TITLE:
Impact of Anemia on Mortality and Nutritional Recovery among Hospitalized Severely Malnourished Children in Burkina Faso
AUTHORS:
Léon G. Blaise Savadogo, Ivone Zoetaba, Bernard Ilboudo, Maurice Kinda, Philipe Donnen
KEYWORDS:
Anemia; Mortality; Nutritional Recovery; Severely Malnourished; Children
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.4 No.1,
March
25,
2014
ABSTRACT: This study aimed to
analyze the impact of anemia on mortality rate and nutritional recovery, during
severely malnourished inpatient treatment. Material and Methods: This was a
retrospective cohort study conducted from data of severely malnourished
children hospitalized at a feeding the rapeutic
center. Pearson’s Chi square test, General linear model, Mortality relatives
risks, Kaplan-Meir survival curves have been used. Results: At admission, 85.3%
of included malnourished children had anemia
(Hb ≤ 11 g/dl)
and 10.6% severe anemic (Hb 6 g/dl).
Mortality rate did not differed significantly from severely malnourished
children with anemia (12.4%) and without anemia (22.2%), p = 0.12.
Kaplan Meir survival curves did not differed significantly between the two
groups, (p Log Rank = 0.11). From
admission to discharge, anthropometric Z-scores means evolution did not
differed significantly between severely malnourished children with and without
anemia at admission. But anthropometric Z-scores means evolution differed
significantly within each group’s subjects: WHZ (between groups: p = 0.74;
within subjects: p 0.001), and WAZ (between groups: p = 0.54;
within subjects: p 0.001). Conclusion: With a strong
respect of current recommendation of anemia treatment of inpatient severely
malnutrition management, there is no increased mortality rate in SAM anemic
group; and nutritional recovery is significant within subjects of SAM anemic
and non anemic children, without difference between groups.