Mortality among non-severely under nourished children with pneumonia globally: protocol for a systematic review and meta-analysis [version 1; peer review: 2 approved, 1 approved with reservations]
Author(s)
Type
Journal Article
Abstract
Background
Pneumonia remains the commonest cause of ill health and mortality among children worldwide. Severe undernutrition increases the mortality risk among children with pneumonia. While children with pneumonia are at increased risk of developing malnutrition, the impact of pneumonia on mortality and nutritional status of non-severely undernourished children is not well described. The impact of nutritional supplementation on mortality and nutritional status in this population is not well understood. This review will collate available evidence on the all-cause mortality, nutritional (anthropometric) outcomes following pneumonia, as well as the impact of nutritional supplementation on mortality and anthropometry among non-severely malnourished children with pneumonia.
Methods
The review will be done using a priori criteria developed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Data will be obtained from data bases, grey literature, and bibliographies. An experienced librarian will conduct article search in PUBMED, MEDLINE, EMBASE, Web of Science, Google scholar, and Scopus. Retrieved articles will be entered in Endnote ver 9.0, duplicates removed, and transferred to Epi-reviewer for screening and data abstraction. Risk of bias in the included articles will be assessed using standard criteria. Heterogeneity will be assessed using I2-statistic and sub-group analysis will be done. Data will be analysed using both narrative and quantitative synthesis. Quantitative synthesis will be done using DeSimonian and Laird Random-effects model in STATA ver 15.0.
Conclusions
The results will provide baseline information about the mortality and nutritional (anthropometric) outcomes of pneumonia among non-severely malnourished children as well as the potential effect of nutritional supplementation on these outcomes. This will provide a basis to explore the potential for nutritional supplementation improving clinical outcomes like mortality and occurrence of severe acute malnutrition among children with severe pneumonia worldwide.
Registration
The review has been registered in PROSPERO (CRD42021257272; 15 July 2021).
Pneumonia remains the commonest cause of ill health and mortality among children worldwide. Severe undernutrition increases the mortality risk among children with pneumonia. While children with pneumonia are at increased risk of developing malnutrition, the impact of pneumonia on mortality and nutritional status of non-severely undernourished children is not well described. The impact of nutritional supplementation on mortality and nutritional status in this population is not well understood. This review will collate available evidence on the all-cause mortality, nutritional (anthropometric) outcomes following pneumonia, as well as the impact of nutritional supplementation on mortality and anthropometry among non-severely malnourished children with pneumonia.
Methods
The review will be done using a priori criteria developed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Data will be obtained from data bases, grey literature, and bibliographies. An experienced librarian will conduct article search in PUBMED, MEDLINE, EMBASE, Web of Science, Google scholar, and Scopus. Retrieved articles will be entered in Endnote ver 9.0, duplicates removed, and transferred to Epi-reviewer for screening and data abstraction. Risk of bias in the included articles will be assessed using standard criteria. Heterogeneity will be assessed using I2-statistic and sub-group analysis will be done. Data will be analysed using both narrative and quantitative synthesis. Quantitative synthesis will be done using DeSimonian and Laird Random-effects model in STATA ver 15.0.
Conclusions
The results will provide baseline information about the mortality and nutritional (anthropometric) outcomes of pneumonia among non-severely malnourished children as well as the potential effect of nutritional supplementation on these outcomes. This will provide a basis to explore the potential for nutritional supplementation improving clinical outcomes like mortality and occurrence of severe acute malnutrition among children with severe pneumonia worldwide.
Registration
The review has been registered in PROSPERO (CRD42021257272; 15 July 2021).
Date Issued
2023-11-28
Date Acceptance
2023-11-28
Citation
Wellcome Open Research, 2023, 8
ISSN
2398-502X
Publisher
Wellcome Open Research
Journal / Book Title
Wellcome Open Research
Volume
8
Copyright Statement
Copyright: © 2023 Nalwanga D et al. This is an open access work distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Sponsor
European and Developing Countries Clinical Trials Partnership
European and Developing Countries Clinical Trial Partnership
Medical Research Council (MRC)
Wellcome Trust
Identifier
https://wellcomeopenresearch.org/articles/8-551/v1
Grant Number
1631
RIA2016S-1636
MR/L004364/1
203077/C/16/Z
Subjects
Undernutrition
children
mortality
nutritional supplementation
pneumonia
1111 Nutrition and Dietetics
Publication Status
Published
Article Number
551
Date Publish Online
2023-11-28