ArticlePublic health nutrition2013
Severe malnutrition among children under the age of 5 years admitted to a rural district hospital in southern Mozambique.
Article in Public health nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Dysglycemia in Children with Severe Acute Malnutrition: A Systematic Review and Meta-Analysis.Advances in nutrition (Bethesda, Md.) · 2021Pooled it
- Predictors of inpatient mortality among children hospitalized for severe acute malnutrition: a systematic review and meta-analysis.The American journal of clinical nutrition · 2020Pooled it
- Severely malnourished children with a low weight-for-height have similar mortality to those with a low mid-upper-arm-circumference: II. Systematic literature review and meta-analysis.Nutrition journal · 2018Pooled it
- A Systematic Review of the Incidence, Risk Factors and Case Fatality Rates of Invasive Nontyphoidal Salmonella (iNTS) Disease in Africa (1966 to 2014).PLoS neglected tropical diseases · 2017Pooled it
- Incidence and Risk Factors of Mortality Among Under Five Children with Severe Acute Malnutrition Admitted at Hoima Regional Referral Hospital in Uganda.Pediatric health, medicine and therapeutics · 2026Article
- Tobacco policy (in)coherence in Mozambique: an examination of national and subnational stakeholder perspectives.Health policy and planning · 2024Article
- Profile of Children with Undernutrition Admitted in Two Secondary-Level Hospitals in Maputo City, Mozambique.Nutrients · 2024Article
- Risk factors for inpatient mortality among children with severe acute malnutrition in Zimbabwe and Zambia.European journal of clinical nutrition · 2023Observational
- Review
- Article
- Neighbors' use of water and sanitation facilities can affect children's health: a cohort study in Mozambique using a spatial approach.BMC public health · 2022Article
- Characterizing Undernourished Children Under-Five Years Old with Diarrhoea in Mozambique: A Hospital Based Cross-Sectional Study, 2015-2019.Nutrients · 2022Article
- Biomarkers to Distinguish Bacterial From Viral Pediatric Clinical Pneumonia in a Malaria-Endemic Setting.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Article
- Rotavirus A infection in children under five years old with a double health problem: undernutrition and diarrhoea - a cross-sectional study in four provinces of Mozambique.BMC infectious diseases · 2021Article
- Article
- Decomposing the educational inequalities in the factors associated with severe acute malnutrition among under-five children in low- and middle-income countries.BMC public health · 2020Article
- Predictors of in-hospital mortality among under-five children with severe acute malnutrition in South-Western Uganda.PloS one · 2020Article
- Article
- Article
- Risk factors for death among children 0-59 months of age with moderate-to-severe diarrhea in Manhiça district, southern Mozambique.BMC infectious diseases · 2019Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the burden, clinical characteristics and prognostic factors of severe malnutrition in children under the age of 5 years.
designRetrospective study of hospital-based data systematically collected from January 2001 to December 2010.
settingRural Mozambican district hospital. SUBJECTS: All children aged <5 years admitted with severe malnutrition.
resultsDuring the 10-year long study surveillance, 274 813 children belonging to Manhiça’s Demographic Surveillance System were seen at out-patient clinics, almost half of whom (47 %) presented with some indication of malnutrition and 6% (17 188/274 813) with severe malnutrition. Of these, only 15% (2522/17 188) were eventually admitted. Case fatality rate of severe malnutrition was 7% (162/2274). Bacteraemia, hypoglycaemia, oral candidiasis, prostration, oedema, pallor and acute diarrhoea were independently associated with an increased risk of in-hospital mortality, while malaria parasitaemia and breast-feeding were independently associated with a lower risk of a poor outcome. Overall minimum communitybased incidence rate was 15 cases per 1000 child-years at risk and children aged 12–23 months had the highest incidence.
conclusionsSevere malnutrition among admitted children in this Mozambican setting was common but frequently went undetected, despite being associated with a high risk of death. Measures to improve its recognition by clinicians responsible for the first evaluation of patients at the out-patient level are urgently needed so as to improve their likelihood of survival. Together with this, the rapid management of complications such as hypoglycaemia and concomitant co-infections such as bacteraemia, acute diarrhoea, oral candidiasis and HIV/AIDS may contribute to reverse the intolerable toll that malnutrition poses in the health of children in rural African settings.
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