Experience and Outcome of Children with Severe Acute Malnutrition Using Locally Prepared Therapeutic Diet

Singh, Preeti; Kumar, Praveen; Rohatgi, Shivani; Basu, Srikanta; Aneja, Satinder

doi:10.1007/s12098-015-1818-z

Cited by 13 publications

(14 citation statements)

References 14 publications

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“…The scienti c explanation for this might be due to discontinuation of breastfeeding and inappropriate complementary feeding practices as children's age increases. The present study was consistent with the study done in Debre Markos and Finote Selam hospitals, and Northern India (20,28). However, this study is contrary to studies done in Malawi, Wolisso St. Luke catholic hospital, Gamo-Gofa Zone and Shebedido woreda OTP center (30,(32)(33)(34).…”

Section: Discussionsupporting

confidence: 90%

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Determinants of treatment outcomes of severe acute malnutrition among under-5 children in Yekatit 12 Hospital, Addis Ababa, Ethiopia: a retrospective cohort study

Adimasu¹,

Teshome²,

Fenta³

et al. 2020

Preprint

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Background Devastatingly, the number of children with SAM is still growing globally. Severe acute malnutrition is the third most common contributing factor to the deaths of under-5 children worldwide. According to the World Health Organization, severe acute malnutrition causes 1 million deaths annually via increased susceptibility to death from severe infection. Ethiopia is one of the countries with highest under-5 child mortality rate, with malnutrition underlying to 28% of all children deaths. In Ethiopia, some studies reported an alarming death and default rates which indicate the need for further study to assess contributing factors to the treatment outcomes of severe acute malnutrition. Therefore, the intention of this research is to determine the treatment outcomes of severe acute malnutrition and identify predictors of nutritional recovery. Method: A retrospective cohort study was conducted among 423 under-5 children with severe acute malnutrition. Logistic regression analysis was performed and an adjusted odd ratio with 95%CI was used to determine independent predictors. Result The overall recovery, death and default rates were 81.3%, 11.1% and 7.6% respectively. Age, vaccination status, HIV/AIDS, pneumonia, diarrhea and stunting were found to be significant independent predictors of treatment outcomes. The adjusted odd ratio (AOR) for nutritional recovery increased by 14.6% for every 1-month increase in child age (AOR = 1.146; 95%CI: 1.052–1.249). Regarding vaccination status, those under-5 children who were fully vaccinated for their age were about 4 time more likely to recover than their counterparts (AOR = 4.242; 95%CI: 1.566–11.491) Conclusion In conclusion, the overall nutritional recovery and default rate in this study were in the acceptable range of international standard even though the death rate was higher. Age and full vaccination were proven to increase nutritional recovery. Conversely, the presence of HIV/AIDS, pneumonia, diarrhea and stunting were proven to decrease nutritional recovery.

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Section: Discussionsupporting

confidence: 90%

“…However, the recovery rate for the present study was lower than studies done India, Wolisso St. Luke catholic hospital and Ghana (28)(29)(30). The higher recovery rate in St. Luke catholic hospital might be due to greater sample size (855).…”

Section: Discussioncontrasting

confidence: 65%

Determinants of treatment outcomes of severe acute malnutrition among under-5 children in Yekatit 12 Hospital, Addis Ababa, Ethiopia: a retrospective cohort study

Adimasu¹,

Teshome²,

Fenta³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…This may be scientifically explained by the discontinuation of breastfeeding and the introduction of inappropriate complementary feeding practices as the age of the child increases. The present study is consistent with studies performed at the Debre Markos and Finote Selam hospitals and in northern India [22,24]. However, this study contrasts with studies conducted at Wolisso St. Luke Catholic Hospital, in the Gamo-Gofa Zone, and at the Shebedino Woreda Outpatient Treatment Program Center [21,25,27,41].…”

Section: Discussionsupporting

confidence: 88%

“…However, it was longer Table 2. Distribution of routine medications, special medications, supplements, and therapeutic feeding for patients with severe acute malnutrition cases admitted to the therapeutic feeding unit of Yekatit [17,19,24,37,38]. The relatively short nutritional recovery times found in India and Zambia may be due to socioeconomic status, as well as treatment and caring practices, and the longer recovery time in the present study compared to other settings in Ethiopia might be because in this study setting, complicated cases may be referred, potentially prolonging the recovery time.…”

Section: Discussionmentioning

confidence: 99%

“…SAM is defined as a weight-for-height (WFH) measurement below 70% or a WFH z-score below 3 standard deviations from ral Hospital to 83.0% at Wolisso St. Luke Catholic Hospital with a median recovery time ranging from 10.00 days at Dilchora Referral Hospital to 21.56 days at Ayder Referral Hospital [17][18][19][20][21]. The main predictors of recovery time have been found to be age [21][22][23][24]; sex [18,25]; vaccination status [18]; type of malnutrition [19,26]; baseline anthropometric measurements [18,27]; comorbidities, such as human immunodeficiency virus [18,22], pneumonia [19], anemia [22], dehydration [28] and rickets [19]; and treatments and supplements, such as antibiotics and folic acid [22].…”

Section: Introductionmentioning

confidence: 99%

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Recovery time from severe acute malnutrition and associated factors among under-5 children in Yekatit 12 Hospital, Addis Ababa, Ethiopia: a retrospective cohort study

Adimasu¹,

Sebsibie

Abebe

et al. 2020

Epidemiol Health

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OBJECTIVES: Recovery time from severe acute malnutrition (SAM) is often a neglected topic despite its clinical impact. Although a few studies have examined nutritional recovery time, the length of hospitalization in those studies varied greatly. Therefore, the aim of this study was to determine the recovery time from SAM and to identify predictors of length of hospitalization among under-5 children.METHODS: A retrospective cohort study was conducted among 423 under-5 children with SAM who had been admitted to Yekatit 12 Hospital. Kaplan-Meier analysis was used to estimate time to nutritional recovery, and Cox proportional hazard regression analysis was performed to determine independent predictors.RESULTS: The nutritional recovery rate was 81.3%, and the median recovery time was 15.00 days (95% confidence interval [CI], 13.61 to 16.39). Age, daily weight gain per kilogram of body weight, vaccination status, and the existence of at least 1 comorbidity (e.g., pneumonia, stunting, shock, and deworming) were found to be significant independent predictors of nutritional recovery time. The adjusted hazard ratio (aHR) for nutritional recovery decreased by 1.9% for every 1-month increase in child age (aHR, 0.98; 95% CI, 0.97 to 0.99).CONCLUSIONS: The overall nutritional recovery time in this study was within the Sphere standards. However, approximately 13.0% of children stayed in the hospital for more than 28.00 days, which is an unacceptably large proportion. Daily weight gain of ≥8 g/kg, full vaccination, and deworming with albendazole or mebendazole reduced nutritional recovery time. Conversely, older age, pneumonia, stunting, and shock increased nutritional recovery time.

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National Programs and Policies to Address Child Malnutrition in India: Challenges and Opportunities

Soni¹,

Masoud²,

Bhutta³

2018

Handbook of Famine, Starvation, and Nutrient Deprivation

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Experience and Outcome of Children with Severe Acute Malnutrition Using Locally Prepared Therapeutic Diet

Cited by 13 publications

References 14 publications

Determinants of treatment outcomes of severe acute malnutrition among under-5 children in Yekatit 12 Hospital, Addis Ababa, Ethiopia: a retrospective cohort study

Determinants of treatment outcomes of severe acute malnutrition among under-5 children in Yekatit 12 Hospital, Addis Ababa, Ethiopia: a retrospective cohort study

Recovery time from severe acute malnutrition and associated factors among under-5 children in Yekatit 12 Hospital, Addis Ababa, Ethiopia: a retrospective cohort study

National Programs and Policies to Address Child Malnutrition in India: Challenges and Opportunities

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