Publications by authors named "A Tagoola"
Pneumonia is the leading cause of death in children globally. In low- and middle-income countries (LMICs) pneumonia diagnosis relies on accurate assessment of respiratory rate, which can be unreliable when completed by nurses with less-advanced training. To inform more accurate measurements, we investigate the repeatability of the RRate app used by nurses in Ugandan district hospitals.
View Article and Find Full Text PDFObjectives: Each year, 5.3 million children under 5 years of age die in low-resource settings, often due to delayed recognition of disease severity, inadequate treatment, or a lack of supplies. We describe the use of a comprehensive digital facility-readiness survey tool, recently developed by the Pediatric Sepsis Data CoLaboratory, which aims to identify target areas for quality improvement related to pediatric emergency and critical care.
View Article and Find Full Text PDFArticle Synopsis
- Pneumonia is a major cause of death in children under 5, particularly among those with poor nutrition, making it important to identify body composition measures that can predict survival rates in these patients.* -
- This study analyzed 369 children aged 6-59 months with severe pneumonia in Uganda and Kenya, comparing indices of fat and muscle mass to see which was a better predictor of 6-month survival.* -
- Results showed that while Arm-Fat-Area had a comparable predictive ability for survival as Arm-Muscle-Area and Arm-Muscle-Circumference, none of these were significantly better than the measurement of Mid-Upper Arm Circumference (MUAC).*
Background: Severe pneumonia in African children results in poor long-term outcomes (deaths/readmissions) with undernutrition as a key risk factor. We hypothesised additional energy/protein-rich Ready-to-Use Therapeutic Foods (RUTF) would meet additional nutritional requirements and improve outcomes.
Methods: COAST-Nutrition was an open-label Phase 2 randomised controlled trial in children (aged 6 months-12 years) hospitalised with severe pneumonia (and hypoxaemia, SpO <92%) in Mbale, Soroti, Jinja, Masaka Regional Referral Hospitals, Uganda and Kilifi County Hospital, Kenya (ISRCTN10829073 (registered 6th June 2018) PACTR202106635355751 (registered 2nd June 2021)).