The clinical profile and outcome of children with acute malnutrition in a tertiary health center in North-West Nigeria: A 1-year retrospective review

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
I. Aliyu, H. Ibrahim, Umma Idris, G. Michael, U. Ibrahim, A. Mohammed, I. Ahmad, Junaid Habib
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引用次数: 2

Abstract

Background: Acute malnutrition is broadly classified as severe acute malnutrition (SAM) or moderate acute malnutrition (MAM). It affects almost 20 million children worldwide, with majority of the cases in developing countries. In Africa, it was estimated that about 5%–15% of deaths in children age ranging from 0 to 59 months are due to SAM. Therefore, this study sought to determine common clinical features and outcome in children with acute malnutrition. Methods: A retrospective descriptive study was conducted at the Federal Medical Centre Birnin Kudu, Jigawa State. Case files of patients admitted into the Emergency Pediatric unit and Ppediatric Medical Ward over the period of 1 year (January–December 2017) with a diagnosis of acute malnutrition were reviewed. Results: There were 123 cases of acute malnutrition during the study period: 53 (43.1%) males and 70 (56.9%) females. There were 103 (83.7%) cases of SAM and 20 (16.3%) cases of MAM. Among the SAM cases, there were 70 (56.9%) cases of marasmus, 10 (8.1%) cases of kwashiorkor, and 23 (18.7%) cases of marasmic kwashiorkor. Infection was the most common morbidity associated with SAM. Relatively death was mostly witnessed in the marasmic kwashiorkor subgroup (17.4%). However, majority of the subjects who spent 1–2 weeks on admission were discharged without complications, while death occurred mostly in those who spent <7 days on admission and this observation was statistically significant (Fisher's exact = 32.351, P = 0.001). Conclusion: Marasmus remains the most common form of SAM, and infection is a common comorbidity; however, majority of our cases were discharged without any noticeable complication.
尼日利亚西北部三级保健中心急性营养不良儿童的临床概况和结果:1年回顾性审查
背景:急性营养不良大致分为重度急性营养不良(SAM)和中度急性营养不良(MAM)。它影响了全世界近2000万儿童,其中大多数病例发生在发展中国家。在非洲,估计0至59个月的儿童死亡中约有5%-15%是由SAM造成的。因此,本研究旨在确定急性营养不良儿童的共同临床特征和预后。方法:在吉加瓦州比宁库杜联邦医疗中心进行回顾性描述性研究。回顾了1年(2017年1月至12月)期间儿科急诊科和儿科内科病房诊断为急性营养不良的患者的病例档案。结果:研究期间共发生急性营养不良123例,其中男性53例(43.1%),女性70例(56.9%)。SAM 103例(83.7%),MAM 20例(16.3%)。其中消瘦型70例(56.9%),糜烂型10例(8.1%),糜烂型23例(18.7%)。感染是与SAM相关的最常见的发病率。相对死亡主要发生在恶性营养不良亚组(17.4%)。然而,大多数入院1-2周的患者出院时无并发症,而入院<7天的患者死亡最多,这一观察结果具有统计学意义(Fisher’s exact = 32.351, P = 0.001)。结论:消瘦仍然是SAM最常见的形式,感染是常见的合并症;然而,我们的大多数病例出院时没有任何明显的并发症。
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
15
审稿时长
45 weeks
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