Evidence map›Paper›PMID 31760954›Full record

ArticleInfectious diseases of poverty2019

Clinical malaria and the potential risk of anaemia among preschool-aged children: a population-based study of the 2015-2016 Malawi micronutrient survey.

Peter Austin Morton Ntenda, Sosten Chilumpha, Edward Tisungane Mwenyenkulu, Jane Flora Kazambwe, Walaa El-Meidany

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases of poverty, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 18 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

5 authors at 4 institutions in 2 countries.

Peter Austin Morton NtendaMalaria Alert Centre, College of Medicine, University of Malawi, Private Bag 360, Chichiri, Blantyre 3, Malawi. peterantenda@yahoo.com.ORCID https://orcid.org/0000-0002-2548-3163
Sosten ChilumphaMinistry of Health and Population, Department of Planning and Policy Development, PO Box 30377, Lilongwe, Malawi.
Edward Tisungane MwenyenkuluThe Malawi University of Science and Technology, P.O Box 5196, Limbe, Malawi.
Jane Flora KazambweNBS Bank PLC, Head Office NBS House Corner Chipembere Highway & Johnstone Roads Ginnery Corner Blantyre, P.O. Box 32251, Chichiri, Blantyre 3, Malawi.
Walaa El-MeidanyDepartment of Nutrition, High Institute of Public Health, Alexandria University, Hiph 65 El-Horreya Avenue. El-Ibrahimia, Alexandria, Egypt.
Alexandria University · EGMalawi University of Science and Technology · MWMinistry of Health · MWUniversity of Malawi · MW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnaemia and malaria are common and life-threatening diseases among preschool-aged children in many tropical and subtropical areas, and Malawi is no exception. Accordingly, this study aimed to examine the association of referral clinical malaria with anemia (hemoglobin [Hb] < 110 g/L) in preschool-aged children in Malawi.

methodsUsing cross-sectional data obtained from the 2015-2016 Malawi Micronutrient Survey (MNS), multivariate logistic regression models were constructed using surveylogistic to account for the complex survey design. Blood samples of 1051 children aged 6-59 months were evaluated for malaria (using rapid diagnostic test [RDT] - SD BIOLINE Malaria Ag P.f/Pan test histidine-rich protein (HRP-II)™), Hb (using HemoCue 301), α-1-acid glycoprotein (AGP), and serum ferritin biomarkers (using simple sandwich enzyme-linked immunosorbent assay technique, ELISA) and inherited blood disorders from dry blood samples (DBS) using polymerize chain reaction (PCR). Diagnosis of clinical malaria was made on the basis of fever and a positive rapid diagnostic test (RDT).

resultsOf the 1051 PSC analysed, 29% had anaemia while 24.4% had a referral to the hospital due to malaria. After adjustments for known confounders, PSC with a history of referral clinical malaria had increased odds of being anaemic (adjusted odds ratio [aOR] = 4.63, 95% confidence interval [CI]: 2.90-7.40), P <  0.0001.

conclusionsThis study found that clinical malaria increased the risk of anaemia in PSC. Thus, elimination of malaria-causing parasites from the PSC's blood should be rapid and complete in order to prevent the progression of uncomplicated malaria to a chronic infection that can lead to the development of malaria-related anaemia.

Indexed as

AnemiaChild, PreschoolFemaleHumansInfantMalariaMalawiMaleNutrition SurveysRisk AssessmentAnaemiaClinical malariaMalawiSerum ferritinα-Acid glycoprotein

Identifiers

PMID31760954
PMCPMC6876103
OpenAlexW2991208032

What OpenQuestion holds

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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.