Medindia
Advertisement

Babies Prone To Dying Can Be Identified Using a Simple Algorithm

by Rishika Gupta on December 14, 2018 at 8:13 PM
Font : A-A+

 Babies Prone To Dying Can Be Identified Using a Simple Algorithm

Babies prone to dying can be identified using a simple algorithm and given appropriate treatment right when it is needed. The results of this study are published in the journal of Pediatrics.

A simple algorithm could contribute to reducing the high mortality among newborns and babies in the month following their hospital discharge.

Advertisement


In Mozambique, the probability of dying in the first month after hospital discharge is high, particularly for babies under three months of age, shows a study led by the Barcelona Institute of Global Health (ISGlobal), an institution supported by "la Caixa" Foundation, in collaboration with the Manhiça Health Research Center (CISM).

The study also shows that an algorithm based on a series of simple clinical parameters can identify those children at higher risk of dying and that would, therefore, benefit from a proactive follow-up after their discharge. The implementation of these models could contribute to reducing child mortality in low-income countries.
Advertisement

In the last 25 years, the reduction in mortality of children under five years of age has been remarkable but insufficient (50% instead of the 75% target set by the millennium goals).

In low-income countries, children are at increased risk of dying following hospitalization, regardless of their illness, with an estimated risk ranging between 3 and 13% in the month following discharge.

The challenge, therefore, is to identify those children at higher risk in order to follow them up closely after discharge and thereby avoid a considerable number of pediatric deaths.

The research team performed a retrospective study analyzing data from more than 20,000 pediatric hospital admissions over almost 20 years, in the district hospital of Manhiça, a semi-rural area in Southern Mozambique where almost half of the population is under 15 years of age. The researchers determined mortality during the first, second and third month after hospital discharge, and looked for indicators that would allow identifying children at higher risk of dying.

"This is the largest study performed to date to evaluate mortality three months following hospital discharge in a rural area of a low-income country," explains Lola Madrid, ISGlobal researcher and first author of the study.

The results show that the average mortality after discharge is high (3.6%), with half of the deaths occurring within the first 30 days. The risk is highest in babies under three months of age and decreases progressively with age.

The study also identifies a series of clinical parameters (malnutrition, diarrhea, clinical pneumonia, etc.) that allow to identify those children at highest mortality risk. Using all or some of these variables, the team used a series of predictive models capable of identifying up to 80% of children at risk of dying after discharge.

The children thus identified could benefit from a close follow-up during the first 30 days by community health workers, or receive preventive antimicrobial therapies. "If these simple models, based on easy-to-obtain parameters like those used in our study, are validated in other contexts, they could represent a valuable tool to save neonatal and infant lives in countries with a high burden of child mortality," concludes Quique Bassat, ICREA researcher and study coordinator.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Gonorrhea
World Alzheimer's Day 2021 - 'Know Dementia, Know Alzheimer's
'Hybrid Immunity' may Help Elude COVID-19 Pandemic
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Death Facts Amyotrophic Lateral Sclerosis (ALS) Acute Coronary Syndrome 

Recommended Reading
Two Third Of Child Death Could Be Prevented With Microfinance Institutions
Microfinance institutions reach 200 million households and linking health care through MFI can ......
Deworming Drug ‘Safe’ As Child Death Was Due to Pneumonia: Health Ministry
An eight-year-old girl in Udham Singh Nagar district in Uttarakhand has died after taking the ......
Since 2005, India Has Avoided 1 Million Child Deaths
About 6 million children die around the world each year and progress in reducing that number ......
Global Progress on Reducing Child Deaths
Globally, four million fewer child deaths occurred in 2015 than in 2000, thanks to reductions in ......
Acute Coronary Syndrome
Acute coronary syndrome (ACS) is a sudden, acute life-threatening condition caused by a dramatic red...
Amyotrophic Lateral Sclerosis (ALS)
Find out more about the degenerative disease- Amyotrophic lateral sclerosis....

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use