Inclusion Criteria:  Severe acute malnutrition defined as Weight-for-Height Z-score (WHZ) <- 3 SD AND / OR MUAC <115 mm AND / OR with edema With complications Who were admitted and treated in the refeeding center (CREN) of the CHUSS from January 2014 TO December 2018 Aged between 0 and 59 Months  Exclusion Criteria:  Older than 59 Months Moderate Acute Malnutrition (MAM)