Evidence map›Paper›PMID 30061962›Full record

ArticleThe Pan African medical journal2018

Severe malaria and death risk factors among children under 5 years at Jason Sendwe Hospital in Democratic Republic of Congo.

Augustin Mulangu Mutombo, Olivier Mukuku, Kristel Nzeba Tshibanda, Edouard Kawawa Swana, Eric Mukomena, Dieudonné Tshikwej Ngwej, Oscar Numbi Luboya, Jean-Baptiste Kakoma, Stanislas Okitotsho Wembonyama, Jean-Pierre Van Geertruyden and 1 more

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

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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 3 institutions in 2 countries.

Augustin Mulangu MutomboDépartement de Pédiatrie, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Olivier MukukuInstitut Supérieur des Techniques Médicales de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Kristel Nzeba TshibandaInstitut Supérieur des Techniques Médicales de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Edouard Kawawa SwanaDépartement de Santé Publique, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Eric MukomenaDépartement de Santé Publique, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Dieudonné Tshikwej NgwejDépartement de Pédiatrie, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Oscar Numbi LuboyaDépartement de Pédiatrie, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Jean-Baptiste KakomaDépartement de Gynécologie-Obstétrique, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Stanislas Okitotsho WembonyamaDépartement de Pédiatrie, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Jean-Pierre Van GeertruydenFaculty of Medicine & Health Sciences, University of Antwerp, Belgium.
Pascal LutumbaDépartement de Santé Publique, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, Democratic Republic of Congo.
University of Lubumbashi · CDInstitut Supérieur de Statistique de Lubumbashi · CDUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMalaria is still a major public health concern in the Democratic Republic of Congo. Its morbidity and mortality challenge the actual strategies of the fight agains malaria. This study was aimed to describe the epidemiology, the clinical caracteristics and the risk factors of death associated to severe malaria in the pediatric population under 5 years at Sendwe Hospital of Lubumbashi.

methodsThis analytical retrospective study was conducted in Lubumbashi, in the province of Haut-Katanga. All patients under 5 years hospitalized for severe malaria were registered from January 2014 to December 2016.

resultsAmong the 3,092 patients hospitalised during our study period, 452 (14.6%) were admitted for severe malaria. The average age was 27.04 months, the male sex was the most affected (53.54% with the sex-ratio 1.15). The most frequent forms of gravity noticed were cerebral malaria (48.23%) and severe anemia (46.90%). Death was noted in the evolution in 28.32%. Repeated convulsion (OR = 2.27; 95% CI: 1.47-3.48), coma (OR = 3.55; 95% CI: 2.19-5.74) and severe acute malnutrition (OR = 3.32; 95% CI: 1.56-7.06) were asscociated with a high risk of death.

conclusionThis research shows that severe malaria is still an important cause of morbidity and mortality among young children in Lubumbashi. Neurologic and anemic forms are the most frequent. The predictive signs of death are: repeated convulsions, coma and severe acute malnutrition.

Indexed as

HospitalizationAnemiaChild, PreschoolDemocratic Republic of the CongoFemaleHumansInfantMalariaMalaria, CerebralMaleRetrospective StudiesRisk FactorsSeverity of Illness IndexchildrenLubumbashimortalityrisk factorsSevere malaria

Identifiers

PMID30061962
PMCPMC6061819
OpenAlexW2796458056

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.