Miniatura

Fitxers

madrid2016_2001.pdf (412.5 KB)

Tipus de document

Article

Versió

Versió acceptada

Data de publicació

2015-10-26

Tots els drets reservats

Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/99686

Hypoglycemia and Risk Factors for Death in 13 Years of Pediatric Admissions in Mozambique

Títol de la revista

Autors

Director/Tutor

ISSN de la revista

Títol del volum

Recurs relacionat

http://dx.doi.org/10.4269/ajtmh.15-0475

Resum

Hypoglycemia is a life-threatening complication of several diseases in childhood. We describe the prevalence and incidence of hypoglycemia among admitted Mozambican children, establishing its associated risk factors. We retrospectively reviewed clinical data of 13 years collected through an ongoing systematic morbidity surveillance in Manhica District Hospital in rural Mozambique. Logistic regression was used to identify risk factors for hypoglycemia and death. Minimum community-based incidence rates (MCBIRs) for hypoglycemia were calculated using data from the demographic surveillance system. Of 49,089 children < 15 years hospitalized in Manhica District Hospital, 45,573 (92.8%) had a glycemia assessment on admission. A total of 1,478 children (3.2%) presented hypoglycemia (< 3 mmol/L), of which about two-thirds (972) were with levels < 2.5 mmol/L. Independent risk factors for hypoglycemia on admission and death among hypoglycemic children included prostration, unconsciousness, edema, malnutrition, and bacteremia. Hypoglycemic children were significantly more likely to die (odds ratio [OR] = 7.11; P < 0.001), with an associated case fatality rate (CFR) of 19.3% (245/1,267). Overall MCBIR of hypoglycemia was 1.57 episodes/1,000 child years at risk (CYAR), significantly decreasing throughout the study period. Newborns showed the highest incidences (9.47 episodes/1,000 CYAR, P < 0.001). Hypoglycemia remains a hazardous condition for African children. Symptoms and signs associated to hypoglycemia should trigger the verification of glycemia and the implementation of life-saving corrective measures.

Matèries

Hipoglucèmia, Moçambic

Matèries (anglès)

Hypoglycemia, Mozambique

Citació

Col·leccions

Articles publicats en revistes (ISGlobal)

Citació

MADRID, Lola, ACÁCIO, Sozinho, NHAMPOSSA, Tacilta, LANASPA, Miguel, SITOE, Antonio, MACULUVE, Sónia amós, MUCAVELE, Helio, QUINTÓ, Llorenç, SIGAÚQUE, Betuel, BASSAT ORELLANA, Quique. Hypoglycemia and Risk Factors for Death in 13 Years of Pediatric
                Admissions in Mozambique. _The American Journal of Tropical Medicine and Hygiene_. 2016. Vol. 94, núm. 1. [consulta: 23 de gener de 2026]. ISSN: 0002-9637. [Disponible a: https://hdl.handle.net/2445/99686]

Exportar metadades

JSON - METS

Compartir registre