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Community Medicine Abstracts - College of Medicine and Health ...

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Project No. 174 (D-2001/2)Failure to thrive among Pre-School Children in Al-Ain Hospital Case ControlStudyStudent Authors: Fawaghi Rashed Abdulla, Moza Obaid Rashed Salem Al-Salami,Sareea Salem Khalifa Al-RumaithiFaculty Supervisors: Dr. P. Badrinath, Dr. F. Al MaskariAbstract:Objectives To identify the risk factors for FTT among inpatient pre-school children. Tostudy the feasibility <strong>of</strong> conducting a hospital based case control study on FTT. Toperform a descriptive analysis <strong>of</strong> FTT cases in terms <strong>of</strong> age, gender <strong>and</strong> nationality.To find out the causes <strong>and</strong> the associated risk factors for FTT in pre-school childrenadmitted to Al Ain Hospital.Methods The study was designed as a hospital based Case Control Study. 51 FTTcases were included <strong>and</strong> age, sex, nationality <strong>and</strong> admission time were matched withcontrols <strong>of</strong> diagnosis other than FTT <strong>of</strong> the medical records <strong>of</strong> children with FTT <strong>and</strong>their control admitted to Al Ain hospital were reviewed to fill in special data forms.Relevant data was abstracted from case notes from these 102 subjects.Results The response rate was 94%. The main risk factors for FTT were prenatalcomplication (like gestational diabetes, pre-eclamsaia (OR:11, 95% CI:1.3-89.5), birthweight (OR:3.1, 95% CI:1.1-8.6), prematurity (OR:5.4, 95%CI:1.1-26.3) <strong>and</strong>previous morbidity mainly <strong>of</strong> gastrointestinal (OR:5, 95% CI:1.5-16), nutritional(OR:19, 95% CI:2.4-150.2) <strong>and</strong> infections (OR:12.2, 95% CI:1.15-16). The resultsalso showed that delayed developmental mile stones (OR:15.9, 95% CI:2-127) <strong>and</strong>weight percentile (OR:103, 95% CI:26.1-410.3) are manifestation <strong>of</strong> FTT.Conclusion It was feasible to conduct a case control study in Al Ain Hospital. Theresults showed that Arabs the leading nationalities were UAE, Oman <strong>and</strong> Syria, <strong>and</strong>among Asians it was Pakistani. It was found that in pre-school children, the mean ageat the time <strong>of</strong> diagnosis was 12 months. The results also showed the following as riskfactors for FTT: Antenatal problems like prenatal complication, prematurity, shild withlow birth weight (

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