Evidence map›Paper›PMID 39055123›Full record

ArticleOpen forum infectious diseases2024

Mid-Upper Arm Circumference Is a Strong Predictor of Mortality Among Ugandan Adults With HIV-Associated Cryptococcal Meningitis: A Prospective Cohort Study.

Gila Hale, Tessa Adzemovic, Kathy Huppler Hullsiek, Suzan Mulwana, Jane Francis Ndyetukira, Alisat Sadiq, Mable Kabahubya, Peruth Ayebare, Lydia Nankungu, Alice Namudde and 10 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

20 authors.

Gila HaleInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID https://orcid.org/0009-0009-2705-108X
Tessa AdzemovicInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Kathy Huppler HullsiekDivision of Biostatistics and Health Data Science, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Suzan MulwanaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Jane Francis NdyetukiraInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Alisat SadiqInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Mable KabahubyaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Peruth AyebareInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Lydia NankunguInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Alice NamuddeInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Sylvia NamandaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Grace MenyaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Grace NakittoInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Conrad MuzooraDepartment of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Edwin NuwagiraDepartment of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Joshua RheinInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID https://orcid.org/0000-0002-0480-9646
David B MeyaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
David R BoulwareDivision of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
Jayne EllisInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Mahsa AbassiDivision of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.ORCID https://orcid.org/0000-0001-9601-3006

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mortality among adults diagnosed with HIV-associated cryptococcal meningitis remains high (24%-40%). We hypothesized that nutritional state, as measured by mid-upper arm circumference (MUAC), is a potentially modifiable risk factor for mortality. Methods: Ugandan adults hospitalized with HIV-associated cryptococcal meningitis had MUAC measurements performed at baseline. We compared MUAC measurements with baseline clinical and demographic variables and investigated associations with survival using Cox regression. Results: Of 433 participants enrolled, 41% were female, the median CD4 T-cell count (interquartile range [IQR]) was 15 (6-41) cells/μL, and 37% were antiretroviral therapy naïve. The median MUAC (IQR) was 24 (22-26) cm, the median weight (IQR) was 53 (50-60) kg, and MUAC correlated with weight (Pearson Conclusions: MUAC measurement is a simple bedside tool that can identify adults with HIV-associated cryptococcal meningitis at high risk for mortality for whom an enhanced bundle of care, including nutritional supplementation, should be further investigated.

Indexed as

cryptococcal meningitisHIVmalnutritionmid–upper arm circumferencemortality

Identifiers

PMID39055123
PMCPMC11272084

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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.