From: A machine learning approach for early identification of patients with severe imported malaria
Variables | Study Population (259) | Severe Malaria (n = 111) | Uncomplicated Malaria (n = 148) | p |
---|---|---|---|---|
Male (n, %) | 189 (72.9%) | 88 (79.2) | 101 (68.2) | ns |
Age (Median, IQR) | 39 (29–71) | 39 (29–71) | 41 (29–70) | ns |
Country of origin (n, %) | ||||
European | 107 (41.4) | 55 (49.6) | 52 (49) | |
Immigrant | 140 (54) | 52 (46.8) | 88 (46.5) | |
Visitors from endemic country | 12 (4.6) | 4 (3.6) | 8 (4.5) | ns |
Comorbidities (n, %) | 48 (18.5%) | 26 (23.4%) | 22 (14.8) | |
Antimalarial chemoprophylaxis (n, %) | 244 (94.2%) | 9 (8.1) | 6 (4) | ns |
Area of infection (n, %): West Africa | 174 (67.1%) | 86 (77.4) | 88 (59.4) | ns |
Purpose of travel (n, %) | ||||
VRFs | 83 (32%) | 36 (32.4) | 47 (31.7) | |
Tourism | 47 (18.2%) | 31 (27.9) | 16 (10.8) | |
Business | 53 (20.4%) | 22 (19.8) | 31 (20.9) | |
Humanitarian aid | 28 (10.8%) | 13 (11.8) | 15 (10.2) | |
Other | 48 (18.6) | 9 (8.1) | 39 (26.4) | ns |
Plasmodium (n, %) | ||||
Falciparum | 203 (78.3%) | 102 (91.9) | 101 (68.3) | |
Vivax | 38 (14.7%) | 6 (5.4) | 32 (21.7) | |
Ovale | 10 (3.9%) | 1 (0.9) | 9 (6) | |
Malariae | 3 (1.2%) | 0 | 3 (2) | |
Knowlesi | 0 | 0 | 0 | |
Mixed Infection | 5 (1.9) | 2 (1.8) | 3 (2) | ns |
Delay of diagnosis (Median, IQR) (days) | 2 (1–33) | 2 (1–33) | 2 (1–30) | ns |
Delay of treatment (Median, IQR) (days) | 3 (2–33) | 3 (2–33) | 3 (2–31) | ns |
Days of hospitalization (Median, IQR) (days) | 5 (4–75) | 7 (5–75) | 5 (4–19) | 0.001 |
Basal % parasitaemia (Median, IQR)(days) | 3 ± 2.7 | 5 ± 3 | 2 ± 1 | ns |
Time to parasitaemia < 1% (hours) (M ± SD) | 37 ± 22.7 | 50 ± 27 | 28 ± 22 | 0.004 |
Time to parasite clearance (hours) (M ± SD) | 58 ± 39.2 | 84 ± 45 | 39 ± 11 | 0.005 |
Antimalarial treatment | ||||
Artesunate (iv) | 36 (13.9) | 25 (22.5) | 11 (7.5) | ns |
Quinine (iv) | 26 (10) | 25 (22.5) | 1 (0.7) | |
Artemetehr | 19 (7.3) | 12 (10.8) | 7 (4.7) | |
Quinine (oral) | 20 (7.7) | 14 (12.6) | 6 (4.1) | |
Dihydroartemisinin/piperaquine | 125 (48.3) | 32 (28.9) | 93 (62.8) | |
Chloroquine | 33 (12.8) | 3 (2.7) | 30 (20.2) |