Kabalo Mulugeta Yohannis, Yohannes Bereket
School of Public Health, Wolaita Sodo University, P.o.box 126, Wolaita Sodo, Ethiopia.
, Damot Pulasa District, Wolaita Sodo, Ethiopia.
BMC Res Notes. 2018 Feb 9;11(1):118. doi: 10.1186/s13104-018-3232-x.
Severely undernourished young children clinically present with a typical nutritional oedema or none-oedematous. However, research evidence is limited on how these types predict treatment outcomes in Ethiopia. This study was aimed to compare oedematous and none-oedematous children for their treatment outcomes in Boloso Sore district in Southwest Ethiopia.
The overall recovery rate was 396 (68%). From oedematous children; 235 (79.9%) recovered, 18 (6.1%) transferred, 6 (2.0%) defaulted, 3 (1.0%) died, and 32 (11%) remained none-respondents. The treatment outcomes among the none-oedematous children were 161 (55.9%), 12 (4.2%), 4 (1.4%), 3 (1.0%), and 108 (37.5%) in similar order. Treatment outcomes of severely undernourished children in the two arms were statistically different (Χ = 5.82, P < 0.016). Severely malnourished children with oedema were 2.3 times highly likely to recover as compared to those without it (adjusted hazard ratio = 2.3 at 95% confidence interval: 1.79, 2.82). We documented that oedematous children in the study area had a better likelihood of recovery as compared to those with severe wasting. We recommend targeted community outreach activities on severe acute malnutrition focusing on the types.
严重营养不良的幼儿临床上表现为典型的营养性水肿或无水肿。然而，关于这些类型如何预测埃塞俄比亚的治疗结果，研究证据有限。本研究旨在比较埃塞俄比亚西南部博洛索索尔地区水肿型和非水肿型儿童的治疗结果。
总体康复率为396例（68%）。水肿型儿童中，235例（79.9%）康复，18例（6.1%）转诊，6例（2.0%）失访，3例（1.0%）死亡，32例（11%）无反应。非水肿型儿童的治疗结果依次为161例（55.9%）、12例（4.2%）、4例（1.4%）、3例（1.0%）和108例（37.5%）。两组严重营养不良儿童的治疗结果在统计学上有差异（Χ = 5.82，P < 0.016）。与无水肿的严重营养不良儿童相比，有水肿的严重营养不良儿童康复的可能性高2.3倍（调整后的风险比 = 2.3，95%置信区间：1.79，2.82）。我们记录到，研究区域内水肿型儿童比严重消瘦型儿童康复的可能性更大。我们建议针对严重急性营养不良开展有针对性的社区外展活动，重点关注这些类型。
