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WHO Guidelines for Management of Severe Malnutrition in Rural South African Hospitals: effect on case fatality and the influence of operational factors

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Publication Information

1st Author : Ashworth, A
Other Authors: Chopra M, McCoy D, Sanders D, Jackson D, Karaolis N, Sogaula N, Schofield C
Publisher: The Lancet
Publication Date: 4/2004
ISBN:
ISSN:
Publication Type: Journal
Series:
Issue: Vol 363: 1110-115

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Summary WHO case-management guidelines for severe malnutrition aim to improve the quality of hospital care and reduce mortality. We aimed to assess whether these guidelines are feasable and effective in under-resourced hospitals. All children admitted with a diagnosis of severe malnutrition to two rural hospital in Eastern Cape Province from April. 2000 to April, 2001, were studied and their case-fatality rates were compared to with the rates in a period before guidelines were implemented (March 1997 to February 1998). Quality of care was assessed by observation of medical and nursing practices, review of medical records, and interviews with carers and staff. A mortality audit was used to identify cause of death and avoidable contributory factors.
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Publication Webpage http://www.thelancet.com
   
Keywords This Item is associated with the Following Keywords: nutrition.
   
   
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