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. 2023 Oct 20;21:397. doi: 10.1186/s12916-023-03105-0

Table 2.

Factors associated with the haemoglobin concentrations at baseline, day of nadir, and on day 42 in 1137 patients and changes over time

Variables Multivariable analysis
Slope (95% CI) P-value
Baseline haemoglobin (aR2 0.2534)
 Age (years) 0.15 (0.11, 0.19)  < 0.001
 Length of illness before treatment (days)  − 0.16 (− 0.23, − 0.09)  < 0.001
 Mid-upper arm circumference (cm) 0.10 (0.04, 0.16) 0.001
 Splenomegaly vs normal (reference)  − 1.07 (− 1.28, − 0.87)  < 0.001
Sickle cell status
 HbSSa vs. HbAA (reference)  − 1.74 (− 3.33, − 0.16) 0.031
Thalassaemia status
  − α/ − α vs. αα/αα (reference)  − 0.67 (− 0.96, − 0.37)  < 0.001
G6PD status
 Heterozygous female vs. G6PD normal (reference)  − 0.30 (− 0.59, − 0.01) 0.043
 Deficient vs. G6PD normal (reference)  − 0.34 (− 0.55, − 0.14) 0.001
Nadir haemoglobinb (aR2: 0.7299)
 Age (years) 0.07 (0.05, 0.10)  < 0.001
 Length of illness before treatment (days)  − 0.10 (− 0.15, − 0.06)  < 0.001
 Baseline haemoglobin (g/dL) 0.72 (0.68, 0.75)  < 0.001
Sickle cell status
 HbAS v HbAA (reference) 0.25 (0.10, 0.40)  < 0.001
 Log of baseline parasitaemia  − 0.10 (− 0.12, − 0.08)  < 0.001
Fractional fall (%) in haemoglobin (aR2: 0.2149)
 Age (years)  − 0.70 (− 0.93, − 0.47)  < 0.001
 Length of illness before treatment (days) 0.98 (0.56, 1.41)  < 0.001
 Baseline haemoglobin (g/dL) 1.39 (1.04, 1.73)  < 0.001
Sickle cell status
 HbAS v HbAA (reference)  − 2.28 (− 3.66, − 0.91) 0.001
 Log of baseline parasitaemia 0.96 (0.78, 1.14)  < 0.001
Total malaria attributable fraction (aR2: 0.5841)
 Age (years) 0.11 (0.08, 0.14)  < 0.001
 Length of illness before treatment (days) 0.57 (0.004, 0.11) 0.035
 Fractional fall (%) in haemoglobin  − 0.81 (− 0.89, − 0.74)  < 0.001
 Baseline haemoglobin (g/dL) 0.07 (0.10, 0.14) 0.024
Sickle cell status
 HbSSa vs. HbAA (reference)  − 2.18 (− 3.97, − 0.39) 0.017
G6PD status
 Deficient vs. G6PD normal (reference) 0.18 (0.04, 0.32) 0.014
 Log of baseline parasitaemia 0.03 (0.01, 0.06)  < 0.001
Day 42 haemoglobin concentration (aR2: 0.3372)
 Age (years) 0.13 (0.11, 0.15)  < 0.001
 Haemoglobin fractional fall (%) 0.18 (0.11, 0.25)  < 0.001
G6PD status
 Deficient vs. G6PD normal (reference) 0.21 (0.07, 0.35) 0.003
Sickle cell status
 HbSSa vs. HbAA (reference)  − 2.81 (− 4.12, − 1.51)  < 0.001
Thalassaemia status
  − α/αα vs. αα/αα (reference)  − 0.13 (− 0.25, − 0.01) 0.031
  − α/ − α vs. αα/αα (reference)  − 0.37 (− 0.58, − 0.17)  < 0.001
 Late treatment failure vs. ACPR (reference)  − 0.39 (− 0.56, − 0.21)  < 0.001
Haemoglobin recovery by Day 42 (AIC: 752.92)
 Age (years) 1.26 (1.17, 1.35)  < 0.001
 Baseline haemoglobin (g/dL) 0.17 (0.13, 0.22)  < 0.001
 Haemoglobin fractional fall (%) 1.76 (1.43, 2.17)  < 0.001
G6PD status
 Deficient vs. G6PD normal (reference) 1.68 (1.01, 2.78) 0.046

aN = 3 patients

bMean Hb (SD) 8.6 (1.5) g/dL (age < 5 years) vs. 9.8 (1.3) g/dL (age 5–11 years), p < 0.001