Fig. 3

Patient distribution by definition of severe malaria. More than half of patients (59 %) with an admission diagnosis of severe malaria (shaded in blue) also had a documented sign of severe disease, while 49 % with a documented sign (shaded in red) were diagnosed with severe malaria at admission. Overall, 25 % of patients had severe malaria both by admission diagnosis and by documentation of a severe sign (shaded in purple). (Asterisk) At least one documented clinical or laboratory sign of severe malaria. (Double asterisk) Admission diagnosis of severe malaria, cerebral malaria, or severe anemia as documented by the healthcare worker