Admission Profile and Discharge Outcomes for Infants Aged Less than 6 Months Admitted to Inpatient Therapeutic Care in 10 Countries. A Secondary Data Analysis

Hdl Handle:
http://hdl.handle.net/10144/618820
Title:
Admission Profile and Discharge Outcomes for Infants Aged Less than 6 Months Admitted to Inpatient Therapeutic Care in 10 Countries. A Secondary Data Analysis
Authors:
Grijalva-Eternod, CS; Kerac, M; McGrath, M; Wilkinson, C; Hirsch, JC; Delchevalerie, P; Seal, AJ
Journal:
Maternal & Child Nutrition
Abstract:
Evidence on the management of acute malnutrition in infants aged less than 6 months (infants <6mo) is scarce. To understand outcomes using current protocols, we analysed a sample of 24 045 children aged 0-60 months from 21 datasets of inpatient therapeutic care programmes in 10 countries. We compared the proportion of admissions, the anthropometric profile at admission and the discharge outcomes between infants <6mo and children aged 6-60 months (older children). Infants <6mo accounted for 12% of admissions. The quality of anthropometric data at admission was more problematic in infants <6mo than in older children with a greater proportion of missing data (a 6.9 percentage point difference for length values, 95% CI: 6.0; 7.9, P < 0.01), anthropometric measures that could not be converted to indices (a 15.6 percentage point difference for weight-for-length z-score values, 95% CI: 14.3; 16.9, P < 0.01) and anthropometric indices that were flagged as outliers (a 2.7 percentage point difference for any anthropometric index being flagged as an outlier, 95% CI: 1.7; 3.8, P < 0.01). A high proportion of both infants <6mo and older children were discharged as recovered. Infants <6mo showed a greater risk of death during treatment (risk ratio 1.30, 95% CI: 1.09; 1.56, P < 0.01). Infants <6mo represent an important proportion of admissions to therapeutic feeding programmes, and there are crucial challenges associated with their care. Systematic compilation and analysis of routine data for infants <6mo is necessary for monitoring programme performance and should be promoted as a tool to monitor the impact of new guidelines on care.
Publisher:
Wiley-Blackwell We regret that this article is behind a paywall.
Issue Date:
25-Jul-2016
URI:
http://hdl.handle.net/10144/618820
DOI:
10.1111/mcn.12345
PubMed ID:
27453170
Submitted date:
2016-08-03
Language:
en
ISSN:
1740-8709
Appears in Collections:
Nutrition

Full metadata record

DC FieldValue Language
dc.contributor.authorGrijalva-Eternod, CSen
dc.contributor.authorKerac, Men
dc.contributor.authorMcGrath, Men
dc.contributor.authorWilkinson, Cen
dc.contributor.authorHirsch, JCen
dc.contributor.authorDelchevalerie, Pen
dc.contributor.authorSeal, AJen
dc.date.accessioned2017-02-28T22:26:20Z-
dc.date.available2017-02-28T22:26:20Z-
dc.date.issued2016-07-25-
dc.date.submitted2016-08-03-
dc.identifier.citationAdmission profile and discharge outcomes for infants aged less than 6 months admitted to inpatient therapeutic care in 10 countries. A secondary data analysis. 2016: Matern Child Nutren
dc.identifier.issn1740-8709-
dc.identifier.pmid27453170-
dc.identifier.doi10.1111/mcn.12345-
dc.identifier.urihttp://hdl.handle.net/10144/618820-
dc.description.abstractEvidence on the management of acute malnutrition in infants aged less than 6 months (infants <6mo) is scarce. To understand outcomes using current protocols, we analysed a sample of 24 045 children aged 0-60 months from 21 datasets of inpatient therapeutic care programmes in 10 countries. We compared the proportion of admissions, the anthropometric profile at admission and the discharge outcomes between infants <6mo and children aged 6-60 months (older children). Infants <6mo accounted for 12% of admissions. The quality of anthropometric data at admission was more problematic in infants <6mo than in older children with a greater proportion of missing data (a 6.9 percentage point difference for length values, 95% CI: 6.0; 7.9, P < 0.01), anthropometric measures that could not be converted to indices (a 15.6 percentage point difference for weight-for-length z-score values, 95% CI: 14.3; 16.9, P < 0.01) and anthropometric indices that were flagged as outliers (a 2.7 percentage point difference for any anthropometric index being flagged as an outlier, 95% CI: 1.7; 3.8, P < 0.01). A high proportion of both infants <6mo and older children were discharged as recovered. Infants <6mo showed a greater risk of death during treatment (risk ratio 1.30, 95% CI: 1.09; 1.56, P < 0.01). Infants <6mo represent an important proportion of admissions to therapeutic feeding programmes, and there are crucial challenges associated with their care. Systematic compilation and analysis of routine data for infants <6mo is necessary for monitoring programme performance and should be promoted as a tool to monitor the impact of new guidelines on care.en
dc.languageENG-
dc.language.isoenen
dc.publisherWiley-Blackwell We regret that this article is behind a paywall.en
dc.titleAdmission Profile and Discharge Outcomes for Infants Aged Less than 6 Months Admitted to Inpatient Therapeutic Care in 10 Countries. A Secondary Data Analysisen
dc.identifier.journalMaternal & Child Nutritionen

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