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Table 1 Baseline characteristics of patients with malaria in EFSTH

From: Clinical manifestations and outcomes of severe malaria in adult patients admitted to a tertiary hospital in the Gambia

Variable

All n = 131 (%)

Age: Median (yrs) (range)

21 (15–90)

Age groups (yrs)

 

 15–24 (Youth)

85 (65)

 > 24 (Adult)

46 (35)

Sex (M:F)

88 (67.2):43 (32.8)

Type of referral

 Self referral

 Health facility

• Kanifing General hospital

• Bundung maternal and child hospital

• Brikama district hospital

• Fajikunda health centre

• Essau district hospital

• Others

35 ( 26.7)

96 (73.3)

30 (31.3)

23 (23.9)

15 (15.6)

14 (14.5)

4 (4.2)

8 (8.3)

Prior antimalarial treatment for referred patients

n = 96

 No medication

42 (43.8)

 Intravenous artesunate

53 (55.2)

 Oral Artemether-lumefantrine

1 (1)

Symptoms at presentation

 

 Fever

119 (90.8)

 Headache

106 (80.9)

 Vomiting

96 (73.3)

 Malaise

39 (29.8)

 Abdominal pain

50 (38.2)

 Convulsion

21 (16)

Signs at presentation

 

 Pallor

48 (36.6)

 Jaundice

38 (29)

 Median Glasgow coma score at presentation

14 (3–15)

Treatment and outcome

 

Treatment

 

 Antimalaria at presentation

• Intravenous artesunate

• Intravenous Quinine

• Oral Artemether-lumefantrine

123 (93.9)

2 (1.5)

6 (4.6)

Intravenous fluid therapy

117 (89.3)

Anti seizure medication

14 (10.7)

Antibiotics

45 (34.3)

Blood transfusion

17 (12.9)

Haemodialysis

9 (6.9)

• Alive

8

• Dead

1

Outcome

 

 Dead

13 (9.9)

 Alive

118 (90.1)

Duration of admission: Median (hours) (range)

72 (4–552)