Treatment Outcome of Severe Acute Malnutrition Cases at the Tamale Teaching Hospital

Abstract

Objective. This study investigated the treatment outcomes and determinant factors likely to be associated with recovery rate. Methods. A retrospective chart review (RCR) was performed on 348 patients who were enrolled in the outpatient care (OPC) during the study period. Results. Of the 348 cases, 33.6% recovered (having MUAC ≥125 mm), 49.1% defaulted, and 11.5% transferred to other OPC units to continue with treatment. There were 187 (53.7%) males and 161 (46.3%) females with severe malnutrition. The average weight gain rate was 28 g/kg/day. Controlling for other factors, patients who completed the treatment plan had 3.2 times higher probability of recovery from severe acute malnutrition (SAM) as compared to patients who defaulted (adjusted odds ratio (AOR) = 3.2, 95% CI = 1.9, 5.3, and p < 0.001). The children aged 24–59 months had 5.8 times higher probability of recovery from SAM as compared to children aged 6–11 months (AOR = 5.8, 95% CI = 2.5, 10.6, and p < 0.001). Conclusions. Cure rate was low and the default rate was quite high. Children who were diagnosed as having marasmus on admission stayed longer before recovery than their kwashiorkor counterparts. Younger children were of greater risk of nonrecovery.

Treatment outcome and associated factors of severe acute malnutrition among 6–59 months old children in Debre Markos and Finote Selam hospitals, Northwest Ethiopia: a retrospective cohort study

“…Not only recovery and death rate but also the other outcome indicators in this study showed that there were in the minimum standard set of sphere project values/international standards [9]. The recovery rate in our study is higher than previous findings from Tigray [10], Kamba District [11], Uganda [12], Sudan [13], Tamale Teaching Hospital [14] and India [15]. But it is lower than findings from Jimma University Specialized Hospital [16], Woldiya General Hospital [17], Southern region of Ethiopia [18] and Rural Ethiopia [19].…”

Clinical Profile and outcome of Severe Acute Malnutrition (SAM) Children admitted in Nutrition Rehabilitation Centre, City Hospital, Berhampur, Odisha

“…The recovery rate in our study was good, 81% as against other studies where it was 33.6% in Mahama Saaka et al and 66% in Maurya et al [3,7] . The mean weight gain which was similar in our study when compared to other studies14gm/kg/day.…”

“…[8] The defaulter rate was better in our study, 5.8%, when compared to 53% in the Mahama et al study. [3] Limitation of our study was inadequate follow up. Hence, Hospital based management of these children in specialised feeding centre is very important for faster recovery and a better weight gain.…”

The outcome of severe acute malnutrition children admitted to nutrition rehabilitation centre of a tertiary level care hospital

“…The recovery rate in our study was good, 81% as against other studies where it was 33.6% in Mahama Saaka et al and 66% in Maurya et al 3,7 Major problems faced in NRCs was the duration of stay and also the mean weight gain which was low in our study when compared to other studies-14gm/kg/day, since most of the patients were opting for early discharge when once the complications were under control. 8 The defaulter rate was better in our study, 12.09%, when compared to 53% in the Mahama et al study.…”

“…Recovery rate may also vary in different NRCs. [2][3][4] Hence, this study was undertaken to know the outcome of SAM children admitted to the NRC of our hospital.…”