{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:38:55Z","timestamp":1792589935213,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pneumonia is a major contributor to childhood morbidity and mortality. This study aimed to describe the clinical profile and predictors of death among Ghanaian children admitted with pneumonia to hospitals within the Kumasi Metropolis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective, cross\u2010sectional, multi\u2010center design was employed across six facilities, including four government district hospitals, one private pediatric hospital, and a teaching hospital. Following informed consent, socio\u2010demographic data, clinical history and birth history were obtained, alongside anthropometric and clinical assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 3086 admissions during the study period, 506 children were screened for pneumonia, and 266 were admitted for severe pneumonia. Most of the children were under 24 months (79.7%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009212), males (57%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009153), and (9%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924) died. Immunization coverage was up to date in 57.5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009153), while 68.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009189) had been exclusively breastfed for 6 months. Common presenting symptoms included cough (95%), fast breathing (91%), difficulty in breathing (90%), and fever (89%). Hypoxemia was present in 21% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200956), and 56% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009148) had a respiratory rate above 50 breaths per minute. Poor feeding was associated with a threefold increased risk of mortality (aHR 3.23, 95% CI 1.13\u20139.23), while oxygen saturation above 90% resulted in improved survival (aHR 0.34, 95% CI 0.13\u20130.86). Fifteen children died within 24\u2009h of admission.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pneumonia in children under 2 years carries a substantial burden, with hypoxemia, poor feeding, prior hospitalization, and malnutrition identified as key predictors of mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71884","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:44:46Z","timestamp":1792586686000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Mortality in Children Admitted With Pneumonia in the Kumasi Metropolis: A Prospective Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6439-1643","authenticated-orcid":false,"given":"Sandra","family":"Kwarteng Owusu","sequence":"first","affiliation":[{"name":"Department of Child Health Komfo Anokye Teaching Hospital Kumasi Ghana"},{"name":"Department of Child Health School of Medical Sciences, Kwame Nkrumah University of Science and Technology Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen Kyeremateng","family":"Prempeh","sequence":"additional","affiliation":[{"name":"Department of Child Health Komfo Anokye Teaching Hospital Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5371-104X","authenticated-orcid":false,"given":"Joyce","family":"Ashong","sequence":"additional","affiliation":[{"name":"Department of Child Health Komfo Anokye Teaching Hospital Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8603-3714","authenticated-orcid":false,"given":"Lord","family":"Nkansah","sequence":"additional","affiliation":[{"name":"Department of Child Health Komfo Anokye Teaching Hospital Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8398-3898","authenticated-orcid":false,"given":"Samuel","family":"Odoom","sequence":"additional","affiliation":[{"name":"School of Public Health, Kwame Nkrumah University of Science and Technology Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5222-532X","authenticated-orcid":false,"given":"Naomi Dianne","family":"Adjetey","sequence":"additional","affiliation":[{"name":"Department of Child Health Komfo Anokye Teaching Hospital Kumasi 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Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila","family":"Adutwum","sequence":"additional","affiliation":[{"name":"Maternal and Child Health Hospital Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2277-2365","authenticated-orcid":false,"given":"Ashura","family":"Bakari","sequence":"additional","affiliation":[{"name":"Suntreso Government Hospital Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine Korkor","family":"Tetteh","sequence":"additional","affiliation":[{"name":"Manhyia Government Hospital Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita Fosu","family":"Yeboah","sequence":"additional","affiliation":[{"name":"Kumasi South Government Hospital Kumasi 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Paediatrics and Child Health Division of Paediatric Pulmonology, Red Cross War Memorial Children's Hospital, University of Cape Town Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_11_2_1","article-title":"Magnitude and Predictors of Pneumonia Among Under\u2010Five Children in Ethiopia: A Systematic Review and Meta\u2010Analysis\u2014Alamneh","volume":"2020","author":"Yoseph M. 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