Observational studyPublic health nutrition2018
Recovery and relapse from severe acute malnutrition after treatment: a prospective, observational cohort trial in Pakistan.
Observational study in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Article
- Levels and determinants of child wasting relapse: a prospective cohort study from Somalia.Journal of global health · 2026Article
- Relapse Burden of Severe Acute Malnutrition Post-Recovery Using SPHERE Performance Indicators: A Systematic Review and Meta-Analysis.Health science reports · 2025Review
- Time to recovery from severe acute malnutrition and predictors among children aged 6-59 months at public hospitals: retrospective follow-up study.Scientific reports · 2025Article
- Relapse of acute malnutrition and associated factors after discharge from nutrition stabilization centers among children in Eastern Ethiopia.Frontiers in nutrition · 2023Article
- Rate, risk factors and estimated time to develop attrition after under-five children started moderate acute malnutrition treatment in Gubalafto, North East Ethiopia.Journal of nutritional science · 2023Article
- Incidence and predictors of attrition rate after children started inpatient treatments for complicated severe acute malnutrition in North West Ethiopia.Journal of health, population, and nutrition · 2022Article
- Time to readmission and associated factors after post treatment discharge of severe acute malnourished under-five children in Pawe General Hospital.Journal of health, population, and nutrition · 2022Article
- Clinical and growth outcomes of severely malnourished children following hospital discharge in a South African setting.PloS one · 2022Article
- Incidence of severe acute malnutrition after treatment: A prospective matched cohort study in Sokoto, Nigeria.Maternal & child nutrition · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveMillions of children suffer from severe acute malnutrition (SAM) in low- and middle- income countries. Much is known about the effectiveness of community treatment programmes (CMAM) but little is known about post-discharge outcomes after successful treatment. The present study aimed to evaluate post-discharge outcomes of children cured of SAM.
designProspective, observational cohort study. Children with SAM who were discharged as cured were followed monthly for 6 months or until they experienced relapse to SAM. 'Cure' was defined as a child achieving a mid-upper arm circumference (MUAC) of ≥115 mm with ≥15 % weight gain after loss of oedema. Relapse was defined as a child with MUAC<115 mm and/or oedema at any monthly visit.
settingSave the Children CMAM programme in Swabi, Pakistan, from January 2012 to December 2014. SUBJECTS: Children aged 6-59 months (n 117) discharged as cured from the CMAM programme were eligible for the study and followed for 6 months.
resultsOne hundred children (92·6 %) remained free of SAM, eight (7·4 %) relapsed to SAM, nine (8·3 %) were lost to follow-up and none died. Most relapses occurred within 3 months of discharge (mean time to relapse 73·4 (sd 36·2) d). At enrolment, 90 % had moderate acute malnutrition (MAM) and 10 % were not malnourished. By the end of 6 months, 35 % persisted with MAM and the remaining were not malnourished.
conclusionsIn rural Pakistan, fewer than 10 % of children cured of SAM relapsed. The first 3 months is the most vulnerable time.
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