Excess mortality among children discharged from hospital after treatment for diarrhoea in rural Bangladesh

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Abstract

Five hundred and fifty one children aged between 3 months and 3 years were followed up at home for 12 months after treatment of diarrhoea in a rural treatment centre of the International Centre for Diarrhoeal Disease Research, Bangladesh. During follow up the children were found to have a significantly higher mortality than generally observed in the community. The first three months after discharge appeared to be crucial, some 70% of the deaths occurring in that period. Severely malnourished children (nutritional state below 56% of the American National Center for Health Statistics (NCHS) standard of weight for age ratio) had a risk of death 14 times that of their well nourished counterparts (nutritional state 66% or more of the NCHS standard). The highest mortality occurred in 2 year olds, one in three of the severely malnourished children dying compared with one in 10 of the moderately malnourished. This pattern was not seen in children aged under 2 years. Immediate priority should be given to providing nutritional rehabilitation for malnourished children who contract diarrhoea.

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APA

Roy, S. K., Chowdhury, A. K. M. A., & Rahaman, M. M. (1983). Excess mortality among children discharged from hospital after treatment for diarrhoea in rural Bangladesh. British Medical Journal, 287(6399), 1097–1099. https://doi.org/10.1136/bmj.287.6399.1097

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