Post-Discharge Mortality in Children with Severe Malnutrition and Pneumonia in Bangladesh

摘要: Background: Post-discharge mortality among children with severe illness in resource-limited settings is under-recognized and there are limited data. We evaluated post-discharge a recently reported cohort of malnutrition pneumonia, identified characteristics associated an increased risk death.Methods: Young (< 5 years age) (WHO criteria) radiographic pneumonia on admission to Dhaka Hospital icddr, b over 15-month period were managed according standard protocols. Those discharged followed-up survival status at 12 weeks was determined. Verbal autopsy requested from families those that died.Results: Of 405 hospitalized 369 (median age, 10 months) alive follow-up plan. these, 32 (8.7%) died the community within 3 months discharge: median 22 (IQR 9-35) days discharge death. Most deaths reportedly acute onset new respiratory or gastrointestinal symptoms. following significantly younger 6 [IQR 3,12] more severely malnourished, discharge, than survived. Bivariate analysis found wasting (OR 3.64, 95% CI 1.66-7.97) age,12 2.54, 1.1-8.8) community, none had attended scheduled care-seeking traditional healer common (p, 0.001) compared who survived.Conclusion Significance: Bangladeshi inpatient care for pneumonia. The underlying contributing factors require better understanding inform potential interventions could improve survival.