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Admission profile and discharge outcomes for infants aged less than 6 months admitted to inpatient therapeutic care in 10 countries. A secondary data analysis.
- Source :
- Maternal & Child Nutrition; Jul2017, Vol. 13 Issue 3, pn/a-N.PAG, 1p
- Publication Year :
- 2017
-
Abstract
- Evidence on the management of acute malnutrition in infants aged less than 6 months (infants <6mo) is scarce. To understand outcomes using current protocols, we analysed a sample of 24 045 children aged 0-60 months from 21 datasets of inpatient therapeutic care programmes in 10 countries. We compared the proportion of admissions, the anthropometric profile at admission and the discharge outcomes between infants <6mo and children aged 6-60 months (older children). Infants <6mo accounted for 12% of admissions. The quality of anthropometric data at admission was more problematic in infants <6mo than in older children with a greater proportion of missing data (a 6.9 percentage point difference for length values, 95% CI: 6.0; 7.9, P < 0.01), anthropometric measures that could not be converted to indices (a 15.6 percentage point difference for weight-for-length z-score values, 95% CI: 14.3; 16.9, P < 0.01) and anthropometric indices that were flagged as outliers (a 2.7 percentage point difference for any anthropometric index being flagged as an outlier, 95% CI: 1.7; 3.8, P < 0.01). A high proportion of both infants <6mo and older children were discharged as recovered. Infants <6mo showed a greater risk of death during treatment (risk ratio 1.30, 95% CI: 1.09; 1.56, P < 0.01). Infants <6mo represent an important proportion of admissions to therapeutic feeding programmes, and there are crucial challenges associated with their care. Systematic compilation and analysis of routine data for infants <6mo is necessary for monitoring programme performance and should be promoted as a tool to monitor the impact of new guidelines on care. [ABSTRACT FROM AUTHOR]
- Subjects :
- MALNUTRITION treatment
AGE distribution
ANTHROPOMETRY
CHI-squared test
CHILD nutrition
CONFIDENCE intervals
HOSPITAL admission & discharge
INFANT mortality
INFANT nutrition
META-analysis
PATIENTS
PROBABILITY theory
RESEARCH funding
WORLD health
EVIDENCE-based medicine
PROFESSIONAL practice
SECONDARY analysis
STATISTICAL significance
TREATMENT effectiveness
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 13
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 123838116
- Full Text :
- https://doi.org/10.1111/mcn.12345