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Journal of Tropical Pediatrics 1980 26(6):232-238; doi:10.1093/tropej/26.6.232
© 1980 by Oxford University Press
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Caribbean Children, Thriving and Failing, In and Out of Hospital

EDWARD COOPER, M.B., M.R.C.P., GEOFFREY HEADDEN, B.Sc., M.B., Ch.B* and CHERRY LAWRANCE, B.Sc.(N), R.N.

St. Lucia West Indies

* Present address: Booth Hall Children's Hospital, Blackley, Manchester, England

Sixty-eight infants and toddlers who were moderately or severely underweight on admission to St. Lucia's main hospital were followed for twelve months. Five died, three from causes associated with malnutrition, but nearly all the survivors showed some "catch-up" growth. They had been randomly assigned either to receive one of two kinds of nutritional rehabilitation in hospital or to be discharged within days of admission (without food supplements). Neither the duration of any prescribed high-energy feeding, nor the weight gained in hospital, predicted the weight of a child six or twelve months later. We conclude that attempts at direct metabolic rehabilitation are usually irrelevant here; follow-up that includes homevisiting may be more valuable.


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