EXCESS MORTALITY AMONG CHILDREN DISCHARGED FROM HOSPITAL AFTER TREATMENT FOR DIARRHEA IN RURAL BANGLADESH
EXCESS MORTALITY AMONG CHILDREN DISCHARGED FROM HOSPITAL AFTER TREATMENT FOR DIARRHEA IN RURAL BANGLADESH
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DOI：
10.1136/bmj.287.6399.1097
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发表时间：
1983-01-01
影响因子：
105.7
通讯作者：
RAHAMAN, MM
中科院分区：
文献类型：
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作者：
ROY, SK;CHOWDHURY, AKMA;RAHAMAN, MM
儿童[551]年龄在3个月之间3年随访12 mo。在孟加拉国国际腹泻病研究中心的农村治疗中心治疗腹泻后。在随访期间，儿童的死亡率明显高于社区中普遍观察到的死亡率。第一个三个月。出院后似乎至关重要，约70%的死亡发生在这一时期。严重营养不良的儿童（营养状况低于美国国家卫生统计中心（NCHS）体重年龄比标准的56%）的死亡风险是营养良好的儿童（营养状况为NCHS标准的66%或以上）的14倍。死亡率最高的是2岁奥尔兹，在严重营养不良的儿童中，三分之一的儿童死亡，而在中度营养不良的儿童中，十分之一的儿童死亡。这种模式在2岁以下的儿童中未见。应立即优先考虑为患腹泻的营养不良儿童提供营养康复。
Children [551] aged between 3 mo. and 3 yr were followed-up at home for 12 mo. after treatment of diarrhea in a rural treatment center of the International Center for Diarrheal Disease Research, Bangladesh. During follow-up the children had a significantly higher mortality than generally observed in the community. The first 3 mo. after discharge appeared to be crucial, some 70% of the deaths occurring in that period. Severly malnourished children (nutritional state below 56% of the American National Center for Health Statistics (NCHS) standard of weight for age ratio) had a risk of death 14 times that of their well nourished counterparts (nutritional state 66% or more of the NCHS standard). The highest mortality occurred in 2 yr olds, 1 in 3 of the severely malnourished children dying compared with 1 in 10 of the moderately malnourished. This pattern was not seen in children aged under 2 yr. Immediate priority should be given to providing nutritional rehabilitation for malnourished children who contract diarrhea.