Evidence map›Paper›PMID 36573378›Full record

ArticleThe British journal of nutrition2023

Fat and lean mass predict time to hospital readmission or mortality in children treated for complicated severe acute malnutrition in Zimbabwe and Zambia.

Mutsa Bwakura-Dangarembizi, Cherlynn Dumbura, Deophine Ngosa, Florence D Majo, Joe D Piper, Jonathan P Sturgeon, Kusum J Nathoo, Beatrice Amadi, Shane Norris, Bernard Chasekwa and 5 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 31% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
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

15 authors at 6 institutions in 4 countries.

Mutsa Bwakura-DangarembiziUniversity of Zimbabwe, Faculty of Medicine and Health Sciences, Harare, Zimbabwe.ORCID 0000-0001-7751-6177
Cherlynn DumburaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Deophine NgosaTropical Gastroenterology and Nutrition Group, University of Zambia, Lusaka, Zambia.
Florence D MajoZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Joe D PiperZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Jonathan P SturgeonZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Kusum J NathooUniversity of Zimbabwe, Faculty of Medicine and Health Sciences, Harare, Zimbabwe.
Beatrice AmadiTropical Gastroenterology and Nutrition Group, University of Zambia, Lusaka, Zambia.
Shane NorrisUniversity of Witwatersrand, Johannesburg, South Africa.
Bernard ChasekwaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Robert NtoziniZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Jonathan C WellsPopulation Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.
Paul KellyTropical Gastroenterology and Nutrition Group, University of Zambia, Lusaka, Zambia.
Andrew J PrendergastZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
HOPE-SAM Study Team
Queen Mary University of London · GBZvitambo Institute for Maternal and Child Health Research · ZWUniversity of Zambia · ZMUniversity of Zimbabwe · ZWGreat Ormond Street Hospital · GBUniversity of the Witwatersrand · ZA

Funding

Medical Research Council MR/K012711/1Wellcome Trust 107634Wellcome Trust 206225/Z/17/ZWellcome Trust 206455Wellcome Trust 206455/Z/17/ZWellcome Trust 220566
6 · The paper itself

Abstract

HIV and severe wasting are associated with post-discharge mortality and hospital readmission among children with complicated severe acute malnutrition (SAM); however, the reasons remain unclear. We assessed body composition at hospital discharge, stratified by HIV and oedema status, in a cohort of children with complicated SAM in three hospitals in Zambia and Zimbabwe. We measured skinfold thicknesses and bioelectrical impedance analysis (BIA) to investigate whether fat and lean mass were independent predictors of time to death or readmission. Cox proportional hazards models were used to estimate the association between death/readmission and discharge body composition. Mixed effects models were fitted to compare longitudinal changes in body composition over 1 year. At discharge, 284 and 546 children had complete BIA and skinfold measurements, respectively. Low discharge lean and peripheral fat mass were independently associated with death/hospital readmission. Each unit

Indexed as

Adipose TissuePatient ReadmissionSevere Acute MalnutritionThinnessAdolescentBody CompositionChildFemaleFollow-Up StudiesHIV InfectionsHumansMalePatient DischargeYoung AdultZambiaZimbabweFat massHIVHospitalisationLean massMortalitySevere acute malnutrition

Identifiers

PMID36573378
PMCPMC10442795
OpenAlexW4312212049

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.