Outcome after Discharge from Hospital of Children with Complicated Severe Acute Malnutrition and Predictors Factors of Non-Response during Outpatient Treatment, in Senegal  

作　　者：Abou Ba Aliou Thiongane Babacar Niang Younoussa Keïta Fatou Ly Aliou Abdoulaye Ndongo Ousmane Ndiaye Abou Ba;Aliou Thiongane;Babacar Niang;Younoussa Keïta;Fatou Ly;Aliou Abdoulaye Ndongo;Ousmane Ndiaye(Pediatric Department of Dalal Jamm National Hospital Center, Dakar, Senegal;Institute of Social Pediatrics of Cheikh Anta DIOP University, Dakar, Senegal;Albert Royer Children’s National Hospital Center, Dakar, Senegal;Abass Ndao Hospital Center, Dakar, Senegal;Pikine National Hospital Center, Dakar, Senegal)

机构地区：[1]Pediatric Department of Dalal Jamm National Hospital Center, Dakar, Senegal [2]Institute of Social Pediatrics of Cheikh Anta DIOP University, Dakar, Senegal [3]Albert Royer Children’s National Hospital Center, Dakar, Senegal [4]Abass Ndao Hospital Center, Dakar, Senegal [5]Pikine National Hospital Center, Dakar, Senegal

出　　处：《Open Journal of Pediatrics》2023年第4期473-483,共11页儿科学期刊（英文）

摘　　要：Introduction: Malnutrition is a public health problem. It is responsible for high morbidity and mortality in children aged 6 - 59 months. The aim of this study was to determine the outcome of children with complicated severe acute malnutrition after hospital discharge. Methods: This is a descriptive and analytical cross-sectional study conducted from March 1 to November 31, 2021 at the Albert Royer Children’s Hospital. Children discharged from hospital for complicated severe acute malnutrition were included. Results: A total of 103 children were included. The mean age of children at hospitalization was 16.41 ± 10.11 months and mean duration of follow-up after hospital discharge was 29.63 ± 8.59 months. Three children (2.91%) died after hospital discharge. The mean z-score of the weight-for-current height was -1.34 ± 1.08. Almost a quarter (24.27%) of the children remain acute malnourished with 3.88% of severe acute malnutrition (SAM). The predictors’ factors associated with non-response were weaning before 2 years of age (ORaj: 12.21;95% CI [6.82 - 18.44];p = 0.04) and tuberculosis (ORaj: 21.06;95% CI [12.54 - 41.09];p = 0.03). Conclusion: The rate of recovery of nutritional status in children with complicated severe acute malnutrition is satisfactory. Ablactation before the age of two and the existence of tuberculosis are significantly associated with non-recovery of nutritional status.Introduction: Malnutrition is a public health problem. It is responsible for high morbidity and mortality in children aged 6 - 59 months. The aim of this study was to determine the outcome of children with complicated severe acute malnutrition after hospital discharge. Methods: This is a descriptive and analytical cross-sectional study conducted from March 1 to November 31, 2021 at the Albert Royer Children’s Hospital. Children discharged from hospital for complicated severe acute malnutrition were included. Results: A total of 103 children were included. The mean age of children at hospitalization was 16.41 ± 10.11 months and mean duration of follow-up after hospital discharge was 29.63 ± 8.59 months. Three children (2.91%) died after hospital discharge. The mean z-score of the weight-for-current height was -1.34 ± 1.08. Almost a quarter (24.27%) of the children remain acute malnourished with 3.88% of severe acute malnutrition (SAM). The predictors’ factors associated with non-response were weaning before 2 years of age (ORaj: 12.21;95% CI [6.82 - 18.44];p = 0.04) and tuberculosis (ORaj: 21.06;95% CI [12.54 - 41.09];p = 0.03). Conclusion: The rate of recovery of nutritional status in children with complicated severe acute malnutrition is satisfactory. Ablactation before the age of two and the existence of tuberculosis are significantly associated with non-recovery of nutritional status.

关 键 词：CHILDREN Severe Acute Malnutrition Recovery NON-RESPONSE 

分 类 号：R72[医药卫生—儿科]