23. Frequency and Outcome of Hypoglycemia in Children Having Severe Protein Energy Malnutrition Presenting With Diarrhea
Waseem Sajjad, Muhammad Akhtar and Muhammad Ishtiaq
ABSTRACT
Objective: The objective of this study was to determine the frequency and outcome of hypoglycemia in severely malnourished children suffering from diarrhea at the time of admission in pediatric department of a teaching hospital.
Study Design: Cross Section Study
Place and Duration of Study: This study was conducted at the Pediatric Unit 1 of Bahawal Victoria Hospital Bahawalpur from May to November 2015.
Materials and Methods: Total 220 patients were selected in this study. Non-probability sampling technique was used. All the patients suffering from severe malnutrition and acute diarrhea at the time of admission were included. Serum sugar level of patients of was checked and the results were noted. Data was analyzed by using SPSS version 19.
Results: Out of 210 children, 76 (36.19%) were expired in hospital within 48 hours at hospital stay. 50 (66.5%) children died within 48 hours from hypoglycemic group of 76 children, though 26 (15%) out of 134 children with normoglycemic group expired from this group. (P = 0.0001).In the Expired hypoglycemic group 32 (64.41%) were female and 18 (36%) were male, while in the expired normoglycemic group 14 (55%) were female and 12 (45%) were male (P = 0.4615).Expired due to hypoglycemia in 50 children, 47 (95%) were having history of vomiting while Expired due to hypoglycemia in 26 children, 19(75%) had vomiting and died (P = 0.0264). The children died with hypoglycemia 24(47.7%) received I/V fluids before hospital admission while the children died with normoglycemia 12(46%) of the children had access to the venous fluid before admission. (P = 0.9).
Conclusion: The incidence of hypoglycemia in severe malnourished children suffering from diarrhea at admission time was higher and significantly associated with higher mortality in hypoglycemic children. Key Words: Malnutrition; Serum Sugar Levels; Hypoglycemia; Mortality.
Citation of article: Sajjad W, Akhtar M, Ishtiaq M. Frequency and Outcome of Hypoglycemia in Children Having Severe Protein Energy Malnutrition Presenting With Diarrhea. Med Forum 2017;28(6):88-90.