Evidence map›Paper›PMID 30843000›Full record

ArticleJournal of immunological sciences2018

Analysis of Death and Survival Factors Associated with Childhood Bacterial Meningitis at a Reference Pediatric Hospital in Antananarivo, Madagascar.

Sedera Aurélien Mioramalala, Rado Malalatiana Ramasy Razafindratovo, Ando Rakotozanany, Raharizo Miarimbola, Goitom Weldegebriel, Jason M Mwenda, Annick Lalaina Robinson

Open access · hybridAbstract read
In one paragraph

Article in Journal of immunological sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

5 citing papers in PubMed, 9 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

7 authors at 3 institutions in 3 countries.

Sedera Aurélien MioramalalaPublic Health Department, Faculty of Médicine, Antananarivo, Madagascar.
Rado Malalatiana Ramasy RazafindratovoPublic Health Department, Faculty of Médicine, Antananarivo, Madagascar.
Ando RakotozananyCenter Hospital Academic Mother Child, Public Health Ministry, Centre Hospitalier Universitaire Mère Enfant Tsaralalàna (CHU MET), Antananarivo, Madagascar.
Raharizo MiarimbolaPublic Health Department, Faculty of Médicine, Antananarivo, Madagascar.
Goitom WeldegebrielWHO Inter-Country Support Team: East and Southern Africa (WHO IST/ESA).
Jason M MwendaWHO Regional Office for Africa (WHO/AFRO), Brazzaville, Congo.
Annick Lalaina RobinsonMother and Child Department, Faculty of Medicine, Antananarivo, Madagascar.
University of Antananarivo · MGMother Hospital · INWorld Health Organization Regional Office for Africa · CG

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundBacterial meningitis (BM) remains a global public health problem and most cases and deaths occur in Sub-Saharan Africa and especially in children less than five years old, due to a variety of factors. This study was conducted to determine the principal factors associated with death and survival of children due to BM in a typical African tertiary health facility.

methodsA retrospective case-control study of children hospitalized for BM was conducted in the University Hospital of Tsaralalàna (CHUMET). All children aged 3 to 59 months hospitalized for bacterial meningitis and confirmed by bacteriology were included. The cases were children who died from BM, and the controls were the survivors. Data was analyzed using Stata 13.

resultsThe factors associated with death were the number of siblings over 3 (14,48 [2,53 - 82,95]), overcrowding (9,31 [1,39 - 62,29]), time before hospitalization of more than five days (9,26 [1,36 - 62,92]), impaired consciousness (47,74 [6,24 - 364,96]), and meningococcal meningitis (36,68 [1,90 - 704,97]).

conclusionThese factors are mainly indicators of low socioeconomic status, clinical severity of signs and particularly virulent organisms. The early detection of patients at risk allows clinicians to give them appropriate care right from admission. Further studies are necessary especially, the evaluation of the emergency care provided.

Indexed as

Bacterial MeningitisChildhoodDeathMadagascarSurvival Analysis

Identifiers

PMID30843000
PMCPMC6398577
OpenAlexW2927747145

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.