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 |
Severe Acute Malnutrition, Comorbid, Length of Stay, Children
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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
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
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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Download@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}
}
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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