International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
90
Views
18
Downloads
Study to Evaluate the Effectiveness of Acute Illness Observation Scale (AIOS) in Predicting the Severity of the Illness and Determining the Management Among Children of 2‐60 Months of Age with Acute Respiratory Illness
R.V. Aarthy, Sreenandini and A. Abdul Rahim
Page: 59-65 | Received 10 Nov 2024, Published online: 22 Jan 2025
Full Text Reference XML File PDF File
Abstract
Acute Illness Observation Scale (AIOS) system developed by P.L. McCarthy a generic illness severity scoring system uses 6 easily observed parameters are shown to be a sensitive indicator of illness in children. Present study was aimed to study the effectiveness of Acute Illness Observation Scale (AIOS) in predicting the severity of the illness among children of 2‐60 months of age with acute respiratory illness. Present study was Descriptive epidemiological study, conducted in children between 2‐60 months with suspected acute respiratory illness. On day 1 AIOS Scoring was done and outcome was be compared with the score on Day 5. A total of 50 children were enrolled, majority were from age group 13‐36 months (48%) were male (62%). All children with tachypnea were admitted, where about 46% of children had respiratory rate between 40‐50, while 22% of children had respiratory rate more than 60. Intercostal/subcostal retractions were also found in about 60% of cases, with grunt in 20% cases, cyanosis in 1 child, inability to drink in 18% of cases. Abnormal breath sounds like crepitation were found in 10 (20%) children, wheeze in 11 children, decreased breath sound were found in 13 children (26%). 42% of children scored abnormally ($16) at the initial presentation, while about 20% children scored between 11‐15 and 38% children scored near normal (#10). Majority of children between age group 12‐36 months scored abnormally ($16) at the initial presentation. Mean score at the initial presentation is 14.56. The reduction in the score between day 1 and day 5 were statistically significant among all the three scores(p<0.05). AIOS can be used as a tool to decide on therapeutic modalities and prognosticating a child with pneumonia admitted to the hospital by a physician.
How to cite this article:
R.V. Aarthy, Sreenandini and A. Abdul Rahim. Study to Evaluate the Effectiveness of Acute Illness Observation Scale (AIOS) in Predicting the Severity of the Illness and Determining the Management Among Children of 2‐60 Months of Age with Acute Respiratory Illness.
DOI: https://doi.org/10.36478/10.36478/makijtm.2025.1.59.65
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2025.1.59.65