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Children with severe malnutrition: can those at highest risk of death be identified with the WHO protocol?
Journal article published in 2006 by
Kathryn Maitland 
,
Ja Berkley,
Mohammed Shebbe,
Norbert Peshu,
Michael English,
Charles R. J. Cr Newton
,
Ja Berkley,
Mohammed Shebbe,
Norbert Peshu,
Michael English,
Charles R. J. Cr Newton
Abstract
BACKGROUND: With strict adherence to international recommended treatment guidelines, the case fatality for severe malnutrition ought to be less than 5%. In African hospitals, fatality rates of 20% are common and are often attributed to poor training and faulty case management. Improving outcome will depend upon the identification of those at greatest risk and targeting limited health resources. We retrospectively examined the major risk factors associated with early (