Excess mortality among children discharged from hospital after treatment for diarrhoea in rural Bangladesh.
Five hundred and fifty one children aged between 3 months and 3 years were followed up at home for 12 months after treatment of diarrhoea in a rural treatment centre of the International Centre for Diarrhoeal Disease Research, Bangladesh. During follow up the children were found to have a significantly higher mortality than generally observed in the community. The first three months after discharge appeared to be crucial, some 70% of the deaths occurring in that period. Severely malnourished children (nutritional state below 56% of the American National Center for Health Statistics (NCHS) standard of weight for age ratio) had a risk of death 14 times that of their well nourished counterparts (nutritional state 66% or more of the NCHS standard). The highest mortality occurred in 2 year olds, one in three of the severely malnourished children dying compared with one in 10 of the moderately malnourished. This pattern was not seen in children aged under 2 years. Immediate priority should be given to providing nutritional rehabilitation for malnourished children who contract diarrhoea.
D000367:Age Factors; D001459:Bangladesh; D002675:Child, Preschool; D003967:Diarrhea / Q000150:complications / Q000401:mortality* / Q000628:therapy; D003968:Diarrhea, Infantile / Q000401:mortality; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D009748:Nutrition Disorders / Q000150:complications / Q000517:prevention & control; D012423:Rural Health; D013997:Time Factors