Predicting and Preventing Post-Discharge Mortality Among Children in Sub-Saharan Africa

As many as 18% of children die in the period after being discharged from hospitals in some settings in sub-Saharan Africa. Despite the large burden of mortality in this vulnerable time, few studies have developed models to predict and prevent such deaths. Chris A. Rees, MD, MPH a Pediatric Emergency Medicine and Global Health fellow from Boston Children's Hospital, partnered with collaborators from John F. Kennedy Medical Center in Monrovia, Liberia and Muhimbili National Hospital in Dar es Salaam, Tanzania to conduct parallel, prospective observational studies to identify children at risk of mortality in the post-discharge period. They aim to derive and validate two, population-specific, clinical prediction rules to predict mortality, hospital readmission, and emergency department revisits among children <60 months of age within 60 days of hospitalization or emergency department encounter at two sites in Monrovia, Liberia and Dar es Salaam, Tanzania.

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