Laboratory of Biochemistry, Biotechnology, Food Technology and Nutrition (LABIOTAN), Department of Biochemistry-Microbiology, University Joseph KI-ZERBO, 03 BP 7021 Ouagadougou 03, Ouagadougou, Burkina Faso.
Laboratory of Biochemistry, Biotechnology, Food Technology and Nutrition (LABIOTAN), Department of Biochemistry-Microbiology, University Joseph KI-ZERBO, 03 BP 7021 Ouagadougou 03, Ouagadougou, Burkina Faso.
Clin Nutr ESPEN. 2021 Jun;43:501-505. doi: 10.1016/j.clnesp.2021.02.013. Epub 2021 Feb 25.
Even if under-five children mortality tends to decrease considerably in developed countries, it remains a major concern in Sub-Saharan Africa. The purpose of the present study is to assess causes of healthcare discontinuation and factors associated with mortality among severe acute malnourished children under five years old in the health district of Gorom-Gorom in Burkina Faso.
A descriptive retrospective study on healthcare discontinuation and deaths of severely acute malnourished children under five years old who registered from July to December 2018, in the health district of Gorom-Gorom in Burkina Faso.
A total of 377 records of children suffering from severe acute malnutrition were exploited. Children of age range 6-23 months were the most predominantly malnourished. Healthcare discontinuation was observed at rates around 24.4%.Deaths were recorded in 9.72% of children hospitalized in the CRNE and around 1% in children in the ambulatory care management. The severe acute malnutrition co-morbidity factors included oral candidiasis [OR = 14.8; (95%CI 1.128-194.285)], dehydration [OR = 11.46; (95%CI 1.085-121.038)] and malaria [OR = 8.32; (95%CI 1.915-36.191)].
The risk of death of severe acute malnourished children is higher when the disease is associated with complications.
尽管五岁以下儿童死亡率在发达国家呈显著下降趋势，但在撒哈拉以南非洲，这仍是一个重大问题。本研究旨在评估布基纳法索戈罗姆-戈罗姆卫生区五岁以下严重急性营养不良儿童停止医疗服务的原因以及与死亡率相关的因素。
这是一项关于 2018 年 7 月至 12 月期间在布基纳法索戈罗姆-戈罗姆卫生区登记的五岁以下严重急性营养不良儿童停止医疗服务和死亡情况的描述性回顾性研究。
共利用了 377 名患有严重急性营养不良的儿童记录。6-23 月龄儿童的营养不良发生率最高。约 24.4%的儿童停止了医疗服务。在 CRNE 住院的儿童中，有 9.72%记录了死亡，在门诊管理的儿童中，有 1%记录了死亡。严重急性营养不良的合并症因素包括口腔念珠菌病[OR=14.8；（95%CI 1.128-194.285)]、脱水[OR=11.46；（95%CI 1.085-121.038)]和疟疾[OR=8.32；（95%CI 1.915-36.191)]。
当疾病伴有并发症时，严重急性营养不良儿童的死亡风险更高。
