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Table 2 Outcomes

From: Mesalazine in the initial management of severely acutely malnourished children with environmental enteric dysfunction: a pilot randomized controlled trial

 

Mesalazine arm

Placebo arm

P

Safety and compliance

   

Deaths

0

1

0.32

Hospitalizationsa

0

2

0.15

Total adverse events

35

27

0.53

 Acute watery diarrhea

7

8

0.53

 Bloody diarrhea

0

2

0.32

 Chronic diarrhea

1

1

1.00

μgastroenteritis (with vomiting)

5

1

0.15

μgiardiasis

6

6

1.00

 Oral candidiasis

3

0

0.08

 Upper respiratory tract infection

3

5

0.64

 Lower respiratory tract infection

3

1

0.30

 Tuberculosis

1

1

1.00

 Malaria/non-specific febrile illness

4

3

0.43

 Rash

2

2

1.00

Total gastrointestinal adverse events

23

16

0.27

Total diarrheal adverse events

8

11

0.65

Unable to dose-escalate at day 7

1 (5)

7 (32)

0.05

Compliance (%)

93 (71 to 98)

97 (82 to 99)

0.44

Anthropometry and recovery

   

Recovery: nutritionally cured at day 56

13

12

1.00

Recovery: RUTF-free days at day 56

9 (0 to 21)

9.5 (0 to 21)

0.94

Nutritional edema

Baseline

15/22 (68)

17/22 (77)

0.72

Day 28

7/22 (32)

6/22 (27)

1.00

Day 56b

3/20 (15)

2/19 (11)

1.00

MUAC (mm)

Baseline

12.9 (11.2 to 14.4)

12.7 (11.2 to 13.8)

0.56

Day 28

13.7 (11.8 to 14.7)

13.2 (12.2 to 14.6)

0.82

Day 56

13.9 (12.5 to 14.8)

13.6 (13.0 to 15.1)

0.59

MUAC growth rate (mm/day)

To day 28

0.23 (0.06 to 0.37)

0.31 (0.18 to 0.61)

0.15

To day 56

0.12 (0.08 to 0.21)

0.23 (0.14 to 0.33)

0.01

Height growth rate (mm/day) to day 56

0.31 (0.19 to 0.38)

0.32 (0.21 to 0.38)

0.94

Height-for-age z-score

Baseline

-3.13 (-3.83 to -2.71)

-3.73 (-4.60 to -2.71)

0.29

Day 28

-3.17 (-4.04 to -2.61)

-3.70 (-4.20 to -2.73)

0.42

Day56

-3.24 (-4.10 to -2.68)

-3.46 (-4.14 to -2.68)

0.79

  1. aIncludes the one child who died in hospital. bExcluding children who were unable to be assessed. Data are medians (inter-quartile range) or numbers (%) unless otherwise stated. MUAC, mid-upper arm circumference; RUTF, ready-to-use therapeutic food.