Outcomes of children aged 6-59 months with severe acute malnutrition at the GADO Outpatient Therapeutic Center in Cameroon.
Outcomes of children aged 6-59 months with severe acute malnutrition at the GADO Outpatient Therapeutic Center in Cameroon.
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喀麦隆Gado门诊治疗中心的6-59个月儿童患有严重急性营养不良的儿童。
DOI：
10.1186/s13104-018-3177-0
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发表时间：
2018-01-24
影响因子：
1.8
通讯作者：
Jackson A
中科院分区：
文献类型：
--
作者：
Ndzo JA;Jackson A
我们的目的是评估结果[治愈率、违约率、病死率；喀麦隆加多难民营门诊治疗中心6-59个月严重急性营养不良（SAM）儿童的体重增加率和平均上臂围（MUAC）增加率与国际标准的关系。我们回顾性分析了2015年4月至2016年8月收治的254例6-59个月SAM患儿的档案。72.8%的银行被收回，0.8%的银行死亡，没有银行违约。26.8%的人被转到稳定中心，主要是因为体重增加不佳（44.1%）。平均增重率4.4 g/kg/d， MUAC增重0.3 mm/cm/d；治疗中位持续时间44.5天。消瘦、消瘦和消瘦型消瘦患者的中位住院时间分别为48、24.5和36.3天（p = 0.002）；回收率相似，分别为73,71.4,71.4% (p = 0.7)；中位增重率分别为4.4、6.7和8.1 g/kg/d （p = 0.05）。49名儿童被误诊为SAM。在病死率和违约率方面达到了国际标准，但没有达到康复率和体重增加率。必须使用单独的性别图表来计算身高z分数的权重，因为组合图表会导致显著的误差。本文的在线版本（10.1186/s13104-018-3177-0）包含补充资料，仅供授权用户使用。
We aimed to assess outcomes [rates of recovery, default, case fatality; rate of weight gain and rate of Mean Upper Arm Circumference (MUAC) gain] of children aged 6–59 months with severe acute malnutrition (SAM) at the Outpatient Therapeutic Center at Gado Refugee Camp, Cameroon, in relation to international standards. We retrospectively analysed files of 254 children with SAM aged 6–59 months admitted from April 2015 to August 2016. 72.8% got discharged as recovered, 0.8% died and none defaulted. 26.8% got referred to stabilization center, mostly for poor weight gain (44.1%). Mean rate of weight gain was 4.4 g/kg/day and MUAC gain 0.3 mm/cm/day; median duration of treatment 44.5 days. Amongst those with marasmus, kwashiorkor and marasmic kwashiorkor, median duration of stay was 48, 24.5 and 36.3 days (p = 0.002); recovery rates were similar 73, 71.4, 71.4% respectively (p = 0.7); Median rates of weight gain, 4.4, 6.7 and 8.1 g/kg/day (p = 0.05). 49 children had been incorrectly diagnosed and treated as SAM. International Standards were met in terms of case fatality rate and default rate but not rates of recovery and weight gain. Separate gender charts must be used to calculate weight for height z scores as combined charts cause significant errors. The online version of this article (10.1186/s13104-018-3177-0) contains supplementary material, which is available to authorized users.