Evidence map›Paper›PMID 32126989›Full record

Trial reportMalaria journal2020

Impact of seasonal malaria chemoprevention on hospital admissions and mortality in children under 5 years of age in Ouelessebougou, Mali.

Djibrilla Issiaka, Amadou Barry, Tiangoua Traore, Boubacar Diarra, David Cook, Mohamed Keita, Issaka Sagara, Patrick Duffy, Michal Fried, Alassane Dicko

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Malaria journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02646410 (Optimal Delivery of Seasonal Malaria Chemoprevention and Its Effects on the Acquisition of Malaria Immunity), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT02646410 naunknown statusnot on this map

Optimal Delivery of Seasonal Malaria Chemoprevention and Its Effects on the Acquisition of Malaria Immunity

TypeinterventionalSponsorUniversity of BamakoRan2014 to 2018Enrolled10,000ConditionsMalaria, AnemiaArmsFPD+NDOT, FPD+DOT, DDD+NDOT, DDD+DOT
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Systematic Review and Meta-Analysis of Seasonal Malaria Chemoprevention.The American journal of tropical medicine and hygiene · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 3 institutions in 2 countries.

Djibrilla IssiakaMalaria Research & Training Center, Faculty of Pharmacy and Faculty of Medicine and Dentistry, University of Science Techniques and Technologies of Bamako, Bamako, Mali.
Amadou BarryMalaria Research & Training Center, Faculty of Pharmacy and Faculty of Medicine and Dentistry, University of Science Techniques and Technologies of Bamako, Bamako, Mali.
Tiangoua TraoreMalaria Research & Training Center, Faculty of Pharmacy and Faculty of Medicine and Dentistry, University of Science Techniques and Technologies of Bamako, Bamako, Mali.
Boubacar DiarraCentre de Santé de Reference de Ouelessebougou, Ouelessebougou, Mali.
David CookLaboratory of Malaria Immunology and Vaccinology, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA.
Mohamed KeitaProgramme National de Lutte contre le Paludisme, Bamako, Mali.
Issaka SagaraMalaria Research & Training Center, Faculty of Pharmacy and Faculty of Medicine and Dentistry, University of Science Techniques and Technologies of Bamako, Bamako, Mali.
Patrick DuffyLaboratory of Malaria Immunology and Vaccinology, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA.
Michal FriedLaboratory of Malaria Immunology and Vaccinology, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA.
Alassane DickoMalaria Research & Training Center, Faculty of Pharmacy and Faculty of Medicine and Dentistry, University of Science Techniques and Technologies of Bamako, Bamako, Mali. adicko@icermali.org.
University of Bamako · MLNational Institute of Allergy and Infectious Diseases · USCentre Pour le Développement des Vaccins-Mali · ML

Funding

Malaria Pathogenesis in Pregnant Women and Young ChildrenZIAAI001153 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI FRIED, MICHAL · 2011 to 2025
$9.5M
US National Academy of Sciences 2000004198
6 · The paper itself

Abstract

backgroundSeasonal malaria chemoprevention is widely implemented in Sahel and sub-Sahel countries in Africa. Few studies have assessed the impact of the SMC on hospital admission and death when it is implemented in the health system. This retrospective study assessed the impact of seasonal malaria chemoprevention (SMC) on hospitalizations and deaths of children under 5 years of age during the second year of implementation of SMC in the health district of Ouelessebougou in Mali.

methodsIn February 2017, a survey was conducted to assess hospital admissions and deaths in children under 5 years of age in two health sub-districts where SMC was implemented in 2015 and two health sub-districts where SMC was not implemented. The survey reviewed deaths and hospitalizations of children under 5, in the four health sub-districts. The crude and specific incidence rates of hospitalizations and deaths were determined in both groups and expressed per 1000 children per year. A negative binomial regression model and a Cox model were used to estimate the relative risks of hospitalization and death after adjusting for confounders. The R software was used for data analysis.

resultsA total of 6638 children under 5 years of age were surveyed, 2759 children in the SMC intervention areas and 3879 children in the control areas. All causes mortality rate per 1000 person-years was 8.29 in the control areas compared to 3.63 in the intervention areas; age and gender adjusted mortality rate ratio 0.44 (95% CI 0.22-0.91), p = 0.027. The incidence rate of all causes hospital admissions was 19.60 per 1000 person-years in the intervention group compared to 33.45 per 1000 person-years in the control group, giving an incidence rate ratio (IRR) adjusted for age and gender of 0.61 (95% CI 0.44-0.84), p = 0.003.

conclusionThe implementation of SMC was associated with a substantial reduction in hospital admissions and all-cause mortality. Trial registration ClinicalTrials.gov NCT02646410.

Indexed as

SeasonsAntimalarialsChemopreventionChild, PreschoolDrug CombinationsFemaleHealth Plan ImplementationHospitalizationHumansInfantMalariaMaleMaliRetrospective StudiesAntimalarialsDrug CombinationsDeathHospitalizationMalariaMaliSeasonal malaria chemoprevention

Identifiers

PMID32126989
PMCPMC7055064
OpenAlexW3012530199

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.