Modifiable factors for prevention of childhood mortality

Mahajan, Vidushi; Kaur, Amarpreet; Sharma, Amit; Azad, Chandrika; Guglani, Vishal

doi:10.1007/s13312-014-0325-z

Cited by 8 publications

(12 citation statements)

References 8 publications

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“…Modifiable risk factors refer to events, actions or omissions contributing to the death of a child or to substandard care of a child who died, and which by means of locally achievable interventions, can be modified [5, 6]. They are categorized into caregivers or family related problems, administrative problems and medical personnel-related problems [5–8].…”

Section: Introductionmentioning

confidence: 99%

Under-five mortality pattern and associated risk factors: a case-control study at the Princess Marie Louise Children’s Hospital in Accra, Ghana

Tette

Nyarko²,

Nartey

et al. 2016

BMC Pediatr

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BackgroundMillions of children under the age of 5 years die every year. Some of these deaths occur in hospitals and are related to both clinical characteristics and modifiable risk factors. This study investigates the association between malnutrition and mortality and profiles the presenting features in a case-control study of children under 5 years of age who attended Princess Marie Louise Children’s Hospital (PML) in 2011.MethodsA total of 120 cases of children under the age of 5 years who were admitted to hospital and died there were matched by sex and age to 120 controls who were children who survived on 1:1 basis from a record of patients admitted to PML in 2011. Data on socio-demographic and clinical characteristics were extracted from the medical records of the study participants. The association between malnutrition and mortality was determined by conditional logistic regression reported as odds ratios (OR) and their 95 % confidence interval (95 % CI). P < 0.05 was considered significant in all analyses.ResultsMalnutrition was significantly associated with mortality in children under-5 years of age attending PML. In the adjusted analysis, the odds of dying was significantly higher in malnourished children compared with well-nourished children (adjusted OR = 4.32 [95 % CI, 1.33–13.92], p = 0.014]). In addition, a previous episode of diarrhoea within the last year was associated with mortality (adjusted OR = 7.25 [95 % CI, 1.68–31.22], p = 0.008). The proportion of patients with noisy or difficulty breathing, pallor, lethargic appearance, ill-looking appearance, febrile convulsion, altered sensorium, skin lesions, hepatomegaly or oedema was significantly higher among cases than in controls (p < 0.05).ConclusionsMalnutrition and a previous episode of diarrhoea within the last year were the main risk factors for mortality. Efforts to prevent malnutrition and diarrhoea must be intensified and a protocol to follow-up diarrhoea patients may be beneficial. Six out of the nine clinical features that were proportionally higher in children who died than those who survived, are captured by the Emergency Triage Assessment and Treatment (ETAT) screening protocol as emergency or priority signs, giving credence to the use of ETAT in this setting. Thus education of health professionals on the use of the tool to triage patients should be on-going. However, further studies are needed to establish whether the other clinical signs are consistently associated with mortality and if so, whether they can be included among triage criteria, danger signs or in a prognostic scoring system for this setting.

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Section: Introductionmentioning

confidence: 99%

Under-five mortality pattern and associated risk factors: a case-control study at the Princess Marie Louise Children’s Hospital in Accra, Ghana

Tette

Nyarko²,

Nartey

et al. 2016

BMC Pediatr

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“…Among the major causes of child death were accident/injury (37.5%), infection (12.5%), pneumonia (12.5%), diarrhoea (25%) and congenital diseases (12.5%). In the study by, 21 major causes of under-five death were diarrhoea (20.5%) followed by ARI (17.7%). In our study, it was found that in 79.8% of the deceased, there was delay in seeking care, delay in transport was reported in 37.8% of the deceased by the respondents.…”

Section: Sample Registration System (Srs) 2014mentioning

confidence: 86%

“…In our study, it was found that in 79.8% of the deceased, there was delay in seeking care, delay in transport was reported in 37.8% of the deceased by the respondents. In the study by, 21 among the post-neonatal deaths the delay in seeking care was seen for 42.3% , the delay in transport in 46% and the delay at health facility in 49.2% of the deceased. In the study by, 22 the delay in seeking care was observed among 82.2%, delay among transport in 56% and delay at health facility among 36.4% of the underfive deaths.…”

Section: Sample Registration System (Srs) 2014mentioning

confidence: 90%

Review of Under-Five Deaths through Verbal Autopsy in a Rural Block of Haryana

Sharma¹,

Kumar²,

Singh³

et al. 2018

IJMEDPH

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“…If HCPs miss neglect and abuse, the serious case review (SCR) investigation could record that there were 'modifiable factors' involved in the child's death. Modifiable factors are events, actions, or omissions that contribute to the death of a child and which, using interventions, could be modified and avoided (Mahajan et al, 2013). The NSPCC (2016) judges modifiable factors to be anything that could be avoided by using a nationally or locally achievable intervention…”

Section: Youth Substance Misusementioning

confidence: 99%

An investigation of the role of paramedics in child protection

Brady¹

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Modifiable factors for prevention of childhood mortality

Abstract: Amongst modifiable factors, administrative issues were most common followed by family-related reasons and medical-personnel related problems.

Cited by 8 publications

References 8 publications

Under-five mortality pattern and associated risk factors: a case-control study at the Princess Marie Louise Children’s Hospital in Accra, Ghana

Under-five mortality pattern and associated risk factors: a case-control study at the Princess Marie Louise Children’s Hospital in Accra, Ghana

Review of Under-Five Deaths through Verbal Autopsy in a Rural Block of Haryana

An investigation of the role of paramedics in child protection

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