pune-Vadu, India | |||||||
Antananarivo, Madagascar | |||||||
Banako, Mali |
Radiographic confirmation of pneumonia (WHO criteria) |
||||||
Ulaanbaatar, Mongolia |
No wheezing |
||||||
San Lorenzo, Paraguay |
Inclusion for controls: no symptoms suggestive of respiratory illness, outpatients, or hospitalized in surgery |
RISC-Malawi (615) |
|||||
Basnet 2012 [21] |
Kathmandu, Nepal |
Randomized controlled trial |
2-35 |
641 |
6 (0.9) |
Inclusion: children with a complaint of cough for <14 days, complaint of difficulty breathing for ≤72 h, presence of lower chest wall indrawing, or presence of lower chest indrawing on examination by study physician for severe pneumonia |
RISC HIV-negative (587) |
RISC-Malawi (604) | |||||||
PERCH (604) | |||||||
Clara [22] |
Chiriqui Province, Panama |
Retrospective cohort |
0-59 |
85 |
2 (2.3) |
Inclusion: children with severe acute respiratory infection case definition |
RISC HIV-negative (3) |
RISC-Malawi (37) | |||||||
Gessner 2005 [23] |
Lombok, Indonesia |
Hamlet-randomized trial |
0-23 |
6221 |
676 (10.9) |
Inclusion: children with WHO-defined pneumonia |
RISC-Malawi (5,807) |
Klugman 2003 [24] |
Johannesburg, South Africa |
Randomized controlled trial |
0-59 |
10 114 |
452 (4.5) |
Inclusion: based on International Classification of Diseases (ICD)-10 codes for pneumonia |
RISC-Malawi (7,283) |
Asghar 2008 [25] |
Dhaka, Bangladesh |
Randomized controlled trial |
2-59 |
958 |
46 (4.8) |
Inclusion: children with WHO-defined very severe pneumonia† |
RISC-Malawi (802) |
Chandigarh, India | |||||||
Mexico City, Mexico | |||||||
Rawalpindi, Pakistan | |||||||
Multan, Pakistan | |||||||
Sana’a, Yemen | |||||||
Lusaka, Zambia | |||||||
Wadhwa 2013 [26] |
New Delhi, India |
Randomized controlled trial |
2-24 |
550 |
8 (1.5) |
Severe pneumonia: fast breathing: ≥50 breaths/min in children 2-11 months &≥40 breaths/min in children 12-24 months |
RISC-Malawi (461) |
Crepitations on auscultation | |||||||
Presence of chest indrawing | |||||||
Very severe pneumonia: severe pneumonia (with or without chest indrawing) and any general danger sign (ie, lethargy or inability to drink or convulsions) or central cyanosis | |||||||
Cutts 2005. [27] |
Upper River and Central River Regions, The Gambia |
Randomized controlled trial |
1-30 |
1716 |
106 (6.2) |
Inclusion: history of cough or difficult breathing with an elevated respiratory rate for age (≥50 breaths per min for children <1 year old and ≥40 per min for children ≥1 year old) or lower chest-wall indrawing |
RISC-Malawi (346) |
Wulandari 2018 [28] | West Java, Indonesia | Retrospective cohort | 0-59 | 1317 | 69 (5.2) | Inclusion: children with WHO-defined pneumonia | RISC-Malawi (830) |
*WHO-defined pneumonia: presence of age-specific fast breathing, lower chest indrawing, or general danger signs in children with a cough or difficulty
†Cough and/or difficulty breathing, and central cyanosis or inability to drink.