From the NuMIQ Focus Area, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.
Faculty of Health Sciences, University of Applied Sciences, Tampere, Finland.
J Pediatr Gastroenterol Nutr. 2022 Oct 1;75(4):400-410. doi: 10.1097/MPG.0000000000003558. Epub 2022 Sep 20.
The study intended to review the best evidence on prevalence, diagnosis, and treatment outcomes of comorbidities associated with child malnutrition. The study design was a systematic review of quantitative studies. Critical appraisal tools were used to assess the methodological quality of the studies. Data were extracted according to the predetermined data extraction table. Data were further analyzed narratively according to the set study objectives and main concepts. Fifteen studies were eligible to include in the review. All 15 studies reported on the prevalence of 4 child malnutrition-associated comorbidities. Five (n = 5/15) studies reported on length of hospitalization/stay, 10 (n = 10) studies on recovery rate, and 9 (n = 9/15) studies on mortality rate as treatment outcomes of child malnutrition associated comorbidities. The most prevalent child malnutrition associated comorbidities were tuberculosis, pneumonia, gastroenteritis, and anemia. The treatment outcomes identified included the length of hospitalization/stay, recovery rate, and mortality rate. Screening of prevalent comorbidities in children admitted with malnutrition should be standard procedure in practice. More research needs to be done on the diagnosis of under-5 child malnutrition associated comorbidities.
本研究旨在回顾与儿童营养不良相关的共病的患病率、诊断和治疗结果的最佳证据。研究设计为定量研究的系统评价。使用关键评估工具来评估研究的方法学质量。根据预定的数据提取表提取数据。根据既定的研究目标和主要概念，进一步对数据进行叙述性分析。有 15 项研究符合纳入标准。所有 15 项研究均报告了 4 种与儿童营养不良相关的共病的患病率。有 5 项（n=5/15）研究报告了住院/停留时间，10 项（n=10）研究报告了恢复率，9 项（n=9/15）研究报告了死亡率作为儿童营养不良相关共病的治疗结果。最常见的与儿童营养不良相关的共病是结核病、肺炎、肠胃炎和贫血。确定的治疗结果包括住院/停留时间、恢复率和死亡率。在患有营养不良的儿童入院时筛查常见共病应成为实践中的标准程序。需要进一步研究 5 岁以下儿童营养不良相关共病的诊断方法。
