Mortality in children with severe acute malnutrition

Abate, Hannibal K.; Kidane, Samuel; Feyessa, Yibeltal M.; Gebrehawariat, Eyob G.

doi:10.1016/j.clnesp.2019.07.001

Cited by 13 publications

(11 citation statements)

References 7 publications

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“…The recovery rate in this study was relatively higher than the national SAM management standards and the sphere standards that recommended recovery rates of 75% under the current SAM management guidelines [ 22 , 32 ]. The recovery rate in this study was also higher than the findings various studies performed in different locations of Ethiopia [ 12 , 14 , 16 , 17 , 20 , 21 , 24 , 26 , 27 , 30 , 33 – 40 ], of which ten [ 12 , 14 , 16 , 17 , 20 , 26 , 27 , 33 , 36 , 40 ], five [ 24 , 30 , 34 , 35 , 39 ], two [ 37 , 38 ], and one [ 21 ] were from Northern, Southern, Western and Easter Ethiopia, respectively. However, it was also lower than previous studies done in Ethiopia [ 13 , 23 , 25 , 41 ], of which two of them were from Northern Ethiopia [ 23 , 41 ] and others were from Western [ 13 ] and Southern [ 25 ] Ethiopia.…”

Section: Discussioncontrasting

confidence: 70%

Recovery rate and its predictors among children with severe acute malnutrition in Addis Ababa, Ethiopia: A retrospective cohort study

et al. 2020

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Introduction Malnutrition is a public health problem in under-five children in several parts of the world even after decades of the implementation of management protocols. An estimated 17 million children under the age of five years are living with severe acute malnutrition and the majorities are found in Asia and Africa, including Ethiopia. Objective The main objective of this study was to determine the recovery rate and its predictors among under-five children who were admitted to St. Paul's Hospital Millennium Medical College from 2012 to 2019. Methods An institution based retrospective cohort study was employed at St. Paul's Hospital Millennium Medical College from May 20, 2019 to June 28, 2019. Data were collected by reviewing children's' medical records using a structured checklist. A total of 534 charts were selected using a simple random sampling method and 515 of them were used for the final analysis. Ep-info version 7 software was used for data entry and STATA Version 15 for analysis. The Kaplan Meier failure estimate with Log-rank test was used to determine the survival estimates. Bi-variable and multivariable Cox proportional hazards regression model were fitted to identify predictors of mortality. Finally, variables with p-values less than 0.05 in the multivariable Cox regression were considered as independent predictors. The proportional hazards assumption was checked using the Schoenfeld residuals test and the final model fitness was checked using the Cox-Snail residual test.

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Section: Discussioncontrasting

confidence: 70%

Recovery rate and its predictors among children with severe acute malnutrition in Addis Ababa, Ethiopia: A retrospective cohort study

et al. 2020

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“…According to the World Health Organization (WHO), the correct management of SAM in developing countries should make it possible to reduce mortality to less than 5%, to obtain a minimum cure rate of 75%, a duration of hospitalization of less than 30 days with an average daily weight gain of 8 g/Kg/day [20].…”

Section: Discussionmentioning

confidence: 99%

Management of Severe Acute Malnutrition in a Senegalese Paediatric Hospital

Seck¹,

Basse²,

Boiro³

et al. 2021

OJPed

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Malnutrition is a global health problem. It is very common in developing countries where it contributes to an increase in morbidity and mortality, especially among children under five years of age. The main objective of this study was to describe the management of severe acute malnutrition (SAM) in children six months to five years of age hospitalized at Diamniadio Children's Hospital (DCH). This was an epidemiological, retrospective, descriptive and cross-sectional study of children aged six to 59 months hospitalized at DCH for SAM. The study took place over a 12-month period (from January 1, 2018 to December 31, 2018). During the study period, 67 children were admitted for SAM, representing a hospital prevalence of 8.4%. The majority (88%) children were less than 24 months old. Reasons for consultations were dominated by diarrhea (57.5%) vomiting (38.8%). Complications related to SAM were mainly: anaemia (74.6%), infections (85%) and severe acute dehydration (40.3%). Factors associated with SAM were young age (infants under 24 months of age), poverty, the first four children of a sibling, poor behaviour of food diversification. The average length of hospitalization was 12 days. The nutritional recovery rate was 73.1% and lethality was 3%. Conclusion: The prevention of malnutrition must involve the fight against poverty, an optimal and well-diversified diet, monitoring the nutritional status of children up to five years of age.

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“…Penyakit lainnya yang sering ditemukan pada anak dengan malnutrisi saat dirumah sakit adalah gastroentritis, gastritis dan pneumonia dimana anak akan mengalami kehilangan nutrisi akibat muntah dan diare. 14 dari 15 kematian anak dengan malnutrisi diketahui akibat komplikasi yang diperberat dengan adanya diare akut (6) .…”

Section: Abstrakunclassified

“…Data prevalensi kasus kematian anak dengan malnutrisi didapat di rumah sakit Hiwot fana Hospital di Ethiopia berdasarkan usia tercatat paling banyak terdapat pada usia 36-59 bulan yaitu sebanyak 6 dari 15 kasus 6 . Selanjutnya data prevalensi anak di rumah sakit di Southern Ethiopia juga terdapat perbedaan yaitu sebanyak 58,75% pada usia <24 bulan dan 41,25% pada usia >24 bulan (22) .…”

Section: Karakteristik Pasien Anak Yang Mengalami Malnutrisi Didapat unclassified

“…Dimana data ini didukung dengan penelitian yang dilakukan di Nairobi Kenya terdapat perbedaan rata-rata jenis kelamin antara laki-laki sebanyak 52,9% dan perempuan sebanyak 47,1% (20) . Sehingga berdasarkan data maka kasus prevalensi kejadian malnutrisi di rumah sakit lebih banyak pada laki-laki dibandingkan perempuan yaitu sebanyak 1,6:1 (6) .…”

Section: Karakteristik Pasien Anak Yang Mengalami Malnutrisi Didapat unclassified

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Tinjauan Literatur Malnutrisi Didapat di Rumah Sakit: Karakteristik Anak dan Alat Skrining yang Digunakan

Ndede

Wanda

2020

JPKSF

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This article aimed of child’s characteristic of hospital acquired malnutrition (HAMs) that need to used screening tool to early detect of that risk. This review articles sourced from online database with the keywords child, pediatric, malnutrition, malnourished, hospital or hospital acquire and screening tool were taken from 2014 to 2019.This review discussed 3 subtopics were: (1) Hospital acquired malnutrition, (2) The characteristics of child with hospital acquired malnutrition, and (3) Instrument of malnutrition assessment in hospitals. Based on 3 subtopics, several factors are found that can make increased of hospital acquired malnutrition in child and a few screening tools that used. Screening tools that are appropriate to the hospital environment and the characteristics of children to be able to assess the nutritional malnutrition properly. Keywords: hospital acquired malnutrition; hospitalization; child; screening tool ABSTRAK Artikel ini membahas tentang karakteristik anak terhadap malnutrisi didapat di rumah sakit (MddRS) yang perlu menggunakan alat skrining baku untuk deteksi awal risiko tersebut. Telaah artikel ini berdasarkan sumber dari online database dengan menggunakan kata kunci digunakan child, pediatric, malnutrition, malnourished, hospital or hospital acquire dan screening tool yang diterbitkan tahun 2014 hingga 2019. Dari hasil telaah artikel, didapatkan subtopik pembahasan diantaranya: 1) Malnutrisi didapat di rumah sakit, 2) Karakteristik malnutrisi didapat di rumah sakit, dan 3) Instrumen penilaian malnutrisi di rumah sakit. Simpulan: Berdasarkan tiga subtopik yang menjelaskan tentang malnutrisi didapat di rumah sakit, didapat beberapa faktor penyebab yang mendasari peningkatan kejadian MddRS dan beberapa alat skrining yang digunakan. Perlu alat yang sesuai dengan lingkungan rumah sakit dan karakteristik pasien untuk dapat menilai kejadian malnutrisi dengan baik dan tepat. Kata kunci: malnutrisi didapat di rumah sakit; hospitalisasi; anak; alat skrining

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Mortality in children with severe acute malnutrition

Cited by 13 publications

References 7 publications

Recovery rate and its predictors among children with severe acute malnutrition in Addis Ababa, Ethiopia: A retrospective cohort study

Recovery rate and its predictors among children with severe acute malnutrition in Addis Ababa, Ethiopia: A retrospective cohort study

Management of Severe Acute Malnutrition in a Senegalese Paediatric Hospital

Tinjauan Literatur Malnutrisi Didapat di Rumah Sakit: Karakteristik Anak dan Alat Skrining yang Digunakan

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