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Table 1 Documented severity criteria and malaria admission diagnoses, by admission ward

From: Health systems readiness and quality of inpatient malaria case-management in Kano State, Nigeria

 

Paediatric ward (N = 891)

Medical ward (N = 858)

All admissions (N = 1749)

n (%)

n (%)

n (%)

Clinical or laboratory features

 Severe anaemiaa

86 (9.7)

96 (11.2)

182 (10.4)

 Convulsionsb

85 (9.5)

26 (3.0)

111 (6.4)

 Persistent vomiting

62 (7.0)

58 (6.8)

120 (6.9)

 Prostrationc

39 (4.4)

56 (6.5)

95 (5.4)

 Shockd

11 (1.2)

42 (4.9)

53 (3.0)

 Respiratory distresse

16 (1.8)

25 (2.9)

41 (2.3)

 Impaired consciousnessf

10 (1.1)

24 (2.8)

34 (1.9)

 Jaundice

9 (1.0)

16 (1.9)

25 (1.4)

 Hypoglycaemiag

3 (0.3)

6 (0.7)

9 (0.5)

 Haemoglobinuriah

2 (0.2)

6 (0.7)

8 (0.5)

 Renal failurei

4 (0.5)

3 (0.4)

7 (0.4)

 Pulmonary oedema

2 (0.2)

5 (0.6)

7 (0.4)

 Abnormal bleeding

0

3 (0.4)

3 (0.2)

 Any clinical or laboratory features

248 (27.8)

245 (28.6)

493 (28.2)

Malaria admission diagnoses

 “Malaria” (unclassified)

289 (32.4)

280 (32.6)

569 (32.5)

 Any form of severe malaria diagnosis

112 (12.6)

86 (10.0)

198 (11.3)

  Severe malaria

104 (11.7)

75 (8.7)

179 (10.2)

  Cerebral malaria

3 (0.3)

9 (1.1)

12 (0.7)

  Complicated malaria

7 (0.8)

7 (0.8)

14 (0.8)

 Uncomplicated/non-severe

4 (0.5)

12 (1.4)

16 (0.9)

Any study severe malaria criteria

285 (33.2)

305 (34.2)

590 (33.7)

  1. a“Hb < 5 g/dl or HCT < 15% in children < 12yrs (< 7 g/dl and < 20% respectively in > 12yrs)”
  2. b“Convulsions, fits or seizures “
  3. c“Unable to drink/breastfeed/sit/stand/walk or prostrated”
  4. d“Capillary refill >  = 3 s, systolic BP < 80 mmHg in adults or < 70 mmHg in children or “shock”
  5. e“Acidotic/deep breathing, chest in-drawing or respiratory distress”,
  6. f“Drowsiness, lethargy, confusion, unconsciousness, coma or GCS < 15/AVPU < A”
  7. g“Blood sugar < 2.2 mmol/l or < 40 mg/dL”
  8. h“Dark urine, blood in urine, haematuria”
  9. i“Oliguria, anuria or renal failure”