Bài viết nhằm mục tiêu xác định những yếu tố liên quan đến ho gà nhập cấp cứu. Nghiên cứu cắt ngang mô tả hồi cứu về trẻ mắc ho gà, được xác định bằng xét nghiệm PCR dịch mũi hầu, được thực hiện trong 12 tháng (1/2018-12/2018) tại Bệnh viện Nhi đồng 2. | Journal of Pediatric Research and Practice Vol. 5 No. 3 2021 32-41 Research Paper Factors Associated with Emergency Admission Pertussis Patients at the Children s Hospital No. 2 in 2018 Pham Thai Son1 Tran Ngoc Xuan Pham Thi Thuy Dung Nguyen Kim Thuy Mai Thi Hoai Thanh Tran Nguyen Minh Thu Nguyen Xuan Thuy Quynh Nguyen Hoang Phuong Anh 1 Children Hospital 2 14 Ly Tu Trong 1 District Ho Chi Minh Vietnam Received 23 March 2021 Revised 19 April 2021 Accepted 15 May 2021 Abstract Objective In 2018 the number of pertussis cases in Vietnam increased significantly. In fact southern pediatric hospitals reported many cases of severe progressing pertussis requiring emergency hospitalization. This study aimed to determine the factors related to pertussis patients required emergency admissions. Methods A cross sectional retrospective study of children with pertussis confirmed by PCR at the Children s Hospital No. 2 was conducted over a period of 12 months January to December 2018 . The evaluating variables included epidemiological characteristics clinical symptoms and related tests. Logistic regression model was used to determine the variables associated with emergency hospitalization of pertussis cases. Results One hundred thirty-nine pertussis patients ranging from 17 days to 15 months of age were enrolled in the study and 15 8 of cases required emergency admission. Emergency admission group had prolonged duration of hospitalization 16 5 compared to 7 days and respiratory support 12 days compared to 2 days in comparison to the group without emergency admission. Prematurity OR 7 1 95 CI 1 5-34 3 p 0 015 apnea OR14 5 95 CI 2 5-83 6 p 0 003 leukocytosis over 30 103 µL OR 10 6 95 CI 2 1-53 8 p 0 005 imaging of complications on chest X- ray OR 8 7 95 CI 1 8-42 2 p 0 007 were related to pertussis children requiring emergency admission. Conclusion The proportion of emergency admission in pertussis patients was 15 8 . This was a severe group requiring respiratory support and .
