Excess child mortality after discharge from hospital in Kilifi, Kenya: a retrospective cohort analysis
Jennifer C Moïsi, Hellen Gatakaa, James A Berkley, Kathryn Maitland, Neema Mturi, Charles R Newton, Patricia Njuguna, James Nokes, John Ojal, Evasius Bauni, Benjamin Tsofa, Norbert Peshu, Kevin Marsh, Thomas N Williams & J Anthony G Scott
Volume 89, Number 10, October 2011, 725-732A
Table 4. Multivariable Cox models A and B: hazard ratios (HRs) for mortality in children < 5 years of age recently discharged from Kilifi District Hospital, 2004–2008, Kenya
| HR | 95% CI | |
|---|---|---|
| Model A: by demographic and clinical characteristics | ||
| Age 1–5 mo | 1.34 | 0.93–1.92 |
| Age 6–11 mo | 0.82 | 0.57–1.18 |
| Age 2–5 y | 0.57 | 0.36–0.90 |
| WAZ < −3 | 3.42 | 2.50–4.68 |
| WAZ < −4 | 6.53 | 4.85–8.80 |
| Parasitaemia | 0.45 | 0.29–0.71 |
| Hypoxia | 2.30 | 1.64–3.23 |
| Bacteraemia | 1.77 | 1.15–2.74 |
| Jaundice | 1.77 | 1.08–2.91 |
| Hepatomegaly | 2.34 | 1.60–3.42 |
| Hospitalization > 13 d | 1.83 | 1.33–2.52 |
| 1 prior dischargea | 2.83 | 2.04–3.92 |
| 2 prior dischargesa | 7.06 | 4.09–12.21 |
| ≥ 3 prior dischargesa | 23.55 | 10.70–51.84 |
| Model B: by disease syndromeb | ||
| Mild pneumonia | 2.30 | 1.00–5.28 |
| Severe pneumonia | 1.37 | 1.05–1.79 |
| Very severe pneumonia | 4.09 | 2.25–7.46 |
| Severe malnutrition | 4.37 | 2.73–7.01 |
| Meningitis | 2.29 | 1.57–3.32 |
| Sick young infant | 2.67 | 1.98–3.58 |
CI, confidence interval; WAZ, weight-for-age Z score.
a Prior discharge occurring within 1 year of index discharge.
b This analysis was not adjusted for age at discharge because one of the syndromic groups is defined by age criteria.