Evidence map›Paper›PMID 25378757›Full record

ArticleBulletin of the World Health Organization2014

Childhood diarrhoeal deaths in seven low- and middle-income countries.

Ahmed Ehsanur Rahman, Md Moinuddin, Mitike Molla, Alemayehu Worku, Lisa Hurt, Betty Kirkwood, Sanjana Brahmawar Mohan, Sarmila Mazumder, Zulfiqar Bhutta, Farrukh Raza and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03870243 (Feasibility and Acceptability Followed by Effectiveness of Bubble Continuous Positive Airway Pressure), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03870243 nacompletednot on this mapstarted 2019, after this paper: background citation

Feasibility and Acceptability Followed by Effectiveness of Bubble Continuous Positive Airway Pressure (bCPAP) for Treatment of Children Aged 1-59 Months With Severe Pneumonia in Ethiopia: A Cluster Randomized Controlled Clinical Trial

TypeinterventionalSponsorInternational Centre for Diarrhoeal Disease Research, BangladeshRan2019 to 2022Enrolled1,240ConditionsSevere PneumoniaArmsBubble CPAP, Low flow oxygen
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. The consequences ofEClinicalMedicine · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
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  11. International journal of research in medical sciences · 2021
    Article
  12. Review
  13. Determinants of diarrhoeal diseases and height-for-ageJournal of preventive medicine and hygiene · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Ahmed Ehsanur RahmanInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh .
Md MoinuddinInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh .
Mitike MollaCollege of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia .
Alemayehu WorkuCollege of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia .
Lisa HurtLondon School of Hygiene and Tropical Medicine, London, England .
Betty KirkwoodLondon School of Hygiene and Tropical Medicine, London, England .
Sanjana Brahmawar MohanCentre for Health Research and Development of the Society for Applied Studies, New Delhi, India .
Sarmila MazumderCentre for Health Research and Development of the Society for Applied Studies, New Delhi, India .
Zulfiqar BhuttaAga Khan University, Karachi, Pakistan .
Farrukh RazaAga Khan University, Karachi, Pakistan .
Sigilbert MremaIfakara Health Institute, Ifakara and Rufiji, United Republic of Tanzania .
Honorati MasanjaIfakara Health Institute, Ifakara and Rufiji, United Republic of Tanzania .
Daniel KadoberaMakerere University, Iganga/Mayuge Health and Demographic Surveillance Site, Iganga, Uganda .
Peter WaiswaMakerere University, Iganga/Mayuge Health and Demographic Surveillance Site, Iganga, Uganda .
Rajiv BahlDepartment of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland .
Mike ZangenbergDepartment of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland .
Lulu MuheDepartment of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland .
Persistent Diarrhoea Research Group

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveTo investigate the clinical characteristics of children who died from diarrhoea in low- and middle-income countries, such as the duration of diarrhoea, comorbid conditions, care-seeking behaviour and oral rehydration therapy use.

methodsThe study included verbal autopsy data on children who died from diarrhoea between 2000 and 2012 at seven sites in Bangladesh, Ethiopia, Ghana, India, Pakistan, Uganda and the United Republic of Tanzania, respectively. Data came from demographic surveillance sites, randomized trials and an extended Demographic and Health Survey. The type of diarrhoea was classified as acute watery, acute bloody or persistent and risk factors were identified. Deaths in children aged 1 to 11 months and 1 to 4 years were analysed separately.

findingsThe proportion of childhood deaths due to diarrhoea varied considerably across the seven sites from less than 3% to 30%. Among children aged 1-4 years, acute watery diarrhoea accounted for 31-69% of diarrhoeal deaths, acute bloody diarrhoea for 12-28%, and persistent diarrhoea for 12-56%. Among infants aged 1-11 months, persistent diarrhoea accounted for over 30% of diarrhoeal deaths in Ethiopia, India, Pakistan, Uganda and the United Republic of Tanzania. At most sites, more than 40% of children who died from persistent diarrhoea were malnourished.

conclusionPersistent diarrhoea remains an important cause of diarrhoeal death in young children in low- and middle-income countries. Research is needed on the public health burden of persistent diarrhoea and current treatment practices to understand why children are still dying from the condition.

Indexed as

AutopsyBangladeshChild, PreschoolComorbidityDeveloping CountriesDiarrhea, InfantileEthiopiaFemaleFluid TherapyGhanaHumansIndiaInfantMalePakistanPopulation Surveillance

Identifiers

PMID25378757
PMCPMC4208570

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.