Contribution of deshydration and malnutrition to the mortality of children 0-59 month of age in a Senegalese pediatric hospital
Abstract: In-hospital mortality is an indicator of the quality of care. We analyzed the mortality of under five years children
of Pediatric ward of Aristide Le Dantec teaching hospital to update our data, after an previous study conducted ten years
Methods: This was a retrospective study involving children 0-59 months of age, hospitalized from January 1, 2012 to
December 31, 2012.
For each child, nutritional status was assessed according to 2006 World Health Organization growth standards; clinical
and biological data were recorded. The outcome of the disease was specified. Bivariate and multivariable were used to
identify risk factors for death.
Results: 393 children were included. Overall mortality rate was 10% (39/393). Factors associated with death were severe
wasting [OR = 8.27, 95% CI [3.79-18], male gender (OR = 2.98, 95% CI [1.25-7.1]), dehydration (OR = 5.4, 95% CI
[2.54-13.43]) in the model using the weight-for- height z score, male gender (OR = 2.5, 95% CI [1.11-5.63]), dehydration
(OR = 8.43, 95% CI [3.83-18.5]) in using the height- for- age z score, male gender (OR = 2.7, 95% CI [1.19-6.24]),
dehydration (OR = 7.5, 95% CI [3.39-16.76]), severe underweight (OR = 2.4, 95% CI [1.11-5.63]), in the model using the
weight-for- age z score, and male gender (OR = 2.5, 95% CI [1.11-5.63]), dehydration (OR = 8.43, 95% CI [3.83-18.5]) in
that using MUAC.
Dehydration and malnutrition are two independent factors of mortality. Our management protocols of dehydration and
malnutrition have to be updated. Screening malnutrition has to be done systematically for each child by anthropometric
measurements using WHO growth standards.
Auteur(s) : A Sylla, Y Keita, C S Diouf, M Gueye, F Mbow, O Ndiaye, S Diouf, M G Sall
Pages : 93-98
Année de publication : 2014
Revue : International Journal of Child Health and malnutrition
N° de volume : 3
Type : Article
Mise en ligne par : GUEYE Modou