TITLE:
Outcome after Discharge from Hospital of Children with Complicated Severe Acute Malnutrition and Predictors Factors of Non-Response during Outpatient Treatment, in Senegal
AUTHORS:
Abou Ba, Aliou Thiongane, Babacar Niang, Younoussa Keïta, Fatou Ly, Aliou Abdoulaye Ndongo, Ousmane Ndiaye
KEYWORDS:
Children, Severe Acute Malnutrition, Recovery, Non-Response
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.13 No.4,
July
13,
2023
ABSTRACT: Introduction: Malnutrition is a public health problem. It is responsible for high
morbidity and mortality in children aged 6 - 59 months. The aim of this study was to determine the outcome of children
with complicated severe acute malnutrition after hospital discharge. Methods: This is a descriptive and analytical cross-sectional
study conducted from March 1 to November 31, 2021 at the Albert Royer
Children’s Hospital. Children discharged from hospital for complicated severe
acute malnutrition were included. Results: A total of 103 children were
included. The mean age of children at hospitalization was 16.41 ± 10.11 months
and mean duration of follow-up after hospital discharge was 29.63 ± 8.59
months. Three children (2.91%) died after hospital discharge. The mean z-score of
the weight-for-current height was -1.34 ± 1.08. Almost a quarter (24.27%) of the
children remain acute malnourished with 3.88% of severe acute malnutrition
(SAM). The predictors’ factors
associated with non-response were weaning before 2 years of age (ORaj: 12.21; 95% CI [6.82 -
18.44]; p = 0.04) and tuberculosis (ORaj: 21.06; 95% CI [12.54 - 41.09]; p =
0.03). Conclusion: The rate of recovery of nutritional status in
children with complicated severe acute malnutrition is satisfactory.
Ablactation before the age of two and the existence of tuberculosis are
significantly associated with non-recovery of nutritional status.