Comorbidities and Factors Associated with Mortality among Children under Five Years Admitted with Severe Acute Malnutrition in the Nutritional Unit of Jinja Regional Referral Hospital, Eastern Uganda
Joint Authors
Banga, Desire
Baren, Melvis
Ssonko, Namale Vivian
Sikakulya, Franck Katembo
Tibamwenda, Yves
Banga, Claude
Ssebuufu, Robinson
Source
International Journal of Pediatrics
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-24
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Mortality among children with severe acute malnutrition remains an immense health concern in the hospitals in developing countries, but its attributes are not completely assessed in various hospital settings.
The aim of this study was to determine the proportion of mortality, the comorbidities, and factors associated with in-hospital mortality among children under five years of age admitted with severe acute malnutrition at Jinja Regional Referral Hospital, Eastern Uganda.
Methods.
This was a hospital-based analytical and descriptive prospective cohort study conducted in the nutritional unit of Jinja Regional Referral Hospital.
A total of 338 children and their caretakers who met the criteria were consecutively enrolled into the study.
Descriptive statistics were used to each of the independent factors, and comorbidities were subjected to chi-squared test followed by logistic regression analysis to assess its association incidence of mortality among children.
All independent variables with p values ≤ 0.05 were entered into a multivariate model for factors and comorbidities independently.
Factors and comorbidities with p values ≤ 0.05 were considered as associates of mortality among children.
Results.
Of the 338 children under 5 years of age enrolled, 49 (14.5%) died, although the majority of children were diagnosed with dehydration, 128 (37.9%); pneumonia, 127(37.6%); and malaria, 87(25.7%).
Anemia (aRR=2.9, 95% CI: 1.23-6.62, p=0.01), bacteremia (aRR=10.0, 95% CI: 3.62-29.01, p=0.01), HIV (aRR=4.8, 95% CI: 1.42-16.30, p<0.01), TB (aRR=4.3, 95% CI: 1.28-14.49, p<0.02), and shock (aRR=60.9, 95% CI: 9.05-410.28, p<0.01) were the comorbidities significantly associated with a likelihood of mortality.
Conclusions.
The mortality among children under 5 years of age admitted with severe acute malnutrition is still high (14.5% versus 5%).
The comorbidities are significantly associated with mortality.
The clinicians are recommended to follow-up closely patients with severe acute malnutrition and to focus on the critical comorbidities identified.
American Psychological Association (APA)
Banga, Desire& Baren, Melvis& Ssonko, Namale Vivian& Sikakulya, Franck Katembo& Tibamwenda, Yves& Banga, Claude…[et al.]. 2020. Comorbidities and Factors Associated with Mortality among Children under Five Years Admitted with Severe Acute Malnutrition in the Nutritional Unit of Jinja Regional Referral Hospital, Eastern Uganda. International Journal of Pediatrics،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1173657
Modern Language Association (MLA)
Banga, Desire…[et al.]. Comorbidities and Factors Associated with Mortality among Children under Five Years Admitted with Severe Acute Malnutrition in the Nutritional Unit of Jinja Regional Referral Hospital, Eastern Uganda. International Journal of Pediatrics No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1173657
American Medical Association (AMA)
Banga, Desire& Baren, Melvis& Ssonko, Namale Vivian& Sikakulya, Franck Katembo& Tibamwenda, Yves& Banga, Claude…[et al.]. Comorbidities and Factors Associated with Mortality among Children under Five Years Admitted with Severe Acute Malnutrition in the Nutritional Unit of Jinja Regional Referral Hospital, Eastern Uganda. International Journal of Pediatrics. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1173657
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173657