Ibekwe V E, Ashworth A
Centre for Human Nutrition, London School of Hygiene and Tropical Medicine, UK.
Trans R Soc Trop Med Hyg. 1994 Sep-Oct;88(5):594-5. doi: 10.1016/0035-9203(94)90177-5.
An evaluation of the performance of the Kersey Nutrition Rehabilitation Centre in Nigeria was undertaken with particular focus on mortality, rate of weight gain, and the management strategy. During 1987-1991 the total number of admissions for protein-energy malnutrition (PEM) was 803. The age group most commonly represented were those aged 12-29 months. Kwashiorkor cases formed the largest proportion of admissions (66%). Marasmic cases consistently predominated among children aged < 18 months. Average mortality was 22% during the 5 years. Mortality among oedematous patients was 25% compared with 15% among marasmic cases. The rate of weight gain averaged 7 g/kg/d for marasmic and marasmic-kwashiorkor cases and 6 g/kg/d for kwashiorkor cases. Specific recommendations are made to improve case-management, focusing particularly on the prevention of deaths in the first few days after admission.
对尼日利亚克西营养康复中心的绩效进行了评估，特别关注死亡率、体重增加率和管理策略。1987年至1991年期间，蛋白质-能量营养不良（PEM）的入院总人数为803人。最常见的年龄组是12至29个月大的儿童。夸希奥科病病例占入院人数的比例最大（66%）。在18个月以下的儿童中，消瘦病例一直占主导地位。5年期间的平均死亡率为22%。水肿患者的死亡率为25%，而消瘦病例的死亡率为15%。消瘦和消瘦-夸希奥科病病例的体重增加率平均为7克/千克/天，夸希奥科病病例为6克/千克/天。提出了具体建议以改善病例管理，尤其侧重于预防入院后头几天的死亡。
