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Congestive heart failure in children with pneumonia and respiratory failure

Kachaporn Nimdet1, Win Techakehakij2

  • 1Department of Pediatrics, Suratthani Hospital, Suratthani, Thailand.

Pediatrics International : Official Journal of the Japan Pediatric Society
|September 3, 2016
PubMed

Insights

Congestive heart failure (CHF) is a risk in children with pneumonia and respiratory failure, even healthy ones. Early recognition in boys and bacterial pneumonia cases is key to reducing complications.

Area of Science:

  • Pediatric Cardiology
  • Pediatric Infectious Diseases
  • Critical Care Medicine

Background:

  • Congestive heart failure (CHF) is a known complication of pneumonia in adults.
  • Limited data exists on CHF in children with pneumonia and respiratory failure.
  • This study investigates CHF characteristics in young children with pneumonia.

Purpose of the Study:

  • To determine the characteristics and associated factors of congestive heart failure (CHF) in children under five with pneumonia and respiratory failure.

Main Methods:

  • Retrospective cohort study of 135 children (2-59 months) with community-acquired pneumonia and respiratory failure.
  • Reviewed CHF characteristics, treatment strategies, and outcomes.
  • Compared baseline data between CHF and non-CHF groups.

Main Results:

  • 10% of patients developed CHF, experiencing longer intubation and hospital stays.
  • CHF patients had higher rates of complications like ventilator-associated pneumonia, sepsis, and shock.
  • Male sex and bacterial pneumonia were significantly associated with CHF.

Conclusions:

  • Pneumonia with respiratory failure can lead to CHF in healthy children.
  • Early identification of CHF, especially in males with bacterial pneumonia, is crucial.
  • Prompt treatment is essential to mitigate severe complications and mortality.
Abstract

Keywords:
community-acquired pneumoniacongestive heart failurerespiratory failuresystemic inflammatory response

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