Evidence map›Paper›PMID 41154908›Full record

SynthesisInternational journal of environmental research and public health2025

Clinical Outcomes of Severe Lassa Fever in West Africa: A Systematic Review and Meta-Analysis.

Azuka Patrick Okwuraiwe, Chizaram Anselm Onyeaghala, Obiageli Theresa Ozoude, Muritala Odidi Suleiman, Samirah Nndwan Abdu-Aguye, Nkolika Jacinta Ezekwelu, Tolulope Amos Oyeniyi, Ayodapo Oluwadare Jegede, Adaeze Elfrida Egwudo, Oluchukwu Perpetual Okeke and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal of environmental research and public health, 2025. 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. Review
  2. Article
  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

13 authors.

Azuka Patrick OkwuraiweCentre for Human Virology and Genomics, Microbiology Department, Nigerian Institute of Medical Research, Lagos 101212, Nigeria.ORCID 0000-0003-2878-0531
Chizaram Anselm OnyeaghalaDepartment of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt 500001, Nigeria.ORCID 0000-0002-8319-1927
Obiageli Theresa OzoudeDepartment of Microbiology, Veritas University, Bwari Area Council, Abuja 900106, Nigeria.
Muritala Odidi SuleimanDepartment of Human Anatomy, Federal University, Dutse 720101, Nigeria.ORCID 0000-0002-7088-0619
Samirah Nndwan Abdu-AguyeDepartment of Clinical Pharmacy and Pharmacy Practice, Ahmadu Bello University, Zaria 800001, Nigeria.ORCID 0000-0001-7534-632X
Nkolika Jacinta EzekweluDepartment of Community Health and Primary Care, Lagos University Teaching Hospital, Lagos 100254, Nigeria.ORCID 0009-0002-5828-0335
Tolulope Amos OyeniyiDepartment of Public Health and Epidemiology, Nigerian Institute of Medical Research, Lagos 101245, Nigeria.ORCID 0009-0005-4617-8757
Ayodapo Oluwadare JegedeDepartment of Clinical Pharmacy and Pharmacy Administration, Obafemi Awolowo University, Ile-Ife 220282, Nigeria.ORCID 0000-0002-9061-3622
Adaeze Elfrida EgwudoDepartment of Community Health and Primary Care, Lagos University Teaching Hospital, Lagos 100254, Nigeria.
Oluchukwu Perpetual OkekeNigerian Institute of Medical Research Foundation, Lagos 1000001, Nigeria.
Olunike Rebecca AbodunrinDepartment of Epidemiology and Biostatistics, Nanjing Medical University, Nanjing 210029, China.ORCID 0009-0000-5258-1220
Folahanmi Tomiwa AkinsoluNigerian Institute of Medical Research Foundation, Lagos 1000001, Nigeria.
Olajide Odunayo SobandeNigerian Institute of Medical Research Foundation, Lagos 1000001, Nigeria.ORCID 0000-0001-9577-8330

Funding

Nigerian Institute of Medical Research Foundation NF-GMTP-24-152809
6 · The paper itself

Abstract

Lassa fever (LF) is an acute viral hemorrhagic fever that poses a substantial public health security threat in West Africa. The non-specific clinical presentation of LF, coupled with a lack of reliable point-of-care diagnostics, means delayed diagnosis, leading to severe complications and mortality during epidemics. A systematic review and meta-analyses were performed by conducting an extensive online search using PubMed, Web of Science, Scopus, CINAHL, and Google Scholar (PROSPERO protocol identifier number CRD42024587426). Only peer-reviewed studies written in English were included in publications from 1 September 2014, to 31 August 2024. The analysis and reporting followed PRISMA guidelines. The quality of the included studies was assessed using the critical appraisal tools developed from the Joanna Briggs Institute Systematic Review Checklist for cohort studies. We included 19 studies that contained data from 4177 patients hospitalized with LF of any age. Most included studies employed a retrospective cohort design and were conducted in Nigeria (16/19; 84.2%). The mortality rate was highest in a Sierra Leonean study (63.0%), whereas a group-based analysis of Nigerian studies using a random-effects model identified Owo as having the highest mortality rate of 13% (95% CI: 6-23; I

Indexed as

Lassa FeverAfrica, WesternHumansabnormal bleedingacute kidney injuryCNS dysfunctionLassa fevermortality rateWest Africa

Identifiers

PMID41154908
PMCPMC12562845

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.