Table 6

Risk factors for PDM in respiratory infection studies

ArticleRisk factor categoryMortality risk factor on admissionEstimate typeEstimate (95% CI)Adjusted
West et al 33 No data
Villamor et al 17 AgeAge 6–11 m (ref: >24 m)HR 3.70 (1.72 to 7.95) Yes
Age 12–23 m (ref: >24 m)HR 3.14 (1.44 to 6.88) Yes
Comorbid conditionsHIV positiveHR 3.92 (2.34 to 6.55) Yes
DiagnosisSevere pneumonia on admissionHR 2.47 (1.59 to 3.85) Yes
Growth parametersStunted at baseline (2 z-scores (NCHS/WHO reference) in height-for-age Wasted children were 2 z-scores in weight-for-height)HR 2.12 (1.31 to 3.42) Yes
Low MUAC at baseline (25th percentile of the population age-specific distribution)HR 1.88 (1.16 to 3.03) Yes
Labs/AssessmentsHaemoglobin (Hgb) concentration<7.00 (g/dL) (ref: Hgb concentration>10 g/dL)HR 2.55 (1.13 to 5.77) Yes
Hgb concentration 7.01–8.50 g/dL (ref: Hgb concentration>10 g/dL)HR 2.81 (1.24 to 6.37) Yes
Hgb concentration 8.51–10.00 g/dL (ref: Hgb concentration>10 g/dL)HR1.76 (0.75 to 4.10)Yes
Maternal influenceMaternal education—elementary (ref: no maternal education)HR0.84 (0.48 to 1.49)Yes
Maternal education—secondary or higher (ref: no maternal education)HR0.27 (0.06 to 1.17)Yes
Mother works outside homeHR0.61 (0.36 to 1.03)Yes
Mother not living with partnerHR1.60 (1.00 to 2.57)Yes
SexMaleHR0.98 (0.65 to 1.48)Yes
Social determinants of healthWater tap in compound (ref: water tap in house)HR1.40 (0.60 to 3.29)Yes
Water tap outside compound (ref: water tap in house)HR 2.27 (1.02 to 5.03) Yes
Public well (ref: water tap in house)HR 2.92 (1.03 to 8.30) Yes
Ashraf et al 34 No data
Reddy et al 35 InterventionNot receiving anti-TB medication (predictor of death within 2 weeks of admission)OR 0.25 (0.03 to 2.00) No
Not receiving anti-TB medication (predictor of death within 8 weeks of admission)OR 0.20 (0.04 to 0.96) No
Chhibber et al 16 AgeAge (m)HR1.00 (0.98 to 1.03)Yes
Comorbid conditionsSepsis with clinically severe malnutrition (CSM); (ref: pneumonia without CSM)HR 18.4 (11.3 to 30.0) Yes
Meningitis with CSM (ref: pneumonia without CSM)HR 13.7 (4.2 to 44.7) Yes
Pneumonia with CSM (ref: pneumonia without CSM)HR 8.1 (4.4 to 14.8) Yes
Meningitis without CSM (ref: pneumonia without CSM)HR 2.6 (1.2 to 5.5) Yes
Sepsis without CSM (ref: pneumonia without CSM)HR 2.2 (1.1 to 4.3) Yes
Growth parametersMUAC 11.5–13.0 cm (ref: MUAC>13 cm)HR 7.19 (3.04 to 17.01) Yes
MUAC 10.5–11.4 cm (ref: MUAC>13 cm)HR 24.2 (9.4 to 61.9) Yes
MUAC<10.5 cm (ref: MUAC>13 cm)HR 43.7 (17.7 to 108.0) Yes
Hospital stayNon-medical dischargeHR 4.68 (2.01 to 10.85) Yes
Labs/AssessmentsHgb concentration (g/dL)HR 0.82 (0.73 to 0.91) Yes
Social determinants of healthDry seasonHR 1.96 (1.16 to 3.32) Yes
SymNeck stiffnessHR 10.4 (3.1 to 34.8) Yes
Vital signsAxillary temperature (°C)HR 0.71 (0.58 to 0.87) Yes
SpO2 (%)HR 0.96 (0.93 to 0.99) Yes
Ngari et al 18 AgeAge 12–23 m (ref: age>24 m)HR1.0 (0.1 to 9.6)Yes
Age 6–11 m (ref: age>24 m)HR5.8 (0.8 to 40.5)Yes
Age<6 m (ref: age>24 m)HR4.8 (0.7 to 34.1)Yes
Comorbid conditionsReported preterm/low birth weightHR0.7 (0.2 to 2.8)Yes
HIV antibody test positiveHR 6.5 (2.3 to 18.4) Yes
HIV test not performedHR0.4 (0.1 to 3.6)Yes
RSV test positiveHR0.3 (0.1 to 1.2)Yes
RSV test not performedHR 2.7 (1.2 to 6.3) Yes
Malaria slide positiveHR0.5 (0.1 to 5.2)Yes
BacteraemiaHR0.8 (0.1 to 5.2)Yes
Growth parametersMUAC per cmHR 0.6 (0.5 to 0.8) Yes
Hospital stayDuration of hospitalisation (per day)HR1.1 (1.0 to 1.2)Yes
Hospital stayYear of admission 2008 (ref: 2007 admission year)HR0.9 (0.3 to 3.1)Yes
Year of admission 2009 (ref: 2007 admission year)HR0.5 (0.1 to 2.1)Yes
Year of admission 2010 (ref: 2007 admission year)HR0.7 (0.2 to 2.5)Yes
Year of admission 2011 (ref: 2007 admission year)HR1.7 (0.5 to 5.3)Yes
Year of admission 2012 (ref: 2007 admission year)HR1.8 (0.2 to 15.7)Yes
Labs/AssessmentsSevere anaemia (Hgb<5 g/dL)HR0.8 (0.1 to 7.5)Yes
SexFemaleHR0.5 (0.3 to 1.1)Yes
Social determinants of healthResidence distance from hospital (per km)HR1.0 (0.9 to 1.1)Yes
SymptomsCapillary refill>2 sHR2.4 (0.5 to 12.1)Yes
Impaired consciousnessHR1.1 (0.2 to 7.8)Yes
WheezingHR0.5 (0.1 to 2.4)Yes
Cough for>14 daysHR0.2 (0.1 to 5.5)Yes
JaundiceHR 12.5 (1.1 to 13.7) Yes
Vital signsHypoxia (SaO2<90%)HR1.9 (0.7 to 5.4)Yes
Axillary temperature<36°C (ref: axillary temperature 36°C–39°C)HR0.3 (0.1 to 2.8)Yes
Axillary temperature>39°C (ref: axillary temperature 36°C–39°C)HR1.1 (0.4 to 3.0)Yes
Newberry et al 36 InterventionPrednisone (ref: placebo)RR 0.63 (0.41 to 0.95)
  • Bolded values are statistically significant.

  • m, month; NCHS, National Center for Health Statistics; PDM, postdischarge mortality; RR, relative risk; TB, tuberculosis.