Co-morbidities in Children with Severe Acute Malnutrition – A Hospital based Study

Saini, Susheel Kumar; Saini, Ajay Kumar; Kumari, Seema

doi:10.26502/jppch.74050109

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“…Edema was noted in very few of the patients (5, 2.3%) in our setup. Saini et al noted edema in 16% patients in their study [3] . Most of the SAM patients present with complications, with pneumonia or diarrhoea as the presenting complaints.…”

Section: Figurementioning

confidence: 72%

“…Like in our study, Kumar et al in their study of 104 children have reported diarrhoea (54%) to be the most common association [4] . Saini et al in their study of 125 children have also reported diarrhoea (42%) to be the most common association [3] . Kaushik et al noted a very high level of malnutrition (78.6%) in children admitted in their wards with acute respiratory tract infection [5] .…”

Section: Figurementioning

confidence: 90%

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Weights Must Not be Taken Lightly: Burden of Severe Acute Malnutrition Patients in a Rural Tertiary Care Hospital of Maharashtra

Panjwani,

Rajib,

P Jadhav

2024

Int J Health Sci Res

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Aim: To identify the magnitude of the burden of co-morbidities of severe acute malnutrition (SAM) in a rural tertiary care centre in Maharashtra, to facilitate necessary planning for care to reduce disparity in urban and rural outcomes of these patients. Methods: From March 2023 to April 2024, data was collected from the wards of a tertiary care rural hospital. Children with SAM were examined and managed for primary complaints, any associated co morbidities, and nutritional rehabilitation was done. Results: Presenting diagnosis was most commonly respiratory tract infection, including tuberculosis, and acute gastroenteritis, followed by anemia and acute febrile illness. Co-morbidities such as chronic diarrhoea (12, 14%), congenital heart disease (4, 4.7%), neurological involvement such as cerebral palsy, meningitis, infantile tremor syndrome and spinal muscular atrophy (14, 16.6%), bony abnormalities such as rickets with spine deformities and bowed legs causing abnormal posture and delayed mobility (10, 11.9%) also contributed to the burden in our setup. Conclusion: This study is an attempt to enhance data about the gravity of malnutrition and thus the need for improvement in facilities for the care of these patients to reduce the vicious cycle of malnutrition and infections. Key words: Malnutrition, child health, SAM, diet, anemia, edema, wasting

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Section: Figurementioning

confidence: 72%

Section: Figurementioning

confidence: 90%