Evidence map›Paper›PMID 25406857›Full record

ArticleBMC medicine2014

Mortality attributable to Plasmodium vivax malaria: a clinical audit from Papua, Indonesia.

Nicholas M Douglas, Gysje J Pontororing, Daniel A Lampah, Tsin W Yeo, Enny Kenangalem, Jeanne Rini Poespoprodjo, Anna P Ralph, Michael J Bangs, Paulus Sugiarto, Nicholas M Anstey and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 9 pooled it
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 9 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Ubiquitin-proteasome system inFrontiers in medicine · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Tafenoquine for preventing relapse in people with Plasmodium vivax malaria.The Cochrane database of systematic reviews · 2020
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Respiratory Complications ofThe American journal of tropical medicine and hygiene · 2017
    Pooled it
  9. The Vivax Surveyor: Online mapping database for Plasmodium vivax clinical trials.International journal for parasitology. Drugs and drug resistance · 2017
    Pooled it
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Article
  18. Article
  19. Article
  20. Article

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Nicholas M DouglasGlobal Health Division, Menzies School of Health Research and Charles Darwin University, PO Box 41096, Casuarina, Darwin, NT 0811, Australia. nicholas.douglas@gmail.com.
Gysje J PontororingPapuan Health and Community Development Foundation, Timika, Papua, Indonesia. gysje_jp@yahoo.com.
Daniel A LampahPapuan Health and Community Development Foundation, Timika, Papua, Indonesia. aditimika@yahoo.com.
Tsin W YeoGlobal Health Division, Menzies School of Health Research and Charles Darwin University, PO Box 41096, Casuarina, Darwin, NT 0811, Australia. Tsin.Yeo@menzies.edu.au.
Enny KenangalemPapuan Health and Community Development Foundation, Timika, Papua, Indonesia. ennykenangalem@yahoo.com.
Jeanne Rini PoespoprodjoPapuan Health and Community Development Foundation, Timika, Papua, Indonesia. didot2266@yahoo.com.
Anna P RalphGlobal Health Division, Menzies School of Health Research and Charles Darwin University, PO Box 41096, Casuarina, Darwin, NT 0811, Australia. Anna.Ralph@menzies.edu.au.
Michael J BangsPublic Health & Malaria Control Department, International SOS, PT Freeport Indonesia, Kuala Kencana, Papua, Indonesia. Michael_Bangs@fmi.com.
Paulus SugiartoMitra Masyarakat Hospital, Timika, Papua, Indonesia. sugiartopaulus@gmail.com.
Nicholas M AnsteyGlobal Health Division, Menzies School of Health Research and Charles Darwin University, PO Box 41096, Casuarina, Darwin, NT 0811, Australia. Nicholas.Anstey@menzies.edu.au.
Ric N PriceGlobal Health Division, Menzies School of Health Research and Charles Darwin University, PO Box 41096, Casuarina, Darwin, NT 0811, Australia. rprice@menzies.edu.au.
State University of Papua · IDMenzies School of Health Research · AUCharles Darwin University · AURoyal Darwin Hospital · AUUniversity of Oxford · GB

Funding

Wellcome Trust 091625
6 · The paper itself

Abstract

backgroundPlasmodium vivax causes almost half of all malaria cases in Asia and is recognised as a significant cause of morbidity. In recent years it has been associated with severe and fatal disease. The extent to which P. vivax contributes to death is not known.

methodsTo define the epidemiology of mortality attributable to vivax malaria in southern Papua, Indonesia, a retrospective clinical records-based audit was conducted of all deaths in patients with vivax malaria at a tertiary referral hospital.

resultsBetween January 2004 and September 2009, hospital surveillance identified 3,495 inpatients with P. vivax monoinfection and 65 (1.9%) patients who subsequently died. Charts for 54 of these 65 patients could be reviewed, 40 (74%) of whom had pure P. vivax infections on cross-checking. Using pre-defined conservative criteria, vivax malaria was the primary cause of death in 6 cases, a major contributor in 17 cases and a minor contributor in a further 13 cases. Extreme anaemia was the most common primary cause of death. Malnutrition, sepsis with respiratory and gastrointestinal manifestations, and chronic diseases were the commonest attributed causes of death for patients in the latter two categories. There were an estimated 293,763 cases of pure P. vivax infection in the community during the study period giving an overall minimum case fatality of 0.12 per 1,000 infections. The corresponding case fatality in hospitalised patients was 10.3 per 1,000 infections.

conclusionsAlthough uncommonly directly fatal, vivax malaria is an important indirect cause of death in southern Papua in patients with malnutrition, sepsis syndrome and chronic diseases, including HIV infection.

Indexed as

Plasmodium vivaxAdolescentAdultAgedChildChild, PreschoolClinical AuditFemaleHIV InfectionsHumansIndonesiaInfantMalaria, VivaxMaleMiddle AgedProspective Studies

Identifiers

PMID25406857
PMCPMC4264333
OpenAlexW2049034833

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.