The recovery time and its predictors among under five years old children admitted with severe acute malnutrition at public hospitals in Addis Ababa, Ethiopia.
Samuel Dessu Sifer, Milkiyas Solomon Getachew, Rediet Awoke Assefa
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引用次数: 0
Abstract
Background: The protocol advised by the World Health Organization suggests that therapeutic treatments center for Severe Acute Malnutrition should span two to three weeks but not surpass four weeks. Despite the existence of outpatient therapeutic feeding and other nutritional initiatives in the country, the Ethiopian demographic health surveillance and various studies indicate that nutritional issues continue to be a significant concern in Ethiopia. The average recovery time from SAM is prolonged in Ethiopia due to the demographic-, economic-, and facility-related factors. Therefore, the aim of this study was to determine the recovery time and its predictors among children under five admitted with severe acute malnutrition at public hospitals in Addis Ababa Ethiopia.
Methods: A prospective cohort study was conducted with 240 children admitted with Severe Acute Malnutrition at Zewditu Memorial Hospital, Tirunesh Beijing Hospital, and Yekatit 12 Hospital from June 1 to September 28, 2023. Information was gathered from parents by data collectors. The determination of recovery time involved Kaplan-Meier survival curve analysis along with a log-rank test. Variables with a p-value below 0.05 in the multivariable Cox proportional hazard model were considered statistically significant.
Result: The median recovery time was 16 days (95% CI: 14.66, 17.34), and the median hospital stay duration was 14 days (IQR: 9, 21). Absence of dehydration (AHR: 2.45; 95%CI; 1.25, 4.79), no malaria (AHR: 2.14; 95% CI: 1.10, 4.58), no hypoglycemia (AHR: 2.95; 95% CI: 1.05, 8.33), and MUAC greater than 11.5 cm (AHR: 1.54; 95% CI: 1.01, 2.35) were identified as statistically significant predictors influencing the time taken for recovery from Severe Acute Malnutrition.
Conclusion: The majority of children exhibited recovery during the initial follow-up phases. Furthermore, factors such as dehydration, malaria, hypoglycemia, and Mid-Upper Arm Circumference independently influenced the time required for recovery from severe acute malnutrition.
期刊介绍：
Pediatrics and Neonatology is the official peer-reviewed publication of the Taiwan Pediatric Association and The Society of Neonatology ROC, and is indexed in EMBASE and SCOPUS. Articles on clinical and laboratory research in pediatrics and related fields are eligible for consideration.
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