Death in a diarrhoeal cohort of infants and young children soon after discharge from hospital: Risk factors and causes by verbal autopsy
Death in a diarrhoeal cohort of infants and young children soon after discharge from hospital: Risk factors and causes by verbal autopsy
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DOI：
10.1093/tropej/42.6.342
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发表时间：
1996-12-01
影响因子：
2
通讯作者：
Rahman, AKSM
中科院分区：
文献类型：
--
作者：
Islam, MA;Rahman, MM;Rahman, AKSM
评估出院后儿童的死亡模式对于指导适当的管理政策是重要的。我们研究了从城市腹泻治疗医院出院的1-23个月的幼儿。儿童在出院时登记，并在6周和12周后在家中随访，以评估出院后死亡率。在500名儿童中，427名儿童在出院后6周可在家中进行评估。儿童的中位年龄为8个月，其中77%的儿童小于12个月。30人（7%）在出院后6周内死亡，2人在出院后12周内死亡。死亡者的中位生存时间为11天，6个月以下的儿童死亡风险是6个月或以上儿童的5倍，营养不良、非母乳喂养和缺乏免疫接种是死亡的重要危险因素，经死因推断，死亡的根本原因是呼吸道疾病和水样腹泻，营养不良和低出生体重是主要的相关原因。住院儿童，尤其是婴幼儿，应给予特别关注，最好在出院后一周内进行随访。
Assessing mortality pattern of children after discharge from hospital is important to guide appropriate management policy, We studied young children aged 1-23 months, who were discharged from an urban Diarrhoea Treatment Hospital. Children were enrolled on discharge from the hospital, and followed at home after 6 and 12 weeks to assess post-discharge mortality, Of 500 children, 427 were available for evaluation at home 6 weeks after discharge, The median age of the children was eight months, 77 per cent of whom were less than 12 months of age, Of the 427 children, 30 (7 per cent) died within 6 weeks and two died within 12 weeks of discharge from hospital. The median survival time of the deceased was 11 days, Children less than 6 months of age had a five times greater risk of death compared with those aged 6 months or older, Malnutrition, non-breastfeeding, and lack of immunization were important risk factors for death, As ascertained by verbal autopsy, the underlying causes of death were respiratory diseases and watery diarrhoea, Malnutrition and low birth weight were the main associated causes. Hospitalized children, especially young infants, should be given special attention and need to be followed preferably within a week of discharge.