Evidence map›Paper›PMID 31969146›Full record

Observational studyMalaria journal2020

Delayed haemolysis after treatment with intravenous artesunate in patients with severe malaria in India.

Deepali Savargaonkar, Manoj Kumar Das, Amar Verma, Jeevan K Mitra, C P Yadav, Bina Srivastava, Anupkumar R Anvikar, Neena Valecha

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Malaria journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Anti-tumor mechanism of artesunate.Frontiers in pharmacology · 2024
    Review
  4. Article
  5. Post-Artesunate Delayed Hemolysis: A Review of Current Evidence.Tropical medicine and infectious disease · 2023
    Review
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Article
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

8 authors at 2 institutions in 1 country.

Deepali SavargaonkarNational Institute of Malaria Research, Sector 8, Dwarka, New Delhi, 110077, India. dr.deepali27@gmail.com.
Manoj Kumar DasNational Institute of Malaria Research, Field Unit, Ranchi, Jharkhand, India.
Amar VermaRajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Jeevan K MitraRajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
C P YadavNational Institute of Malaria Research, Sector 8, Dwarka, New Delhi, 110077, India.
Bina SrivastavaNational Institute of Malaria Research, Sector 8, Dwarka, New Delhi, 110077, India.
Anupkumar R AnvikarNational Institute of Malaria Research, Sector 8, Dwarka, New Delhi, 110077, India.
Neena ValechaNational Institute of Malaria Research, Sector 8, Dwarka, New Delhi, 110077, India.
National Institute of Malaria Research · INRajendra Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParenteral artesunate is the treatment of choice for severe malaria. It is safe, efficacious and well tolerated anti-malarial. However, delayed haemolysis has been reported in travellers, non-immune individuals and in African children.

methodsA prospective, observational study was carried out in admitted severe malaria patients receiving parenteral artesunate. The patients were followed up until day 28 for monitoring clinical as well as laboratory parameters for haemolytic anaemia.

resultsTwenty-four patients with severe malaria receiving injection artesunate were enrolled in the study. Post-artesunate delayed haemolysis following parenteral artesunate therapy was observed in three of 24 patients (12.5%, 95% confidence interval 4.5-31.2%). Haemolysis was observed in two more patients possibly due to other reasons. The haemoglobin fall ranged from 13.6 to 38.3% from day 7 to day 28 in these patients.

conclusionThe possibility of delayed haemolysis should be considered while treating the severe malaria patients with parenteral artesunate. The study highlights the need for further studies in different epidemiological settings.

Indexed as

Administration, IntravenousAdolescentAdultAnemia, HemolyticAntimalarialsArtesunateChildChild, PreschoolFemaleHemolysisHumansIndiaInfantMalariaMaleMiddle AgedAntimalarialsArtesunateDelayed haemolysisHaemoglobinInjection artesunateLactate dehydrogenaseSevere malaria

Identifiers

PMID31969146
PMCPMC6977313
OpenAlexW3013958126

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.