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. 2008 Feb;86(2):132–139. doi: 10.2471/BLT.07.041723

Table 3. Documentation in the case notes (irrespective of result) of clinical features required to make inpatient assessments according to WHO guidelines for care.

All admissions (n = 509) Number with any recorda Interquartile
range (%)
Duration of illness 462 (91) 89–98
Age in years or months 448 (88) 91–100
Fever history 436 (86) 76–90
Temperature 413 (81) 68–92
Pallor 291 (58) 31–81
Cough or difficult breathing 258 (51) 51–70
History of vomiting 253 (50) 44–54
Weight recorded 250 (49) 12–51
Diarrhoea 173 (34) 35–46
Hydration statusb 90 (18) 13–30
Convulsion in this illness 63 (12) 5–17
Respiratory rate 54 (11) 1–15
Mental statec 47 (9) 0–11
Able to drink 35 (7) 0–13
Oedema 29 (6) 3–11
Neck stiffness 26 (5) 2–1
Heart rate 19 (4) 0–2
Cyanosis 15 (3) 0–5
Any diagnosis of malariad (n = 299)
Malaria slide result 175 (58) 21–88
Pallor 202 (68) 54–93
Difficulty in breathing 45 (15) 4–37
Mental state 27 (9) 0–17
Haemoglobin result 166 (56) 17–67
Any diagnosis of pneumonia (n = 191)
Able to drink 14 (7) 0–11
Chest in-drawing 62 (32) 16–45
Respiratory rate 29 (15) 5–25
Cyanosis 11 (6) 0–11
Any diagnosis of gastroenteritis (n = 103)
Fever history or temperature recorded 96 (93) 9–100
Hyrdration statusa 56 (54) 26–85
Mental state 8 (8) 0–11

a Percentage of total indicated in parentheses.
b Any statement on the hydration status or presence/absence of sunken eyes or delayed skin pinch.
c Any note on alertness, lethargy, Blantyre or alert-verbal response-pain response-unconscious (AVPU) scores.
d Diagnoses include any admission or discharge diagnosis; cases may appear in multiple categories.