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Article Name - Time to Death and Predictors of Mortality among under Five Children with Severe Acute Malnutrition Hospitalized at Mulanje District Hospital in Southern Malawi: A Retrospective Cohort Study

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  • Keywords Severe acute malnutrition; Mortality; Predictors; Diarrhoea; Children ... 2025-07-10
  • Abbreviations ARI: Acute Respiratory Infection; CFR: Case Fatality Rate; COMREC: College of Medicine Research and Ethics Committee; CMAM: Community-based Management of Acute Malnutrition; HIV: Human Immunodeficienc ... 2025-07-10
  • Introduction Severe Acute Malnutrition (SAM) is defined by a very low weight for height (below a -3 z-score of the median World Health Organization (WHO) growth standards), visible wasting or the presence of nutri ... 2025-07-10
  • Materials and Methods Study area The study was conducted in Mulanje district, a semi-urban district in the southern region of Malawi, Africa. Mulanje district covers 2056 km2 and has a total population of 684,107, with ... 2025-07-10
  • Results Participants A total of 7,685 under-fives were admitted to Mulanje district hospital between January 2017 and February 2021. After the exclusion of children whose charts did not meet inclusion crit ... 2025-07-10
  • Discussion In this study, the inpatient mortality rate for all under-five admissions was 14.8%. This rate is disproportionately high compared to those observed in studies done in Iran and South Sudan, whose mort ... 2025-07-10
  • Conclusion From the study, it is established that diarrhoea, shock, having not received amoxicillin and oxygen therapy were independent predictors of mortality. To address the high incidence of deaths among chil ... 2025-07-10
  • Ethical Considerations This study (protocol number: P.06/20/3077) was reviewed and approved by the college of medicine research and ethics committee. Since we used secondary data, it was impractical to get individual patien ... 2025-07-10
  • Availability of Data and Materials The corresponding author will make data materials available to interested parties upon reasonable request. ... 2025-07-10
  • Consent for Publication Not applicable. ... 2025-07-10
  • References World Health Organization. Community-based management of severe acute malnutrition: A joint statement by the World Health Organization, the World Food Programme, the United Nations System Standing ... 2025-07-10