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. 2003 Feb 15;326(7385):361. doi: 10.1136/bmj.326.7385.361

Table 2.

 Clinical predictors of immediate, early, and late death in children admitted to hospital in Kenya. Figures are numbers of children* and likelihood ratios

Alive (n=7655)
Immediate (n=60)
Early (n=193)
Late (n=183)
Crude likelihood ratio (95% CI)
Immediate
Early
Late
Length of history (days):
 ⩽7 6729 54 152 92 0.96 (0.87 to 1.07) 0.89 (0.83 to 0.96) 0.57 (0.49 to 0.66)
 >7  898  9  41 91 1.27 (0.70 to 2.33) 1.80 (1.37 to 2.38) 4.22 (3.61 to 4.95)
History of fever:
 No 1002 13  24 50 1.66 (1.02 to 2.69) 0.95 (0.65 to 1.39) 2.09 (1.64 to 2.66)
 Yes 6653 47 168 133 0.90 (0.79 to 1.03) 1.01 (0.95 to 1.06) 0.84 (0.76 to 0.91)
History of diarrhoea:
 No 5928 47 139 96 1.01 (0.89 to 1.16) 0.93 (0.86 to 1.02) 0.68 (0.59 to 0.78)
 Yes 1727 13  53 87 0.96 (0.59 to 1.56) 1.22 (0.97 to 1.54) 2.11 (1.80 to 2.47)
History of cough:
 No 4028 36  95 71 1.14 (0.92 to 1.40) 0.94 (0.81 to 1.09) 0.74 (0.61 to 0.89)
 Yes 3626 24  97 112 0.84 (0.62 to 1.15) 1.07 (0.93 to 1.23) 1.29 (1.15 to 1.45)
History of seizures:
 No 5722 41 130 163 0.91 (0.77 to 1.09) 0.91 (0.82 to 1.00) 1.19 (1.13 to 1.26)
 Yes 1930 19  62 20 1.26 (0.86 to 1.82) 1.27 (1.03 to 1.57) 0.43 (0.29 to 0.66)
Jaundice:
 No 7502 55 184 179 0.95 (0.89 to 1.02) 0.97 (0.94 to 0.99) 1.00 (0.98 to 1.02)
 Yes  152  4   9  4 3.41 (1.31 to 8.91) 2.36 (1.22 to 4.55) 1.10 (0.41 to 2.94)
Severe anaemia (haemoglobin <50 g/l):
 No 3436 30 148 149 0.62 (0.49 to 0.79) 0.91 (0.85 to 0.99) 0.96 (0.90 to 1.03)
 Yes 1160 27  43 34 3.10 (2.15 to 4.10) 1.47 (1.13 to 1.93) 1.22 (0.89 to 1.66)
Wasting:
 No 6241 39 162 65 0.85 (0.72 to 1.01) 0.75 (0.67 to 0.84) 0.44 (0.36 to 0.53)
 Yes 1405 17  74 118 1.65 (1.11 to 2.46) 2.12 (1.76 to 2.55) 3.51 (3.12 to 3.95)
Kwashiorkor:
 No 6844 50 144 84 0.93 (0.83 to 1.04) 0.84 (0.78 to 0.91) 0.51 (0.44 to 0.60)
 Yes  806 10  47 99 1.58 (0.89 to 2.80) 2.34 (1.81 to 3.02) 5.13 (4.43 to 5.96)
Temperature:
 <36°C  203  7  13 22 4.70 (2.32 to 9.52) 2.61 (1.52 to 4.49) 4.54 (3.00 to 6.88)
 36-39°C 4934 41 128 143 1.13 (0.97 to 1.33) 1.06 (0.96 to 1.17) 1.21 (1.12 to 1.31)
 >39°C 2490  8  46 17 0.44 (0.23 to 0.83) 0.75 (0.57 to 0.97) 0.29 (0.18 to 0.45)
Raised respiratory rate:
 No 5373 26  98 119 0.75 (0.57 to 0.97) 0.73 (0.64 to 0.85) 0.94 (0.85 to 1.05)
 Yes 2176 23  90 58 1.63 (1.21 to 2.20) 1.66 (1.42 to 1.94) 1.14 (0.92 to 1.41)
Subcostal indrawing:
 No 6213 24 107 135 0.49 (0.36 to 0.47) 0.68 (0.60 to 0.77) 0.91 (0.83 to 0.99)
 Yes 1432 36  86 48 3.20 (2.59 to 3.96) 2.38 (2.02 to 2.80) 1.40 (1.09 to 1.79)
Deep breathing:
 No 7182 26 132 166 0.46 (0.35 to 0.62) 0.73 (0.66 to 0.80) 0.97 (0.92 to 1.04)
 Yes  468 34  61 17 9.26 (7.30 to 11.8) 5.17 (4.12 to 6.47) 1.52 (0.96 to 2.41)
Neurological status:
 Not prostrated 6851 13  91 162 0.24 (0.15 to 0.39) 0.53 (0.45 to 0.61) 0.99 (0.94 to 1.04)
 Prostrated with seizures  206  1  11  1 0.62 (0.09 to 4.35) 2.12 (1.17 to 3.82) 0.20 (0.03 to 1.44)
 Prostrated without seizures  364 17  43  9 5.94 (3.93 to 9.00) 4.67 (3.53 to 6.20) 1.03 (0.54 to 1.97)
 Impaired consciousness with seizures  147 12  17  6 10.4 (6.13 to 17.7) 4.59 (2.83 to 7.42) 1.71 (0.76 to 3.81)
 Impaired consciousness without seizures   67 17  30  5 32.4 (20.3 to 51.7) 17.8 (11.8 to 26.7) 3.12 (1.27 to 7.65)
*

Data are missing where numbers are less than the totals given in each column.