Incidence and Risk Factors for Severe Dehydration in Hospitalized Children in Ujjain, India

Bibliographic Data

ID15477604
AuthorsAbhishek Sharma (0000-0002-4961-6258, Ruxmaniben Deepchand Gardi Medical College), Aditya Mathur (0000-0003-2404-9231, Ruxmaniben Deepchand Gardi Medical College), Cecilia Stålsby Lundborg (0000-0001-6525-1861, Karolinska Institutet), Ashish Pathak (0000-0002-7576-895X, Uppsala University, corresponding author)
Year2020
Volume17
Issue2
Pages616-616
Publication date2020-01-18
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17020616
PMID31963644
OpenAlexW2996046551
LanguageEN
References cited6

Diarrhoea contributes significantly to the under-five childhood morbidity and mortality worldwide. This cross-sectional study was carried out in a tertiary care hospital in Ujjain, India from July 2015 to June 2016. Consecutive children aged 1 month to 12 years having "some dehydration" and "dehydration" according to World Health Organization classification were eligible to be included in the study. Other signs and symptoms used to assess severe dehydration were capillary refill time, urine output, and abnormal respiratory pattern. A questionnaire was administered to identify risk factors for severe dehydration, which was the primary outcome. Multivariate logistic regression modeling was used to detect independent risk factors for severe dehydration. The study included 332 children, with mean ± standard deviation age of 25.62 ± 31.85 months; out of which, 70% (95% confidence interval [CI] 65 to 75) were diagnosed to have severe dehydration. The independent risk factors for severe dehydration were: child not exclusive breastfed in the first six months of life (AOR 5.67, 95%CI 2.51 to 12.78; p p = 0.038), history of not receiving oral zinc before hospitalization (AOR 2.66, 95%CI 1.68 to 4.21; p p < 0.001). The study identified many risk factors associated with severe childhood dehydration; many of them are modifiable though known and effective public health interventions

Capillary refill · Confidence interval · Dehydration · Diarrhea · Incidence (geometry · Logistic regression · Child Nutrition and Water Access · Infant Development and Preterm Care · Medicine · Viral gastroenteritis research and epidemiology · Internal Medicine · Pediatrics

Tools

Open DOISci-HubOpen Access