Table 1 Documented severity criteria and malaria admission diagnoses, by ward and survey round
From: Monitoring health systems readiness and inpatient malaria case-management at Kenyan county hospitals
Round 1 | Round 2 | |||||
|---|---|---|---|---|---|---|
Paediatric ward (N = 588) | Medical ward (N = 574) | All patients (N = 1162) | Paediatric ward (N = 620) | Medical ward (N = 604) | All patients (N = 1224) | |
n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | |
Clinical or laboratory features | ||||||
Altered consciousnessa | 77 (13.1) | 124 (21.6) | 201 (17.3) | 108 (17.4) | 147 (24.3) | 255 (20.8) |
Prostrationb | 79 (13.4) | 38 (6.6) | 117 (10.1) | 125 (20.2) | 51 (8.4) | 175 (14.3) |
Convulsions (2 or more) | 95 (16.2) | 15 (2.6) | 110 (9.5) | 108 (17.4) | 18 (3.0) | 126 (10.3) |
Jaundice | 44 (7.5) | 21 (3.7) | 65 (5.6) | 40 (6.5) | 34 (5.6) | 74 (6.1) |
Respiratory distressc | 55 (9.4) | 16 (2.8) | 71 (6.1) | 71 (11.5) | 16 (2.7) | 87 (7.1) |
Severe anaemiad | 33 (5.6) | 9 (1.6) | 42 (3.6) | 67 (10.8) | 26 (4.3) | 93 (7.6) |
Abnormal bleeding | 8 (1.4) | 19 (3.3) | 27 (2.3) | 3 (0.5) | 20 (3.3) | 23 (1.9) |
Shocke | 12 (2.0) | 17 (3.0) | 29 (2.5) | 37 (6.0) | 10 (1.7) | 47 (3.8) |
Haemoglobinuriaf | 8 (1.4) | 14 (2.4) | 22 (1.9) | 9 (1.5) | 16 (2.7) | 25 (2.0) |
Renal failure (oliguria or anuria) | 4 (0.7) | 8 (1.4) | 12 (1.0) | 3 (0.5) | 4 (0.7) | 7 (0.6) |
Pulmonary oedema | 1 (0.2) | 2 (0.4) | 3 (0.3) | 6 (1.0) | 3 (0.5) | 9 (0.7) |
Hypoglycaemiag | 0 | 0 | 0 | 3 (0.5) | 1 (0.2) | 4 (0.3) |
Any clinical or laboratory features | 297 (50.5) | 205 (35.7) | 502 (43.2) | 258 (57.7) | 252 (41.7) | 610 (49.8) |
Malaria admission diagnoses | ||||||
“Malaria” (unclassified) | 298 (50.7) | 376 (65.5) | 674 (58.0) | 285 (46.0) | 360 (59.6) | 645 (52.7) |
Any severe malaria diagnosis | 195 (33.2) | 175 (30.5) | 370 (31.8) | 229 (36.9) | 179 (29.6) | 408 (33.3) |
Severe malaria | 185 (31.5) | 137 (23.8) | 322 (27.7) | 223 (36.0) | 156 (25.8) | 379 (31.0) |
Cerebral malaria | 13 (2.2) | 31 (5.4) | 44 (3.8) | 5 (0.8) | 17 (2.8) | 22 (1.8) |
Complicated malaria | 6 (1.0) | 7 (1.2) | 13 (1.1) | 5 (0.8) | 11 (1.8) | 16 (1.3) |
Uncomplicated/non-severe | 25 (4.3) | 12 (2.1) | 37 (3.2) | 19 (3.1) | 8 (1.3) | 27 (2.2) |
Any severe malaria criteria | 380 (64.6) | 298 (51.9) | 678 (58.4) | 433 (69.8) | 336 (55.6) | 769 (62.8) |