Morbidity patterns and outcome in children with severe acute malnutrition at a Tertiary Care Hospital.

  • Waqas Ali Ghurki Trust Teaching Hospital, Lahore.
  • Asif Ali Khuhro Children Hospital Chandka Medical College/ SMBBMU, Larkana.
  • Sanam Bano Rajper Agha Khan Hospital, Karachi.
  • Fazal Ur Rehman The Children’s Hospital and The Institute of Child Health, Multan.
Keywords: Anemia, Diarrhea, Pneumonia, Severe Acute Malnutrition, Sepsis

Abstract

Objectives: We planned this study to find out morbidity patterns as well as outcome of admitted children aged less than 5 years of age with severe acute malnutrition (SAM). Study Design: Cross Sectional study. Setting: Department of Pediatrics Medicine, Ghurki Trust Teaching Hospital, Lahore. Period: From 1st January 2018 to 30th June 2018. Material & Methods: A total of 80 children aged 1 to 59 months, of both genders, having SAM were considered. Physical examination, detailed clinical as well as laboratory findings related to nutritional status and comorbidities were noted. Outcome in terms of recovery/discharge, left against medical advice (LAMA) or death during the stay was noted in all the children. Results: Out of a total of 80 children, 20 (25.0%) were aged 1 to 6 months, 39 (48.8%) from 7 to 24 months and 21 (26.2%) from 25 to 59 months. Most of the patients, 39 (48.8%) were from 7 to 24 months of age, 62 (77.5%) were admitted through emergency, 52 (65.0%) had WHZ score-4SD and 27 (33.8%) using bottle feeding. Severe wasting without having edema was reported in 67 (83.8%) children. Diarrhea was the commonest comorbidity, found in 43 (53.8%) children, followed by sepsis 17 (21.3%) and pneumonia 15 (18.8%). There were 69 (86.3%) children noted having anemia. Hyponatremia was the commonest metabolic abnormality seen in 40 (25.0%) children. In terms of outcome, 71 (88.7%) children recovered well and got discharged while mortality was reported in 5 (6.3%) children. Conclusion: Diarrhea along with sepsis and pneumonia along with metabolic abnormalities were found to be more prevalent amongst children having SAM. Early identification of anemia as well as infections in children with SAM can contribute to better outcome.

Author Biographies

Waqas Ali, Ghurki Trust Teaching Hospital, Lahore.

MBBS, FCPS (Pediatrics Medicine)

Assistant Professor of Pediatrics Medicine 

Asif Ali Khuhro, Children Hospital Chandka Medical College/ SMBBMU, Larkana.

MBBS, FCPS (Pediatrics Medicine)

Assistant Professor Pediatrics Unit-II

Sanam Bano Rajper, Agha Khan Hospital, Karachi.

FCPS (Pediatrics Medicine)

Fellow in Pediatrics Neurology 

Fazal Ur Rehman, The Children’s Hospital and The Institute of Child Health, Multan.

MBBS, FCPS (Pediatrics Medicine)

PGR Pediatric Medicine

Published
2020-09-10