Evidence · Research paper
Adherence to who severe acute malnutrition guidelines and mortality in critically ill children ‒ A cohort study in a pediatric intensive care unit.
- Fluids and electrolytes
- Gastrointestinal and nutrition
- Medical
- Nursing
- Nutrition
Summary
A retrospective single-centre cohort study from a Bolivian PICU examining adherence to the WHO 10-step protocol for severe acute malnutrition in children aged 1 month to 15 years, and its relationship with 28-day in-hospital mortality. Adherence in the first week was reported as incomplete, and mortality in this group was high. Steps relating to hypoglycaemia prevention and treatment, hypothermia management, rehydration and early enteral feeding were associated with survival. The authors argue for PICU-adapted strategies to improve early adherence; note this is observational research rather than a guideline.
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- Licence:
- Open (Creative Commons)
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