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. 2009 Feb 14;373(9663):557–566. doi: 10.1016/S0140-6736(08)61734-1

Table 3.

Effects of trial treatment (artesunate or placebo) on death or permanent disability, subdivided by study site and time taken to reach clinic

Risk of death in 0–6 h (median 2 h) for all patients
Risk of later death/disability (if survived >6 h)*Reached clinic in 0–6 h?
Artesunate Placebo Yes (∼3 h)
No (∼15 h)
Artesunate Placebo Artesunate Placebo
Africa (age 6–72 months)
Handeni, Tanzania 22/726 21/737 15/286 17/292 17/418 33/424
Kilosa, Tanzania 11/1170 6/1169 8/542 11/539 8/617 14/624
Navrongo, Ghana 9/1145 12/1093 19/816 26/798 2/320 5/283
All in Africa 42/3041 (1·4%) 39/2999 (1·3%) 42/1644 (2·6%) 54/1629 (3·3%) 27/1355 (2·0%) 52/1331 (3·9%)
Chittagong, Asia (by age)
6–72 months 5/1022 7/988 7/947 19/918 2/70 5/63
Older child/adult 9/2009 5/2009 22/1859 9/1879 0/141 0/125
All in Asia 14/3031 (0·5%) 12/2997 (0·4%) 29/2806 (1·0%) 28/2797 (1·0%) 2/211 (0·9%) 5/188 (2·7%)
Total
Africa and Asia 56/6072 (0·94%) 51/5996 (0·85%) 71/4450 (1·6%) 82/4426 (1·9%) 29/1566 (1·9%) 57/1519 (3·8%)
Relative risk (95% CI) 1·10 (0·75–1·61) 0·86(0·63–1·18) 0·49(0·32–0·77)
p value§ 0·61 0·35 0·0013
*

Denominators=numbers surviving more than 6 h after entry, subdivided by whether patient reached clinic in 0–6 h. Time to clinic was recorded in all who died or had neurological damage; otherwise, it was recorded routinely only in Kilosa and Navrongo. For those who did not die in Handeni and Chittagong, it was recorded whether they reached a clinic. For this table it is assumed that, if they did die, the proportions doing so in 0-6 h were 50% in Handeni and 95% in Chittagong.

For those who reached clinic in 0–6 h and then died after hour 6, median time to arrival was 2 h in Chittagong and 4 h in Africa.

For those still not in clinic after more than 6 h who died, the median time to reach clinic (or to death without reaching clinic) was 15 h.

§

Relative risk (95% CI) and p value for artesunate versus placebo.