| Literature DB >> 9578796 |
K A Bojang1, M B Van Hensbroek, A Palmer, W A Banya, S Jaffar, B M Greenwood.
Abstract
Severe malaria anaemia is a frequent cause of admission to hospital in tropical Africa and about 10% of children with this condition die. To determine ways in which mortality might be reduced we have studied risk factors for a fatal outcome in 173 children with severe malaria anaemia who were assigned to receive blood transfusion because they had a packed cell volume of less than 12% and/or signs of respiratory distress. Twenty-three children died (13%); in 15 cases (65%) death occurred before blood transfusion was given. The presence of respiratory distress was found to be the most important predictor of death. Children with severe malaria anaemia and signs of respiratory distress must therefore be transfused as soon as possible.Entities:
Keywords: Africa; Africa South Of The Sahara; Anemia; Blood Transfusion; Child Mortality--determinants; Demographic Factors; Developing Countries; Diseases; Economic Factors; English Speaking Africa; Gambia; Infant Mortality--determinants; Malaria; Mortality; Needs; Parasitic Diseases; Population; Population Dynamics; Research Report; Time Factors; Treatment; Western Africa
Mesh:
Year: 1997 PMID: 9578796 DOI: 10.1080/02724936.1997.11747910
Source DB: PubMed Journal: Ann Trop Paediatr ISSN: 0272-4936