埃塞俄比亚南部奥罗米亚治疗性喂养中心收治的0 - 14岁急性营养不良儿童营养恢复状况和生存时间的决定因素:一项回顾性队列研究

M. I. Sanchez-Lopez, Maria Del Mar Giner-Oliver, Marta Lluesma-Vidal, Laura García-Garcés, Carmen Trull-Ahuir, Cayetana Ruiz-Zaldibar
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引用次数: 0

摘要

在埃塞俄比亚进行了一些研究,分析了与急性营养不良儿童康复或死亡率相关的预测因素,但最近在奥罗米亚进行的研究没有分析这些儿童的营养恢复状况。我们研究了影响埃塞俄比亚南部急性营养不良儿童营养恢复生存的因素。队列研究,纳入2015年1月至2016年12月在埃塞俄比亚奥罗米亚(Oromia)医院因急性营养不良入院的儿童(n = 440)。Kaplan-Meier检验和log-rank检验用于描述生存率。还采用卡方检验和Spearman和Mann-Whitney U相关检验。入院时重度营养不良儿童的平均生存时间较中度营养不良儿童短(49天对101天;Log-rank p = 0.042)。入院时严重急性营养不良患儿的生存时间较短。中度急性营养不良儿童的生存时间在农村地区比在城市地区短。严重急性营养不良与住院时间、死亡率或转院有关。实际意义:本研究结果可改善营养不良儿童的护理。
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Determinants of nutritional recovery status and survival time among children from 0 to 14 years old with acute malnutrition admitted to a therapeutic feeding center in Oromia, Southern Ethiopia: A retrospective cohort study
Some studies have been conducted in Ethiopia to analyze the predictive factors associated with recovery or mortality in children with acute malnutrition, but no recent studies carried out in Oromia have analyze nutritional recovery status in this children. we studied the factors affecting nutritional recovery for survival in acutely malnourished children Southern Ethiopia. cohort study that included the children admitted to the (blinded for review) hospital (Oromia, Ethiopia) for acute malnutrition from January 2015 to December 2016 (n = 440). Kaplan–Meier tests and log-rank tests were used to describe the survival. Chi-squared tests and Spearman and Mann–Whitney U correlation tests were also employed. The mean survival time was shorter in children with severe versus moderate malnutrition at admission (49 days vs. 101 days; log-rank p = 0.042). The survival time was shorter in children with severe acute malnutrition at the time of admission. Survival time of children with moderate acute malnutrition was shorter in children who came from rural areas compared to urban areas. Severe acute malnutrition was associated with hospital stays, death rates, or transfer to another hospital. Practical implications: the results of this study may improve the care of children with malnutrition.
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