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使用SPHERE绩效指标恢复后重度急性营养不良的复发负担:系统性审查和元分析

Fassikaw Kebede Bizuneh¹, Birtukan Gizachew², Tsehay Kebede³

¹College of Medicine and Health Science Debre Markos University Debre Marqos Ethiopia.

Health science reports

|November 24, 2025

概括

在埃塞俄比亚治疗严重急性营养不良 (SAM) 的儿童中,近五分之一的儿童复发,超过了SPHERE标准. 诸如MUAC排放标准和粮食不安全等因素预测复发,需要修订指南和支持.

科学领域:

公共卫生营养公共卫生营养
流行病学流行病学
全球健康全球健康

背景情况:

埃塞俄比亚严重急性营养不良 (SAM) 复发因地区冲突,并发病症和高自我排放率而加剧.
估计SAM复发的负担对于有效的公共卫生干预至关重要.

研究的目的:

估计埃塞俄比亚严重急性营养不良 (SAM) 的复发负担.
通过系统性审查和元分析 (SRMA) 使用SPHERE绩效指标来评估SAM复发.

主要方法:

按照PRISMA指南进行系统审查和元分析 (SRMA).
包括8项涉及4878名参与者的研究,使用JBI检查清单进行质量评估.
超回归分析以估计聚合复发负担并确定预测因素,通过科克兰的Q和I2统计评估异质性.

主要成果:

综合国家SAM复发负担为19.4%,区域差异很大 (阿姆哈拉: 26.9%,南部: 10.52%).
恢复,消耗和死亡率分别为79.17%,4.15%和5.84%.
上半臂周长 (MUAC) ≥125毫米排放标准 (HR 3.6) 和家庭粮食不安全 (HR 6.33) 是SAM复发的重要预测因素.

结论:

埃塞俄比亚的SAM复发率明显超过了SPHERE绩效指标.
目前的MUAC排放标准需要重新评估和标准化.
加强营养教育,家庭粮食援助和持续跟踪对SAM治疗的儿童至关重要.

关键词:

埃塞俄比亚埃塞俄比亚埃塞俄比亚严重的营养不良急性营养不良孩子们的孩子们的孩子们的孩子们.这是一个复发的复发.治疗恢复恢复的治疗方法

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