The clinical profile and outcome of children with acute malnutrition in a tertiary health center in North-West Nigeria: A 1-year retrospective review

Aliyu, Ibrahim; Ibrahim, Haliru; Idris, Umma; Michael, Godpower Chinedu; Ibrahim, Umma A.; Mohammed, Abdulsalam; Ahmad, Irfan; Habib, Junaid Muhammad

doi:10.4103/jcls.jcls_55_19

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…However, similar to other reports, MCV which is reflective of the iron status of the patients was lower in the SAM group. Similar value was reported by Ernest from south east Nigeria and Bashier from Sudan [15], [19]. Worldwide, iron deficiency is the most common trace element deficiency affecting up to 50% of the world's population and it is worse in the severely malnourished [18].…”

Section: Discussionsupporting

confidence: 79%

“…This study compared haematological parameters and inflammatory markers in the complete blood count of severely malnourished patients with other febrile patients who were not malnourished. Most of the patients affected with malnutrition were female, a finding seen in some other studies [15], [16] of female preponderance which has been attributed to more care for the male child. Most of the patients were of lower social economic strata which is not unexpected as it corroborates previous findings [15], [16].…”

Section: Discussionmentioning

confidence: 53%

“…Most of the patients affected with malnutrition were female, a finding seen in some other studies [15], [16] of female preponderance which has been attributed to more care for the male child. Most of the patients were of lower social economic strata which is not unexpected as it corroborates previous findings [15], [16].…”

Section: Discussionmentioning

confidence: 53%

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Complete Blood Count Profile and Derived Inflammatory Markers in Children with Severe Acute Malnutrition Seen in Sokoto, North-Western Nigeria

Sani²,

Waziri³

et al. 2021

EJMED

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Severe acute malnutrition (SAM) is a major cause of mortality among children in Nigeria. Majority of affected children die from sepsis related complications. The complete blood count includes inflammatory markers which have been found to be useful in predicting sepsis and mortality in children, but these findings have not been corroborated in our population. The aim of this study was to compare the haematological profile and inflammatory markers of severely malnourished children to age matched controls admitted for febrile illnesses. It was a cross sectional study carried out in the emergency paediatric unit of Usmanu Danfodiyo University Teaching Hospital, Sokoto. Severely malnourished children aged 6 months to 5 years and a comparative cohort who were not severely malnourished were consecutively recruited as they presented for admission. Relevant data were entered into a proforma and blood samples taken for complete blood count amongst others. Total and differential white cell counts, lymphocyte-neutrophil ratio and platelet indices were compared. There were 64 children comprising 32 severely malnourished and 32 well-nourished children. Mean white cell count, absolute lymphocyte and monocytes were significantly higher among the malnourished while mean platelet volume (MPV) and platelet distribution width (PDW) were significantly lower for the malnourished subjects. There were eight mortalities all among the malnourished children and mean neutrophil count was significantly higher among the mortalities. In conclusion, severely malnourished children had more lymphocytosis, however, mortality was associated with neutrophilia. Platelet indices of inflammation were lower in malnourished than non-malnourished subjects.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 53%

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Complete Blood Count Profile and Derived Inflammatory Markers in Children with Severe Acute Malnutrition Seen in Sokoto, North-Western Nigeria

Sani²,

Waziri³

et al. 2021

EJMED

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“…According to this study, 70.65% of children recovered, which falls short of the minimum acceptable international SPHERE standards (>75%) (1). However, the recovery rate in this study was similar to that of Yekatit 12 Hospital Medical College (70.4%) (15) and Lacor Hospital of Uganda (70.6%) (17), while higher than that of Bangladesh (55.7%) (18), Sudan (57.4%) (19), Nigeria (48.5%) (20). In contrast, the recovery rate of this study was lower than that of India (81%) (21), Wag Himra Zone, Northeast Ethiopia (80.4%) (22), Yirgalem Hospital (78%) (23), and Yekatit 12 Hospital (81.3%) (24).…”

Section: Discussionsupporting

confidence: 76%

Treatment outcomes among children admitted stabilization centers in Eastern Ethiopia: retrospective study

Ahmed

yusuf

Wilfong

et al. 2023

Front. Public Health

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BackgroundThere is improved access to Sever Acute Malnutrition management in Ethiopia; however, studies have revealed an alarming rate of defaulters’ poor recovery and deaths, emphasizing the importance of researching to identify major causes. As a result, the goal of this research is to identify treatment outcome determinants and associated factors in severely malnourished children aged 6–59 months admitted to public hospitals in Eastern Ethiopia’s stabilization centers.MethodsThis study used an institutional-based retrospective cohort study design with 712 children aged 6 to 59 months. Data was gathered using a Sever Acute Malnutrition registration logbook and patient charts. Participants were chosen at random from their respective healthcare facilities based on population proportion. Epi-data was entered and analyzed using STATA version 14. To identify associated factors, the Cox proportional hazard Ratio was calculated, and a p-value of 0.05 at the 95% confidence interval was considered statistically significant.ResultsThis study revealed that only 70.65% (95% CI = 67.19, 73.88) of the children were cured while 17.84% defaulted from the management and 5.90% died. Children who did not have tuberculosis (AHR = 1.58, 95%CI:1.04, 2.40), anemia (AHR = 1.31, 95% CI:1.03, 1.68), Kwash dermatosis (AHR = 1.41, 95%CI:1.04, 1.91), or on NG-tube (AHR = 1.71, 95%CI:1.41, 2.08) were more likely to be cured from SAM.ConclusionThis study discovered that the cure rate is extremely low and the defaulter rate is extremely high. As a result, intervention modalities that address the identified factor are strongly recommended to accelerate the rate of recovery in Eastern Ethiopia.

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Outcome of Severe Acute Malnutrition in Children Aged 6-59 Months Before and After the Institution of the Malnutrition Treatment Centre in the Regional Hospital Limbe, Southwest Region of Cameroon

Monono

2024

JPAR

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Background: Malnutrition occurs when nutrient and energy intake do not meet, or exceed an individual’s requirements to maintain growth, immunity, and organ function. In 2020, among children 0-59 months worldwide, 21.3% (144 million) were stunted and 6.9% (47 million) were wasted. The Malnutrition Treatment Centre’s (MTC) establishment in the Regional Hospital Limbe in 2019 brought major changes in management such as free and continuous supply of therapeutic food and basic drugs, the expertise of a nutritionist and closer follow up of patients after discharge. The aim of this research was to evaluate the outcome of children with severe acute malnutrition aged 6-59 months treated at the MTC differed from those treated before the MTC’s creation. Methodology: An analytic cross sectional retrospective study was conducted from February to March 2022. The study period was from March 2016 to February 2019 (before the MTC) and March 2019 to February 2022 (after the MTC). A predesigned data extraction form was used to obtain sociodemographic data of the children and their parents, clinical findings on admission and hospital outcome. The data was entered into CDC Epi info 2.4 and analysed using SPSS. A p-value of <0.05 was considered statistically significant. Results: Out of 129 files included in the study, 35 were pre-MTC and 94 after its creation. The hospital prevalence of SAM increased from 4% to 7% after the MTC’s creation. The mean MUAC (mid-upper arm circumference) was 11.1 ± 0.98 cm. Marasmus was the most common form of SAM (90.7%). The most common admission symptoms were fever (74.4%), diarrhoea (47.2%) and vomiting (32.6%). The most common comorbidities were malaria (29.5%), gastrointestinal infection (20.9%), sepsis (18.6%) and pulmonary infection (14%). There was an increase in the recovery rate (from 71.4% to 76.6%) and the rate of weight gain (from 3.5 g/kg/day to 8.7 g/kg/day). There was also a reduction in the death rate (from 14.3% to 9.6%) and length of in-hospital admission (from 10.24 ±5.4 days to 7.3 ±3.6 days) Conclusion: The MTC led to an increase in the influx of patients with SAM at the RHL, marasmus was the most common form of SAM. There was an increase in the rate of weight gain, a decreased mortality rate and decreased length of hospital stay, thus revealing the pertinent relevance of the MTC in the management of SAM.

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The clinical profile and outcome of children with acute malnutrition in a tertiary health center in North-West Nigeria: A 1-year retrospective review

Cited by 3 publications

References 12 publications

Complete Blood Count Profile and Derived Inflammatory Markers in Children with Severe Acute Malnutrition Seen in Sokoto, North-Western Nigeria

Complete Blood Count Profile and Derived Inflammatory Markers in Children with Severe Acute Malnutrition Seen in Sokoto, North-Western Nigeria

Treatment outcomes among children admitted stabilization centers in Eastern Ethiopia: retrospective study

Outcome of Severe Acute Malnutrition in Children Aged 6-59 Months Before and After the Institution of the Malnutrition Treatment Centre in the Regional Hospital Limbe, Southwest Region of Cameroon

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