Mid upper arm circumference as a predictor of risk of mortality in children in a low resource setting in India.
In: PLoS ONE, Jg. 13 (2018-06-01), Heft 5, S. 1-10
academicJournal
Zugriff:
Objective: In this secondary analysis of data from an intervention trial, we assessed the performance of Mid Upper Arm Circumference (MUAC) as a predictor of mortality in children aged 6–59 months from Delhi, India, one year after their initial MUAC measurements were taken. Additionally, we assessed MUAC as an absolute value and MUAC z-scores as predictors of risk of mortality. Methods: In the trial, children were screened using MUAC prior to referral to the study clinic. These children were revisited a year later to ascertain their vital status. Baseline MUAC and MUAC z-scores were used to categorize children as severely (MUAC <115 mm, MUAC z-score <-3SD) or moderately (MUAC 115 to <125 mm, MUAC z-score <-2SD) malnourished. The proportion of malnutrition, risk of mortality, relative risk estimates, positive predictive value and area under the curve (AUC) by MUAC and MUAC z-scores were calculated. Results: In the resurvey, the first 36159 children of the 48635 in the initial survey were contacted. Of these, vital status of 34060 (94.2%) was available. The proportion of severe malnutrition by MUAC (<115 mm) was 0.5% with an associated mortality of 4.7% over a one year period and an attributable mortality of 13% while the proportion of the severe malnutrition by MUAC z-score (<-3SDwas 0.9% with an associated mortality of 2.2%. Conclusions: MUAC is a significant predictor of subsequent mortality in under-five children. In settings where height measurement is not feasible, MUAC can be used as a screening tool for identifying severely malnourished children for management. [ABSTRACT FROM AUTHOR]
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Titel: |
Mid upper arm circumference as a predictor of risk of mortality in children in a low resource setting in India.
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Autor/in / Beteiligte Person: | Taneja, Sunita ; Rongsen-Chandola, Temsunaro ; Mohan, Sanjana Brahmawar ; Mazumder, Sarmila ; Bhandari, Nita ; Kaur, Jasmine ; Arya, Nikita ; Chowdhury, Ranadip ; Martines, Jose Carlos ; Bahl, Rajiv ; Bhan, M. K. |
Zeitschrift: | PLoS ONE, Jg. 13 (2018-06-01), Heft 5, S. 1-10 |
Veröffentlichung: | 2018 |
Medientyp: | academicJournal |
ISSN: | 1932-6203 (print) |
DOI: | 10.1371/journal.pone.0197832 |
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