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Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia

OBJECTIVES: This study aimed to determine the time to recovery from severe acute malnutrition (SAM) and its predictors in selected public health institutions in Amhara Regional State, Ethiopia. DESIGN: An institution-based retrospective follow-up study was conducted using data extracted from 1690 pa...

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Autores principales: Baraki, Adhanom Gebreegziabher, Akalu, Temesgen Yihunie, Wolde, Haileab Fekadu, Takele, Wubet Worku, Mamo, Worku Nigussu, Derseh, Behailu, Desyibelew, Hanna Demelash, Dadi, Abel Fekadu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045195/
https://www.ncbi.nlm.nih.gov/pubmed/32060161
http://dx.doi.org/10.1136/bmjopen-2019-034583
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author Baraki, Adhanom Gebreegziabher
Akalu, Temesgen Yihunie
Wolde, Haileab Fekadu
Takele, Wubet Worku
Mamo, Worku Nigussu
Derseh, Behailu
Desyibelew, Hanna Demelash
Dadi, Abel Fekadu
author_facet Baraki, Adhanom Gebreegziabher
Akalu, Temesgen Yihunie
Wolde, Haileab Fekadu
Takele, Wubet Worku
Mamo, Worku Nigussu
Derseh, Behailu
Desyibelew, Hanna Demelash
Dadi, Abel Fekadu
author_sort Baraki, Adhanom Gebreegziabher
collection PubMed
description OBJECTIVES: This study aimed to determine the time to recovery from severe acute malnutrition (SAM) and its predictors in selected public health institutions in Amhara Regional State, Ethiopia. DESIGN: An institution-based retrospective follow-up study was conducted using data extracted from 1690 patient cards from September 2012 to November 2016. SETTING: Selected government health institutions in the Amhara region, Ethiopia. PARTICIPANTS: Children treated in therapeutic feeding units for SAM were included. OUTCOME MEASURES: Time to recovery from SAM. RESULTS: One thousand and fifty children have recovered from SAM, 62.13% (95% CI 59.8% to 64.5%). The median time to recovery was 16 days (IQR=11–28). Female gender (adjusted HR (AHR)=0.81, 95% CI 0.67 to 0.98), oedematous malnutrition (AHR=0.74 95% CI 0.59 to 0.93), pneumonia (AHR=0.66, 95% CI 0.53 to 0.83), tuberculosis (AHR=0.53, 95% CI 0.36 to 0.77), HIV/AIDS (AHR=0.47, 95% CI 0.28 to 0.79), anaemia (AHR=0.73, 95% CI 0.60 to 0.89) and receiving vitamin A (AHR=1.43, 95% CI 1.12 to 1.82) were notably associated with time to recovery. CONCLUSIONS: The time to recovery in this study was acceptable but the proportion of recovery was far below the minimum standard. Special emphasis should be given to the prevention and treatment of comorbidities besides the therapeutic feeding. Supplementing vitamin A would also help to improve the recovery rate.
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spelling pubmed-70451952020-03-09 Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia Baraki, Adhanom Gebreegziabher Akalu, Temesgen Yihunie Wolde, Haileab Fekadu Takele, Wubet Worku Mamo, Worku Nigussu Derseh, Behailu Desyibelew, Hanna Demelash Dadi, Abel Fekadu BMJ Open Nutrition and Metabolism OBJECTIVES: This study aimed to determine the time to recovery from severe acute malnutrition (SAM) and its predictors in selected public health institutions in Amhara Regional State, Ethiopia. DESIGN: An institution-based retrospective follow-up study was conducted using data extracted from 1690 patient cards from September 2012 to November 2016. SETTING: Selected government health institutions in the Amhara region, Ethiopia. PARTICIPANTS: Children treated in therapeutic feeding units for SAM were included. OUTCOME MEASURES: Time to recovery from SAM. RESULTS: One thousand and fifty children have recovered from SAM, 62.13% (95% CI 59.8% to 64.5%). The median time to recovery was 16 days (IQR=11–28). Female gender (adjusted HR (AHR)=0.81, 95% CI 0.67 to 0.98), oedematous malnutrition (AHR=0.74 95% CI 0.59 to 0.93), pneumonia (AHR=0.66, 95% CI 0.53 to 0.83), tuberculosis (AHR=0.53, 95% CI 0.36 to 0.77), HIV/AIDS (AHR=0.47, 95% CI 0.28 to 0.79), anaemia (AHR=0.73, 95% CI 0.60 to 0.89) and receiving vitamin A (AHR=1.43, 95% CI 1.12 to 1.82) were notably associated with time to recovery. CONCLUSIONS: The time to recovery in this study was acceptable but the proportion of recovery was far below the minimum standard. Special emphasis should be given to the prevention and treatment of comorbidities besides the therapeutic feeding. Supplementing vitamin A would also help to improve the recovery rate. BMJ Publishing Group 2020-02-13 /pmc/articles/PMC7045195/ /pubmed/32060161 http://dx.doi.org/10.1136/bmjopen-2019-034583 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Nutrition and Metabolism
Baraki, Adhanom Gebreegziabher
Akalu, Temesgen Yihunie
Wolde, Haileab Fekadu
Takele, Wubet Worku
Mamo, Worku Nigussu
Derseh, Behailu
Desyibelew, Hanna Demelash
Dadi, Abel Fekadu
Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_full Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_fullStr Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_full_unstemmed Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_short Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_sort time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in amhara region, north-west ethiopia
topic Nutrition and Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045195/
https://www.ncbi.nlm.nih.gov/pubmed/32060161
http://dx.doi.org/10.1136/bmjopen-2019-034583
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