Time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in Tigray, Ethiopia, 2020: a prospective cohort study
Abstract Background Across the globe, an estimated 16 million children under the age of 5 are affected by severe acute malnutrition. Children with severe acute malnutrition are nine times more likely to die than well-nourished children. In Ethiopia, 7% of children under five are wasted, and 1% of th...
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| Format: | Article |
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BMC
2023-06-01
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| Series: | BMC Pediatrics |
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| Online Access: | https://doi.org/10.1186/s12887-023-04144-5 |
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| author | Gebretsadkan Fisseha Kidane Kidane Zereabruk Woldu Aberhe Abrha Hailay Guesh Mebrahtom Gebreamlak Gebremedhn Gebremeskel Teklehaimanot Gereziher Haile Desalegn Massa Teklemichael |
| author_facet | Gebretsadkan Fisseha Kidane Kidane Zereabruk Woldu Aberhe Abrha Hailay Guesh Mebrahtom Gebreamlak Gebremedhn Gebremeskel Teklehaimanot Gereziher Haile Desalegn Massa Teklemichael |
| author_sort | Gebretsadkan Fisseha Kidane |
| collection | DOAJ |
| description | Abstract Background Across the globe, an estimated 16 million children under the age of 5 are affected by severe acute malnutrition. Children with severe acute malnutrition are nine times more likely to die than well-nourished children. In Ethiopia, 7% of children under five are wasted, and 1% of these are severely wasted. A prolonged hospital stay increases the incidence of hospital-acquired infections. The aim of this study was to assess the time to recovery and its predictors among children 6–59 months old with severe acute malnutrition admitted to therapeutic feeding units of selected general and referral hospitals in Tigray, Ethiopia. Methods A prospective cohort study design was conducted among children aged 6–59 months admitted with severe acute malnutrition in selected hospitals in Tigray that have therapeutic feeding units. The data were cleaned, coded, entered into Epi-data Manager, and exported to STATA 14 for analysis. Result Among 232 children followed in the study, 176 have recovered from severe acute malnutrition with a recovery rate of 54 per 1000 person-days observation and the median time to recovery was 16 days with an inter-quartile range of 8. In a multivariable Cox Regression, feeding plumpy nut [AHR 0.49 (95% CI 0.2717216-0.8893736)] and failing to gain 5 gr/kg/day for three successive days after feeding freely on F-100 [AHR 3.58 (95% CI 1.78837–7.160047)] were found to have an association with time to recovery. Conclusion Despite the median time to recovery is shorter than what has been reported in a few studies, we can conclude that this could not let children avoid any possible hospital-acquired infections. The impact of staying in a hospital may also extend to the mother/caregiver in terms of the infection that they may acquire or the costs imposed on them. |
| first_indexed | 2024-03-13T01:52:33Z |
| format | Article |
| id | doaj.art-80f03e3bc38449e5b185c0a4c3aadd97 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-03-13T01:52:33Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-80f03e3bc38449e5b185c0a4c3aadd972023-07-02T11:27:08ZengBMCBMC Pediatrics1471-24312023-06-0123111010.1186/s12887-023-04144-5Time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in Tigray, Ethiopia, 2020: a prospective cohort studyGebretsadkan Fisseha Kidane0Kidane Zereabruk1Woldu Aberhe2Abrha Hailay3Guesh Mebrahtom4Gebreamlak Gebremedhn Gebremeskel5Teklehaimanot Gereziher Haile6Desalegn Massa Teklemichael7Department of Epidemiology, Tigray Regional Health BureauDepartment of Adult Health Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum UniversityDepartment of Adult Health Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum UniversityDepartment of Adult Health Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum UniversityDepartment of Adult Health Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum UniversityDepartment of Adult Health Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum UniversityDepartment of Maternity and Neonatal Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum UniversitySchool of public health, College of Health Sciences and Comprehensive Specialized Hospital, Mekelle UniversityAbstract Background Across the globe, an estimated 16 million children under the age of 5 are affected by severe acute malnutrition. Children with severe acute malnutrition are nine times more likely to die than well-nourished children. In Ethiopia, 7% of children under five are wasted, and 1% of these are severely wasted. A prolonged hospital stay increases the incidence of hospital-acquired infections. The aim of this study was to assess the time to recovery and its predictors among children 6–59 months old with severe acute malnutrition admitted to therapeutic feeding units of selected general and referral hospitals in Tigray, Ethiopia. Methods A prospective cohort study design was conducted among children aged 6–59 months admitted with severe acute malnutrition in selected hospitals in Tigray that have therapeutic feeding units. The data were cleaned, coded, entered into Epi-data Manager, and exported to STATA 14 for analysis. Result Among 232 children followed in the study, 176 have recovered from severe acute malnutrition with a recovery rate of 54 per 1000 person-days observation and the median time to recovery was 16 days with an inter-quartile range of 8. In a multivariable Cox Regression, feeding plumpy nut [AHR 0.49 (95% CI 0.2717216-0.8893736)] and failing to gain 5 gr/kg/day for three successive days after feeding freely on F-100 [AHR 3.58 (95% CI 1.78837–7.160047)] were found to have an association with time to recovery. Conclusion Despite the median time to recovery is shorter than what has been reported in a few studies, we can conclude that this could not let children avoid any possible hospital-acquired infections. The impact of staying in a hospital may also extend to the mother/caregiver in terms of the infection that they may acquire or the costs imposed on them.https://doi.org/10.1186/s12887-023-04144-5EthiopiaSevere Acute MalnutritionTherapeutic feeding unitsTime to recoveryUnder five children |
| spellingShingle | Gebretsadkan Fisseha Kidane Kidane Zereabruk Woldu Aberhe Abrha Hailay Guesh Mebrahtom Gebreamlak Gebremedhn Gebremeskel Teklehaimanot Gereziher Haile Desalegn Massa Teklemichael Time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in Tigray, Ethiopia, 2020: a prospective cohort study BMC Pediatrics Ethiopia Severe Acute Malnutrition Therapeutic feeding units Time to recovery Under five children |
| title | Time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in Tigray, Ethiopia, 2020: a prospective cohort study |
| title_full | Time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in Tigray, Ethiopia, 2020: a prospective cohort study |
| title_fullStr | Time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in Tigray, Ethiopia, 2020: a prospective cohort study |
| title_full_unstemmed | Time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in Tigray, Ethiopia, 2020: a prospective cohort study |
| title_short | Time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in Tigray, Ethiopia, 2020: a prospective cohort study |
| title_sort | time to recovery from severe acute malnutrition and its predictors among under five children admitted to therapeutic feeding units of general and referral hospitals in tigray ethiopia 2020 a prospective cohort study |
| topic | Ethiopia Severe Acute Malnutrition Therapeutic feeding units Time to recovery Under five children |
| url | https://doi.org/10.1186/s12887-023-04144-5 |
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