Examining comorbidities in children with diarrhea across four provinces of Mozambique

Bibliographic Details
Main Author: Bauhofer, Adilson Fernando Loforte
Publication Date: 2023
Other Authors: Sambo, Júlia, Chilaúle, Jorfélia J., Conjo, Carolina, Munlela, Benilde, Chissaque, Assucênio, Isaías, Telma, Djedje, Marlene, de Deus, Nilsa
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/164751
Summary: Publisher Copyright: Copyright: © 2023 Bauhofer et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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spelling Examining comorbidities in children with diarrhea across four provinces of MozambiqueA cross-sectional study (2015 to 2019)RA Public aspects of medicineGeneralInfectious DiseasesPublic Health, Environmental and Occupational HealthPediatrics, Perinatology, and Child HealthSDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesPublisher Copyright: Copyright: © 2023 Bauhofer et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Comorbidities are defined as the simultaneous occurrence of two or more diseases within the same individual. Comorbidities can delay a patient’s recovery and increase the costs of treatment. Assessing comorbidities can provide local health care policy-makers with evidence of the most common multi-health impairments in children. This could aid in redirecting and integrating care and treatment services by increasing health facilities the awareness and readiness of health facilities. The present analysis aims to determine the frequency and associated factors of comorbidities in children with diarrhea in Mozambique. A cross-sectional hospital-based analysis was conducted between January 2015 and December 2019 in children up to 59 months of age who were admitted with diarrhea in six reference hospitals in Mozambique. These hospitals are distributed across the country’s three regions, with at least one hospital in each province from each region. Sociodemographic and clinical data were obtained through semi-structured interviews and by reviewing the child clinical process. Descriptive statistics, and Mann-Whitney-U tests were used. Crude and adjusted logistics regression models were built. P-values < 0.05 were considered statistically significant. Comorbidities were observed in 55.5% of patients (389/701; 95%CI: 51.8–59.1). Wasting was the most common comorbidity (30.2%; 212/701) and pneumonia was the least common (1.7%; 12/701). Children born with a low birth weight were 2.420 times more likely to have comorbidities, adjusted odds ratio: 2.420 (95% CI: 1.339–4374). The median (interquartile range) duration of hospitalization was significantly higher in children with comorbidities than without comorbidities, 5 days (3–7) and 4 days (3–6), respectively (p-value < 0.001). One in every two children with diarrhea in Mozambique has an additional health impairment, and this increases the length of their hospital stay.Instituto de Higiene e Medicina Tropical (IHMT)Global Health and Tropical Medicine (GHTM)Population health, policies and services (PPS)RUNBauhofer, Adilson Fernando LoforteSambo, JúliaChilaúle, Jorfélia J.Conjo, CarolinaMunlela, BenildeChissaque, AssucênioIsaías, TelmaDjedje, Marlenede Deus, Nilsa2024-03-12T00:15:45Z2023-092023-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article12application/pdfhttp://hdl.handle.net/10362/164751eng1932-6203PURE: 83042020https://doi.org/10.1371/journal.pone.0292093info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-22T18:19:21Zoai:run.unl.pt:10362/164751Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:49:56.998326Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Examining comorbidities in children with diarrhea across four provinces of Mozambique
A cross-sectional study (2015 to 2019)
title Examining comorbidities in children with diarrhea across four provinces of Mozambique
spellingShingle Examining comorbidities in children with diarrhea across four provinces of Mozambique
Bauhofer, Adilson Fernando Loforte
RA Public aspects of medicine
General
Infectious Diseases
Public Health, Environmental and Occupational Health
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
title_short Examining comorbidities in children with diarrhea across four provinces of Mozambique
title_full Examining comorbidities in children with diarrhea across four provinces of Mozambique
title_fullStr Examining comorbidities in children with diarrhea across four provinces of Mozambique
title_full_unstemmed Examining comorbidities in children with diarrhea across four provinces of Mozambique
title_sort Examining comorbidities in children with diarrhea across four provinces of Mozambique
author Bauhofer, Adilson Fernando Loforte
author_facet Bauhofer, Adilson Fernando Loforte
Sambo, Júlia
Chilaúle, Jorfélia J.
Conjo, Carolina
Munlela, Benilde
Chissaque, Assucênio
Isaías, Telma
Djedje, Marlene
de Deus, Nilsa
author_role author
author2 Sambo, Júlia
Chilaúle, Jorfélia J.
Conjo, Carolina
Munlela, Benilde
Chissaque, Assucênio
Isaías, Telma
Djedje, Marlene
de Deus, Nilsa
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Higiene e Medicina Tropical (IHMT)
Global Health and Tropical Medicine (GHTM)
Population health, policies and services (PPS)
RUN
dc.contributor.author.fl_str_mv Bauhofer, Adilson Fernando Loforte
Sambo, Júlia
Chilaúle, Jorfélia J.
Conjo, Carolina
Munlela, Benilde
Chissaque, Assucênio
Isaías, Telma
Djedje, Marlene
de Deus, Nilsa
dc.subject.por.fl_str_mv RA Public aspects of medicine
General
Infectious Diseases
Public Health, Environmental and Occupational Health
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
topic RA Public aspects of medicine
General
Infectious Diseases
Public Health, Environmental and Occupational Health
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
description Publisher Copyright: Copyright: © 2023 Bauhofer et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
publishDate 2023
dc.date.none.fl_str_mv 2023-09
2023-09-01T00:00:00Z
2024-03-12T00:15:45Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/164751
url http://hdl.handle.net/10362/164751
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1932-6203
PURE: 83042020
https://doi.org/10.1371/journal.pone.0292093
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 12
application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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