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Comorbid Diseases Is a Predictor Length of Stay in Children with Severe Acute Malnutrition

Received: 27 August 2020     Accepted: 16 September 2020     Published: 23 September 2020
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Abstract

Severe acute malnutrition (SAM) is one of the leading causes of morbidity and mortality in children in developing countries. Patient with SAM mostly hospitalized with comorbidity that reduce the time of recovery and longer the length of stay (LOS). The aim of this study is to determine the association between comorbid with longer LOS among children with SAM. This was a retrospective cohort study from 2017-2018 on children with SAM conducted in the pediatric care ward of Sanglah Denpasar General Hospital. Inclusion criteria was children aged 1 months to 18 years diagnosed with SAM and had complete data at the start of admission. Exclusion criteria was patient discharged against medical advice. 134 children with SAM were included and analyzed with appropriate statistical analysis. The median of LOS was 18 days, comorbid at admission found were infection (31.3%), non-infection (56.0%), both infection and non-infection (12.7%). HIV found as the most comorbid in SAM patient (21.3%) followed by malignancy (17.3%), congenital heart disease (14%), and pneumonia (12.7%). Multivariate analysis found that comorbid was a risk factor for longer LOS in hospitalized SAM patients. Comorbid increases the LOS by 3.23 times (95% CI 1.563-6.709) p value 0.002. Bivariate analysis found that infection as comorbid increase the LOS by 1.72 times (95% CI 1.171-2.524) p value 0.011. Conclusion that comorbid at admission was associated with longer LOS in hospitalized patient with SAM.

Published in American Journal of Pediatrics (Volume 6, Issue 3)
DOI 10.11648/j.ajp.20200603.45
Page(s) 381-385
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Severe Acute Malnutrition, Comorbid, Length of Stay, Children

References
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Cite This Article
  • APA Style

    Made Laksmi Dewi Adnyana, I Gusti Lanang Sidiartha, I Gusti Ayu Eka Pratiwi. (2020). Comorbid Diseases Is a Predictor Length of Stay in Children with Severe Acute Malnutrition. American Journal of Pediatrics, 6(3), 381-385. https://doi.org/10.11648/j.ajp.20200603.45

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    ACS Style

    Made Laksmi Dewi Adnyana; I Gusti Lanang Sidiartha; I Gusti Ayu Eka Pratiwi. Comorbid Diseases Is a Predictor Length of Stay in Children with Severe Acute Malnutrition. Am. J. Pediatr. 2020, 6(3), 381-385. doi: 10.11648/j.ajp.20200603.45

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    AMA Style

    Made Laksmi Dewi Adnyana, I Gusti Lanang Sidiartha, I Gusti Ayu Eka Pratiwi. Comorbid Diseases Is a Predictor Length of Stay in Children with Severe Acute Malnutrition. Am J Pediatr. 2020;6(3):381-385. doi: 10.11648/j.ajp.20200603.45

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  • @article{10.11648/j.ajp.20200603.45,
      author = {Made Laksmi Dewi Adnyana and I Gusti Lanang Sidiartha and I Gusti Ayu Eka Pratiwi},
      title = {Comorbid Diseases Is a Predictor Length of Stay in Children with Severe Acute Malnutrition},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {3},
      pages = {381-385},
      doi = {10.11648/j.ajp.20200603.45},
      url = {https://doi.org/10.11648/j.ajp.20200603.45},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200603.45},
      abstract = {Severe acute malnutrition (SAM) is one of the leading causes of morbidity and mortality in children in developing countries. Patient with SAM mostly hospitalized with comorbidity that reduce the time of recovery and longer the length of stay (LOS). The aim of this study is to determine the association between comorbid with longer LOS among children with SAM. This was a retrospective cohort study from 2017-2018 on children with SAM conducted in the pediatric care ward of Sanglah Denpasar General Hospital. Inclusion criteria was children aged 1 months to 18 years diagnosed with SAM and had complete data at the start of admission. Exclusion criteria was patient discharged against medical advice. 134 children with SAM were included and analyzed with appropriate statistical analysis. The median of LOS was 18 days, comorbid at admission found were infection (31.3%), non-infection (56.0%), both infection and non-infection (12.7%). HIV found as the most comorbid in SAM patient (21.3%) followed by malignancy (17.3%), congenital heart disease (14%), and pneumonia (12.7%). Multivariate analysis found that comorbid was a risk factor for longer LOS in hospitalized SAM patients. Comorbid increases the LOS by 3.23 times (95% CI 1.563-6.709) p value 0.002. Bivariate analysis found that infection as comorbid increase the LOS by 1.72 times (95% CI 1.171-2.524) p value 0.011. Conclusion that comorbid at admission was associated with longer LOS in hospitalized patient with SAM.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Comorbid Diseases Is a Predictor Length of Stay in Children with Severe Acute Malnutrition
    AU  - Made Laksmi Dewi Adnyana
    AU  - I Gusti Lanang Sidiartha
    AU  - I Gusti Ayu Eka Pratiwi
    Y1  - 2020/09/23
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajp.20200603.45
    DO  - 10.11648/j.ajp.20200603.45
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 381
    EP  - 385
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200603.45
    AB  - Severe acute malnutrition (SAM) is one of the leading causes of morbidity and mortality in children in developing countries. Patient with SAM mostly hospitalized with comorbidity that reduce the time of recovery and longer the length of stay (LOS). The aim of this study is to determine the association between comorbid with longer LOS among children with SAM. This was a retrospective cohort study from 2017-2018 on children with SAM conducted in the pediatric care ward of Sanglah Denpasar General Hospital. Inclusion criteria was children aged 1 months to 18 years diagnosed with SAM and had complete data at the start of admission. Exclusion criteria was patient discharged against medical advice. 134 children with SAM were included and analyzed with appropriate statistical analysis. The median of LOS was 18 days, comorbid at admission found were infection (31.3%), non-infection (56.0%), both infection and non-infection (12.7%). HIV found as the most comorbid in SAM patient (21.3%) followed by malignancy (17.3%), congenital heart disease (14%), and pneumonia (12.7%). Multivariate analysis found that comorbid was a risk factor for longer LOS in hospitalized SAM patients. Comorbid increases the LOS by 3.23 times (95% CI 1.563-6.709) p value 0.002. Bivariate analysis found that infection as comorbid increase the LOS by 1.72 times (95% CI 1.171-2.524) p value 0.011. Conclusion that comorbid at admission was associated with longer LOS in hospitalized patient with SAM.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Department of Child Health, Faculty of Medicine, Udayana University, Denpasar, Indonesia

  • Department of Child Health, Faculty of Medicine, Udayana University, Denpasar, Indonesia

  • Department of Child Health, Faculty of Medicine, Udayana University, Denpasar, Indonesia

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