[Predictors Of Early Mortality During Hospitalization Of Severe Acute Malnourished Children Aged 0-59 Months At CHU Sourô SANOU, Bobo-Dioulasso].

Abstract

Objectives: to study risk factors for mortality in SAM children within the first 72 hours of hospitalization.

Methods: We conducted a retrospective study on data from 0-59-month-old SAM children hospitalized from June 1th, 2016, to May 31th, 2019, at CHUSourô Sanou of Bobo-Dioulasso. A logistic regression was performed to determine risk factors for death. Variables with odds ratio (OR) > 1, and p <0.05 were predictors of death.

Results: Of 646 SAMs included, most were 12-23-month-yearold (34.83%). Death rate was 19.04%. Deep coma [OR :27.2, 95%IC: 9.62-91.1], OAP [OR :16.3, 95%IC: 1.58-383], Signs of in particular low pulse volume [OR :5.45, 95%IC: 1.74-17. 1], cold extremities [OR :4.66, 95%IC: 1.03-20.8], capillary refilling time (CRT) >3seconds [OR :3.55, 95%IC: 1.50-8.27], sepsis[OR :3.39, 95%IC: 1.33-8.50] were the risk factors predictive of mortality.

Conclusion: Training and ongoing supervision of healthcare staff in the management of paediatric emergencies, the use of the WHO SAM management protocol and the availability of emergency kits could improve SAM management.