ArticleInternational journal of general medicine2021
Predictors of Death from Complicated Severe Acute Malnutrition in East Ethiopia: Survival Analysis.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Pooled it
- Prevalence and risk factors of under-five mortality due to severe acute malnutrition in Africa: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- Tuberculosis prevalence among children with severe acute malnutrition: a systematic review and meta-analysis.medRxiv : the preprint server for health sciences · 2026Article
- Article
- Time to Recovery From Severe Acute Malnutrition and Its Predictors Among Children Aged 6-59 Months in Ethiopia: A Bayesian Joint Modeling Approach.Maternal & child nutrition · 2026Article
- Serum electrolyte disturbances and treatment outcomes in hospitalized children with Severe Acute Malnutrition in Ethiopia.Scientific reports · 2026Article
- Duration of recovery from severe acute malnutrition and associated factors in children aged 6-59 months: a retrospective cohort study.Scientific reports · 2025Article
- Time to stabilization among under-five children with severe acute malnutrition in Ethiopia: a retrospective cohort study.BMC public health · 2025Article
- Time to death and its predictors among under-five children with acute pneumonia: a Bayesian parametric survival analysis.Pneumonia (Nathan Qld.) · 2025Article
- Time to Recovery From Severe Acute Malnutrition to Normal Nutritional Status and Its Predictors Among Children Aged 6-59 Months in North-East Ethiopia.Maternal & child nutrition · 2025Article
- Healthcare providers' implementation of severe acute malnutrition guidelines and the factors associated with it among healthcare providers working at public health facilities of South Wollo Zone, Northeast Ethiopia, in 2024.Health research policy and systems · 2025Article
- Prediction model for unfavorable treatment outcome for complicated sever acute malnutrition (SAM) in under five children admitted in hospitals at Amhara Region.Frontiers in nutrition · 2025Article
- Recovery rate and predictors of severe acute malnutrition among under-five children admitted to therapeutic feeding units in Ethiopia: a systematic review and meta-analysis.BMJ nutrition, prevention & health · 2025Article
- Management challenges of supplementary feeding programs for severe acute malnutrition among children under five years: a qualitative study in Ethiopia.Discover social science and health · 2025Article
- Article
- The Spectrum of Pathogens Associated with Infections in African Children with Severe Acute Malnutrition: A Scoping Review.Tropical medicine and infectious disease · 2024Article
- Article
- Survival Status and Predictors of Tuberculosis Development Among Under 5 Children Admitted With Severe Acute Malnutrition in Ethiopia: A Retrospective Cohort Study.Global pediatric health · 2024Article
- Time to recovery and its predictors among children 6-59 months with acute malnutrition admitted to community inpatient therapeutic feeding centers in Katsina State, Northwest Nigeria: a retrospective review of health records (2010-2016).Journal of health, population, and nutrition · 2023Article
- Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSevere acute malnutrition (SAM) is still the leading cause of global child morbidity and mortality, with a greater burden in sub-Saharan Africa. A facility-based treatment of SAM demands critical care for improved outcomes and survival of children. However, there is a need to understand predictors for time to death among SAM children for effective interventions.
objectiveTo assess the predictors of death from complicated severe acute malnutrition among admitted children treated in East Ethiopia.
methodsA 31-month retrospective cohort study was conducted among a total of 665 under-five children admitted with complicated SAM in Dilchora hospital, eastern Ethiopia. The data was extracted from the patient register and medical charts using the kobo tool. The life table, survival, and hazard curves were plotted. Kaplan-Meier with Log rank tests was used to estimate and compare the mean survival time. The bivariable and multivariable Cox proportional hazards models were used to identify predictors of time to death. Crude and adjusted hazard ratios with 95% confidence intervals and p-values were reported.
resultsA total of 665 full medical charts were reviewed with a total of 60 (9%; 95% CI: 6.8-11.2%) deaths were observed, where most of the deaths occurred during the first two weeks of admission, while 74 (11%) and 449 (68%) were cured and recovered (stabilized and transferred to outpatient), respectively. Admitted children having good appetite (AHR=0.15; 95% CI: 0.64-0.33), pneumonia (AHR=2.46, 95% CI: 1.436, 4.22), diarrhea (AHR=2.16, 95% CI: 1.16, 4.06), tuberculosis (AHR=2.86, 95% CI: 1.08, 7.63) and having a nasogastric tube inserted (AHR=2.33, 95% CI: 1.15, 4.72) were significant predictors of time to death among SAM children.
conclusionThere is unacceptably high under-five mortality due to SAM, which is predicted by co-morbidities (pneumonia, diarrhea, and tuberculosis), with medical complications and nasogastric tubes.
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