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Table 2 Presentation at emergency department

From: PCR-confirmed malaria among children presenting with a decreased level of consciousness in Angola: a prospective, observational study

Variables

Malaria-PCR positive

Malaria-PCR negative

P value*

Clinical findings

 GCS score on admission

8 (7–9)

8 (7–9)

0.82

 Number of signs of raised ICP

2 (2–3)

2 (2–3)

0.12

 Convulsions at ED (%)

88/149 (59.1%)

113/180 (62.8%)

0.49

 Capillary refill, seconds

2 (2–3)

3 (2–3)

0.10

 Focal neurological deficits (%)

11/132 (8.3%)

21/160 (13.1%)

0.19

 Infection focus outside CNS (%)

8/134 (6.0%)

32/161 (19.9%)

 < 0.001

 Clinically dehydrated (%)

36/136 (26.5%)

59/163 (36.2%)

0.07

 Clinically malnourished (%)

28/138 (20.3%)

52/165 (31.5%)

0.03

 Dyspnea at ED (%)

94/136 (69.1%)

117/163 (71.8%)

0.62

Blood test results

 Haemoglobin, g/L

62 (51–81)

82 (63–103)

 < 0.001

 Leukocyte count, x 10E9/L

11.9 (7.6–15.5)

11.0 (7.6–16.3)

0.54

 Polymorphonuclear leukocyte count, x 10E9/L

6.6 (4.6–9.8)

6.9 (4.2–9.8)

0.92

 Thrombocyte count, x 10E9/L

73 (41–166)

207 (95–360)

 < 0.001

 CRP, mg/L

 > 160 (150– > 160)

150 (55- > 160)

 < 0.001

 Glucose level, mmol/l

4.6 (4.2–5.9)

5.2 (4.2–6.7)

0.04

CSF test results

 Leukocyte count, x 10E6/L

0 (0–2)

0 (0–2)

0.26

 Protein level, mg/dL

60.7 (31.6–99.4)

92.6 (48.8–157.6)

 < 0.001

 Glucose level, mmol/L

3.8 (2.7–4.6)

3.0 (1.7–4.4)

0.02

  1. Data are presented as median values with interquartile range, unless otherwise specified
  2. CNS central nervous system; CRP C-reactive protein; CSF cerebrospinal fluid; ED emergency department; GCS Glasgow coma scale; ICP intracranial pressure
  3. *P values were obtained using a Pearson’s chi-square test or the Mann–Whitney U test
  4. Lowest haemoglobin and glucose level and highest leukocyte, polymorphonuclear leukocyte, and thrombocyte count and highest CRP value on days 1–2