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    Jan 26, 2021
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    Admission Profile and Discharge Outcomes for Infants Aged Less than 6 Months Admitted to Inpatient Therapeutic Care in 10 Countries. A Secondary Data Analysis

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    Authors
    Grijalva-Eternod, CS
    Kerac, M
    McGrath, M
    Wilkinson, C
    Hirsch, JC
    Delchevalerie, P
    Seal, AJ
    Issue Date
    2016-07-25
    Submitted date
    2016-08-03
    
    Metadata
    Show full item record
    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.
    URI
    http://hdl.handle.net/10144/618820
    DOI
    10.1111/mcn.12345
    PubMed ID
    27453170
    Language
    en
    ISSN
    1740-8709
    ae974a485f413a2113503eed53cd6c53
    10.1111/mcn.12345
    Scopus Count
    Collections
    Nutrition

    entitlement

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