23 research outputs found

    Clinical features in Gambian children with severe malaria independently associated with a fatal outcome.

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    <p>The multiple logistic regression analysis included 1,931 observations with complete data (5 degrees of freedom) χ<sup>2</sup> = 180.4 (P<0.001); pseudo-R2 = 0.10; Goodness-of- fit, statistics: Hosmer-Lemeshow  = 4.47 (P = 0.61). AUC =  area under the curve.</p

    Clinical features associated with death in children with SM.

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    <p>Odds of death and blood lactate concentration in children with SM. Data show the odds ratio (95%CI) of death in relation to increasing concentrations of blood lactate in 467 children with SM (a). Odds of death and Blantyre coma score. OR and P values are relative to BCS = 5 (b). Specificity and sensitivity of different blood lactate concentration cut-off values (c) and coma scores measured by BCS (d) to predict death. AUC =  area under the curve,* P<0.05, ***P<0.001.</p

    Prevalence of clinical features in Gambian children admitted to hospital with severe malaria.

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    <p>variables were defined as follows: Prostration, inability to sit (children aged >7 months); Impaired consciousness, BCS ≤4; Coma, BCS ≤2; Repeated convulsions, >3 in 24 h; Severe anemia (with any parasite density), Hb <5 g/dL or PCV <15; Respiratory distress, abnormal respiratory pattern (respiratory pattern values > or  = 3), grunting or use of accessory muscles of respiration, or abnormally deep (acidotic) breathing; Hypoglycemia ≤2.2 mM; Hyperlactatemia, plasma lactate >5 mM; Hyperpyrexia, temp>40°C; Hyperparasitemia, <i>P. falciparum</i> parasite density >500,000 /µl; Hypotensive shock, circulatory collapse with systolic blood pressure <50 mmHg; Hepatomegaly >2 cm below right costal margin; Splenomegaly >2 cm below left costal margin.</p

    Inclusivity in global research questionnaire.

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    BackgroundPreterm (born AimTo identify factors that influence the time to full enteral feeds, defined as tolerance of 120ml/kg/day, in hospitalised preterm and VLBW infants in neonatal units in two sub-Saharan African countries.MethodsDemographic and clinical variables were collected for newborns admitted to 7 neonatal units in Nigeria and Kenya over 6-months. Multiple linear regression analysis was conducted to identify factors independently associated with time to full enteral feeds.ResultsOf the 2280 newborn infants admitted, 484 were preterm and VLBW. Overall, 222/484 (45.8%) infants died with over half of the deaths (136/222; 61.7%) occurring before the first feed. The median (inter-quartile range) time to first feed was 46 (27, 72) hours of life and time to full enteral feeds (tFEF) was 8 (4.5,12) days with marked variation between neonatal units. Independent predictors of tFEF were time to first feed (unstandardised coefficient B 1.69; 95% CI 1.11 to 2.26; p value ConclusionThe use of standardised feeding guidelines may decrease variations in clinical practice, shorten tFEF and thereby improve preterm and VLBW outcomes.</div
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