Time-to-Recovery from Severe Pneumonia and Its Determinants Among Children Under-Five Admitted to University of Gondar Comprehensive Specialized Hospital in Ethiopia: A Retrospective Follow-Up Study; 2015-2020.

Background: Pneumonia, which is an infection and inflammation of an air-space in the lungs due to an impurity. Child mortality due to pheumonia is estimated at 921,000 children under 5 years (U5) in 2015.

Objective: To determine the TTR and factors of severe pneumonia among U5 children admitted at UOGCSH, Northwest Ethiopia.with.

Methods: A facility-based retrospective follow-up study was conducted on children U5 severe pneumonia from 2015 to 2020. The data were collected using pre-test and structured questionnaires. Statistical analysis was performed using Stata version 14.1.

Result: The average TTR was 3 days IQR (3-6). TTR from severe pneumonia was 13.5 (95% CI: 13.54-17.15) per 100-persons. The cumulative time for children at risk was 1112 days, with a TTR of 29.7 per 100 children per day. Severity, signs and symptoms of pneumonia (AHR, 3.88 (95% CI =3.12-5.57)); mode of infancy feeding (cows milk feeding) (AHR, 2.4, (95% CI: 2.22-6.6)), and formula feeding (AHR, 0.68, (95% CI 0.58-1.25)) as compared to breastfeeding; nutritional status (underweight) (AHR, 2.2, (95% CI: (2.1-3.76)) as compared to normal, age (2-3-years) (AHR, 1.4, (95% CI: 1.31-2.22)), and ≥4-years (AHR, 1.32, (95% CI: 1.3-2.32)) as compared to age of ≤1 year were important factors of TTR.

Conclusion: The overall TTR was 3 days IQR (2-6). This study identifies severity, signs, and symptoms of pneumonia, Mode of infancy feeding (cows milk feeding, formula feeding), nutritional status, and age were main determinants of TTR.