Risk factors and gender differentials for death among children hospitalized with diarrhoea in Bangladesh.
J Health Popul Nutr
;
2000 Dec; 18(3): 151-6
Artigo
em Inglês
| IMSEAR
| ID: sea-861
ABSTRACT
To identify risk factors for death among children with diarrhoea, a cohort of 496 children, aged less than 5 years, admitted to the intensive care unit of a diarrhoeal disease hospital in Bangladesh, was studied during November 1992-June 1994. Clinical and laboratory records of children who died and of those who recovered in the hospital were compared. Deaths were significantly higher among those who had altered consciousness, hypoglycaemia, septicaemia, paralytic ileus, toxic colitis, necrotizing enterocolitis, haemolytic-uraemic syndrome, invasive or persistent diarrhoea, dehydration, electrolyte imbalances, and malnutrition. Females experienced a 2-fold higher risk of death than males (p = 0.003). Several indices of severe infections were identified more frequently among females than males. Females with severe infections were less frequently brought to the hospital than their male counterparts. The time lapse between onset of symptoms and hospital admission was significantly higher in females than males. This study suggests initiation of programmes to alleviate social disparity between genders for healthcare in poor communities. The study-results may also help physicians identify either prognostic indicators or risk factors for death among children hospitalized with severe illnesses associated with diarrhoea.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Preconceito
/
Prognóstico
/
Bangladesh
/
Feminino
/
Humanos
/
Masculino
/
Aceitação pelo Paciente de Cuidados de Saúde
/
Modelos Logísticos
/
Pré-Escolar
/
Mortalidade Infantil
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
J Health Popul Nutr
Assunto da revista:
Gastroenterology
/
Nutritional Sciences
/
Public Health
Ano de publicação:
2000
Tipo de documento:
Artigo
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