Survival Status and Predictors of Mortality among under five Children with Severe Acute Malnutrition Admitted to Stabilization Centers in Selected Government Hospitals in Addis Ababa, Ethiopia,2022
No Thumbnail Available
Date
2023
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: Malnutrition is a medical disorder that causes the body's physical functioning to deteriorate due to an imbalance, shortage, or excess of energy and/or nutrients. Nearly a quarter of the world's malnutrition was found in Sub-Saharan Africa, and undernutrition was responsible for roughly half of all under five children mortality. Among different types of malnutrition, severe acute malnutrition is a major killer and a serious public health issue thatrequires attention, especially when complicated, because it causes morbidity and shortens thesurvival of children under the age of five.
Objective: The aim of this study was to assess the survival status and predictors of mortality among children under the age of five admitted with severe acute malnutrition in selected government hospitals in Addis Ababa, Ethiopia, 2022.
Method: A hospital-based retrospective cohort study was carried out on 422 severely malnourished children who had been admitted to four selected hospitals in the last three years.The study unit was selected using a systematic sampling technique, and a structured questionnaire was gathered using an open data kit collect app. Using STATA version 17, the analysis was carried out. The Kaplan-Meier survival curve and the log-rank test were used todescribe the survival function and each predictor. To find the independent factors affectingmortality, a bivariate and multivariate cox proportional hazard regression model was used.
Result: In this study 44(10.4%) died with an incidence rate of 10.3%/1000 person days. Themedian hospital stay was 8 days and vaccination status (AHR=0.227,95%CI,0.088-0.583),Feeding 75(AHR=0.20195%CI,0.062-0.651), supplement, Intra venous fluid administration (AHR=3.65295%CI,1.525-8.743), presence of Human Immune deficiency virus(AHR=2.159,95%CI,1.001-4.65),pneumonia(2.15995%CI,1.001-4.65), and shock(AHR=3.47595%CI,1.451-8.321) were identified as significant predictors of mortality.
Conclusion: The recovery rate was found to be within the social and public health economicsstudy group's acceptable range, although the mortality rate was only slightly beyond it. Anumber of factors, including vaccination, the human immunodeficiency virus, pneumonia,shock, intravenous fluid administration, and not taking supplements like Feeding 75, wereindependent predictors of mortality.
Description
Keywords
Under five children; severe acute malnutrition; Survival status, treatment outcome; Addis Ababa