A retrospective cohort study of survival status and mortality predictors among children with severe acute malnutrition in public health facilities, Hawassa City, Southern Ethiopia

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100824

Bargude Balta , Bedilu Bekele , Alemu Bogale , Deresse Daka

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引用次数: 0

Abstract

Purpose

Despite improvements in child health and nutrition in Ethiopia, undernutrition remains a critical issue, causing half of child deaths. Many severely malnourished children seek treatment at therapeutic feeding centers, but a significant number still die in stabilization centers. This study aimed to estimate survival rates and identify predictors of mortality among children with severe acute malnutrition admitted to public health facilities in Hawassa City, Southern Ethiopia.

Method

A facility-based retrospective cohort study was employed to estimate survival status and predictors among under-five children with severe acute malnutrition admitted to selected health facilities. A total of 476 randomly selected under-five children with SAM from January 2018 to December 31, 2021, participated in the study. Data were analyzed by SPSS IBM version 26. Bivariable and multivariable Cox regression models assessed risk factors. Kaplan- Maier Curve and Long rank test were used to estimate cumulative survival probability and to compare survival status probability across different groups.

Results

Over the 3-year observation period, the overall survival status was, (84.7 %), [95 % CI; 81.2, 87.8]. The incidence density of death was 3.8/100 person-day. The overall median survival time was 34 [95 % CI 32.2––37.5] days. After controlling for other factors, a child who had co-morbidities [AHR = 3.305, 95 %; CI:(1.1, 10.9)], and deworming using Albendazole [AHR = 5.3, 95 %; CI:(1.3, 21.7)] were identified as the independent predictors of the time to death.

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埃塞俄比亚南部阿瓦萨市公共卫生机构严重急性营养不良儿童生存状况和死亡率预测因素的回顾性队列研究

目的尽管埃塞俄比亚的儿童健康和营养状况有所改善，但营养不足仍然是一个严重问题，造成了一半的儿童死亡。许多严重营养不良的儿童在治疗性喂养中心寻求治疗，但仍有相当数量的儿童死于稳定中心。本研究旨在估计埃塞俄比亚南部阿瓦萨市公共卫生机构收治的严重急性营养不良儿童的存活率和确定死亡率预测因素。方法采用一项以医院为基础的回顾性队列研究，对选定医疗机构收治的5岁以下严重急性营养不良儿童的生存状况和预测因素进行评估。在2018年1月至2021年12月31日期间，随机抽取476名患有SAM的5岁以下儿童参与了这项研究。数据采用SPSS IBM version 26进行分析。双变量和多变量Cox回归模型评估了危险因素。Kaplan- Maier曲线和Long rank检验用于估计累积生存概率和比较不同组间生存状态概率。结果在3年的观察期内，总生存状况为（84.7%），[95% CI；81.2、87.8)。死亡发生率为3.8/100人/日。总中位生存时间为34天[95% CI 32.2—37.5]。在控制其他因素后，有合并症的儿童1例[AHR = 3.305, 95%；CI:(1.1, 10.9)]，阿苯达唑驱虫[AHR = 5.3, 95%；CI:(1.3, 21.7)]被确定为死亡时间的独立预测因子。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.