Author(s)

Abou Ba^1,2*, Aliou Thiongane³, Babacar Niang³, Younoussa Keïta⁴, Fatou Ly⁵, Aliou Abdoulaye Ndongo⁵, Ousmane Ndiaye⁴

¹Pediatric Department of Dalal Jamm National Hospital Center, Dakar, Senegal.
²Institute of Social Pediatrics of Cheikh Anta DIOP University, Dakar, Senegal.
³Albert Royer Children’s National Hospital Center, Dakar, Senegal.
⁴Abass Ndao Hospital Center, Dakar, Senegal.
⁵Pikine National Hospital Center, Dakar, Senegal.

Introduction: Malnutrition is a public health problem. It is responsible for high morbidity and mortality in children aged 6 - 59 months. The aim of this study was to determine the outcome of children with complicated severe acute malnutrition after hospital discharge. Methods: This is a descriptive and analytical cross-sectional study conducted from March 1 to November 31, 2021 at the Albert Royer Children’s Hospital. Children discharged from hospital for complicated severe acute malnutrition were included. Results: A total of 103 children were included. The mean age of children at hospitalization was 16.41 ± 10.11 months and mean duration of follow-up after hospital discharge was 29.63 ± 8.59 months. Three children (2.91%) died after hospital discharge. The mean z-score of the weight-for-current height was -1.34 ± 1.08. Almost a quarter (24.27%) of the children remain acute malnourished with 3.88% of severe acute malnutrition (SAM). The predictors’ factors associated with non-response were weaning before 2 years of age (ORaj: 12.21; 95% CI [6.82 - 18.44]; p = 0.04) and tuberculosis (ORaj: 21.06; 95% CI [12.54 - 41.09]; p = 0.03). Conclusion: The rate of recovery of nutritional status in children with complicated severe acute malnutrition is satisfactory. Ablactation before the age of two and the existence of tuberculosis are significantly associated with non-recovery of nutritional status.

Children, Severe Acute Malnutrition, Recovery, Non-Response

Ba, A. , Thiongane, A. , Niang, B. , Keïta, Y. , Ly, F. , Ndongo, A. and Ndiaye, O. (2023) Outcome after Discharge from Hospital of Children with Complicated Severe Acute Malnutrition and Predictors Factors of Non-Response during Outpatient Treatment, in Senegal. Open Journal of Pediatrics, 13, 473-483. doi: 10.4236/ojped.2023.134053.