埃塞俄比亚严重急性营养不良的五岁以下儿童稳定时间:回顾性队列研究
Diriba Bekele Geleta1, Dawit Tesfaye Daka2, Tesfaye Abera Gudeta3
1Department of Pediatrics and Neonatal Nursing, School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia. diribabekele120@gmail.com.
BMC public health
|November 22, 2025
概括
埃塞俄比亚儿童严重急性营养不良的稳定平均需要11天,比推的时间长. 关键预测因素包括免疫状态,肺炎,医院感染和维生素A补充剂,突出了改善结果的干预领域.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 超过65%的复杂严重急性营养不良 (SAM) 死亡发生在治疗的第一周内,原因是医疗并发症.
- 早期稳定对于降低SAM病例的死亡率至关重要,但关于埃塞俄比亚最佳稳定时间的证据有限.
研究的目的:
- 评估在埃塞俄比亚的稳定中心接受严重急性营养不良 (SAM) 的五岁以下儿童稳定时间的预测因素.
主要方法:
- 一项回顾性后续研究分析了2020年1月至2024年12月期间入住西奥罗米亚医院的543名儿童的数据.
- 统计分析涉及卡普兰-梅尔曲线,日志级别测试和多变量韦布尔回归,以确定稳定时间的预测因素.
- 使用 kobotoolbox 收集数据,并使用 STATA 版本 17 进行分析.
主要成果:
- 严重急性营养不良 (SAM) 的稳定时间中位数为11天,稳定率为86.39%.
- 稳定时间的预测因素包括免疫状态 (保护性),肺炎 (增加时间),医院获得的感染 (增加时间) 和维生素A补充剂 (保护性).
结论:
- 该研究确定严重急性营养不良 (SAM) 的中位稳定时间为11天,比埃塞俄比亚国家方案建议的时间更长.
- 解决免疫状态,肺炎,医院感染和维生素A补充等预测因素对于卫生专业人员和利益相关者来说至关重要,以实现更快的稳定.
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