Time to readmission and associated factors after post treatment discharge of severe acute malnourished under-five children in Pawe General Hospital.
Background: Relapse or repeated episodes is the admission of a child with the diagnosis of severe acute malnutrition (SAM) after being discharged to a status of treated and cured from a stabilizing center. A child may experience more than one episode of SAM depending on the improvement of the underl...
| Publicado en: | Journal of Health, Population & Nutrition Vol. 41; no. 1; pp. 1 - 8 |
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| Autor principal: | |
| Formato: | Journal Article |
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BioMed Central
7/8/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158163603&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158163603 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16060997 HII jtl: Journal of Health, Population & Nutrition issn: 16060997 maglogo: N pubinfo: dt: 7/8/2022 vid: 41 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 158163603 158163603 NLM35804464 10.1186/s41043-022-00308-8 NLM35804464 158163603 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Time to readmission and associated factors after post treatment discharge of severe acute malnourished under-five children in Pawe General Hospital. aug: au: Kebede, Fassikaw affil: Department of Epidemiology and Biostatics, School of Public Health, College of Health Science, Woldia University, 400, Woldia Town, Ethiopia sug: subj: HIV Infections Complications Malnutrition HIV Infections Epidemiology Child Patient Discharge Hospitals Infant Recurrence Ethiopia Retrospective Design Readmission Child, Preschool Questionnaires Child: 6-12 years Infant: 1-23 months Child, Preschool: 2-5 years ab: Background: Relapse or repeated episodes is the admission of a child with the diagnosis of severe acute malnutrition (SAM) after being discharged to a status of treated and cured from a stabilizing center. A child may experience more than one episode of SAM depending on the improvement of the underlying comorbidity. Thus, this study aimed to estimate the time to readmission of SAM and associated factors for under-five children in North West Ethiopia.Methods: An institution-based retrospective cohort study was employed in 760 files of under-five children spanning from 2014/15 to 2019/20. The data extraction tool was developed from SAM treatment guidelines and medical history sheets. Epi Data version 3.2 and STATA version 14 were used for data entry and final analysis, respectively. After checking all assumptions, the multivariable Cox Proportional Hazard model was fitted to the isolated independent predictors for time to readmission. A categorical variable with p < 0.05 was considered a risk factor for the relapse of SAM.Result: The mean (± SD) age of participant children was 27.8 (± 16.5) months with mean (± SD) time to relapse of SAM cases were 30.4(± 21.39) weeks posttreatment discharge. The overall incidence density rate of relapse was determined as 10.8% (95% CI 8.3; 12.6). The average time (± SD) for treatment recovery from the first admission of the SAM case was 28.8(± 18.7) days. Time of readmission was significantly associated with living in rural resident (AHR 5⋅3 = 95% CI, 2⋅95, 13⋅87, p = 0.021), having HIV infection (AHR6⋅8 = 95%CI; 4.1-11.9 p = 0.001), and first admission with edema (AHR = 3.5 = 95% CI; 1.92, 6.2, p = 0.018).Conclusion: Nearly one in every ten severely acute malnourished under-five children relapsed within a mean time to relapse 30.4(± 21.39) weeks posttreatment discharge. Time to relapse was significantly associated with being a rural resident for children, having edema during the first admission, and being HIV-infected cases. A protocol ought to be drafted for extending Supplementary Nutrition in Acute Malnutrition management program following discharge is highly needed. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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