-
Recovery time from severe acute malnutrition and associated factors among under-5 children in Yekatit 12 Hospital, Addis Ababa, Ethiopia: a retrospective cohort study
-
Mekonen Adimasu, Girum Sebsibie, Fikrtemariam Abebe, Getaneh Baye, Kerebih Abere
-
Epidemiol Health. 2020;42:e2020003. Published online February 2, 2020
-
DOI: https://doi.org/10.4178/epih.e2020003
-
-
15,784
View
-
410
Download
-
9
Web of Science
-
10
Crossref
-
 Abstract
 PDF
-
Abstract
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.
-
Summary
-
Citations
Citations to this article as recorded by  - Stabilizing time and its predictors among 1–59 months old children managed for severe acute malnutrition during the humanitarian crisis in Tigray regional state of Ethiopia, 2023: a prospective cohort study
Wagnew Tesfay, Mebrahtu Abay, Berhane Fseha Teklehaimanot, Ataklti Gebremedhin
BMC Pediatrics.2024;[Epub] CrossRef - Predictors of recovery from severe acute malnutrition among 6–59 months children admitted to a hospital
Assefa Andargie, Segenet Zewdie
Frontiers in Public Health.2024;[Epub] CrossRef - Time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in Tigray, Ethiopia, 2020: a prospective cohort study
Gebretsadkan Fisseha Kidane, Kidane Zereabruk, Woldu Aberhe, Abrha Hailay, Guesh Mebrahtom, Gebreamlak Gebremedhn Gebremeskel, Teklehaimanot Gereziher Haile, Desalegn Massa Teklemichael
BMC Pediatrics.2023;[Epub] CrossRef - Impact of malnutrition on the outcome and length of hospital stay in elective pediatric surgical patients: prospective cohort study at tertiary hospitals in Ethiopia
Belachew D. Wondemagegnehu, Woubedel K. Aklilu, Milliard D. Beyene, Bareng A. Sanny Nonyane
BMC Nutrition.2023;[Epub] CrossRef - Comorbidities of Child Malnutrition in Low- and Medium-Income Countries: A Systematic Review
Tshepiso Moate, Tinda Rabie, Catharina Minnie, Anne Mäenpää
Journal of Pediatric Gastroenterology & Nutrition.2022; 75(4): 400. CrossRef - Severe acute malnutrition’s recovery rate still below the minimum standard: predictors of time to recovery among 6- to 59-month-old children in the healthcare setting of Southwest Ethiopia
Seyum Ebissa Eyi, Gebiso Roba Debele, Efrem Negash, Kebebe Bidira, Debela Tarecha, Kabtamu Nigussie, Mohammedamin Hajure, Mohammedjud Hassen Ahmed, Bilisumamulifna Tefera Kefeni
Journal of Health, Population and Nutrition.2022;[Epub] CrossRef - Preparation and quality characterization of marine small pelagic fish powder: A novel ready-to-use nutritious food product for vulnerable populations
Abdullah-Al Mamun, Shuva Bhowmik, Md. Shahid Sarwar, Sharmin Akter, Tanjina Pias, MUM Abu Zakaria, Md. Monirul Islam, Hillary Egna, Ford Evans, Md Abdul Wahab, Shakuntala Haraksingh Thilsted, David C. Little
Measurement: Food.2022; 8: 100067. CrossRef - Assessment, outcomes and implications of multiple anthropometric deficits in children
Idzes Kundan, Rajalakshmi Nair, Shashwat Kulkarni, Aparna Deshpande, Raju Jotkar, Mrudula Phadke
BMJ Nutrition, Prevention & Health.2021; 4(1): 267. CrossRef - Risk factors for severe acute malnutrition among children aged 6–59 months: A community-based case-control study from Vellore, Southern India
SamM David, RubyA Pricilla, SherinS Paul, Kuryan George, Anuradha Bose, JasminH Prasad
Journal of Family Medicine and Primary Care.2020; 9(5): 2237. CrossRef - Time to Recovery and Its Predictors among Children 6–59 Months Admitted with Severe Acute Malnutrition to East Amhara Hospitals, Northeast Ethiopia: A Multicenter Prospective Cohort Study
Telahun Kasa Tefera, Solomon Mekonnen Abebe, Melkamu Tamir Hunegnaw, Freezer Girma Mekasha
Journal of Nutrition and Metabolism.2020; 2020: 1. CrossRef
|
KSE
