Table 2.
Bivariable analysis of Integrated Management of Childhood Illness (IMCI)-defined clinical syndromes and hospital outcome in paediatric febrile admissions aged ≥2 to <60 months in northern Tanzania, 2007–8
| IMCI clinical syndrome | Overall (%) (n=387) | Hospital outcome
|
OR (95% CI) | p Value | |
|---|---|---|---|---|---|
| Alive (%) (n=358) | Dead (%) (n=29) | ||||
| Pneumonia | |||||
| Very severe | 97/375 (26) | 77/346 (22) | 20/29 (69) | 7.8 (3.4 to 17.7) | <0.001 |
| Severe | 68/289 (24) | 64/280 (23) | 4/9 (44) | 2.7 (0.7 to 10.4) | 0.222 |
| Non-severe | 54/222 (24) | 51/217 (24) | 3/5 (60) | 4.9 (0.8 to 30.0) | 0.094 |
| Any type of pneumonia | 218/378 (58) | 191/349 (55) | 27/29 (93) | 11.2 (2.6 to 47.7) | <0.001 |
| Meningitis | |||||
| ≥2 predictors | 70/379 (18) | 53/351 (15) | 17/28 (60) | 8.7 (3.9 to 19.6) | <0.001 |
| ≥3 predictors | 25/384 (7) | 12/355 (3) | 13/29 (45) | 23.2 (9.2 to 58.9) | <0.001 |
| ≥4 predictors | 9/383 (2) | 5/357 (1) | 4/26 (15) | 12.8 (3.2 to 51.1) | 0.002 |
| Severe dehydration | 53/383 (14) | 40/354 (11) | 13/29 (45) | 6.4 (2.9 to 14.2) | <0.001 |
| General danger signs | |||||
| ≥1 sign | 143/380 (38) | 122/351 (35) | 21/29 (72) | 4.9 (2.1 to 11.5) | <0.001 |
| ≥2 signs | 45/383 (12) | 30/354 (8) | 15/29 (52) | 11.6 (5.1 to 26.2) | <0.001 |
| ≥3 signs | 11/384 (3) | 6/356 (2) | 5/28 (18) | 12.7 (3.6 to 44.7) | <0.001 |
| Septicaemia | 117/378 (31) | 101/349 (29) | 16/29 (55) | 3.0 (1.4 to 6.5) | 0.003 |
| Typhoid fever | 35/384 (9) | 26/356 (7) | 9/28 (32) | 6.0 (2.5 to 14.6) | <0.001 |
| Malaria | |||||
| Non-severe | 3/383 (1) | 3/354 (1) | 0/29 (0) | Undefined | 1.00 |
| Severe* | |||||
| ≥3 predictors | 11/372 (3) | 6/348 (2) | 5/24 (21) | 15.0 (4.2 to 53.6) | <0.001 |
| ≥4 predictors | 4/386 (1) | 2/357 (1) | 2/29 (7) | 13.1 (1.8 to 97.0) | 0.030 |
Values represent numerator and denominator unless stated otherwise.
*
No patients exhibited ≥5 severe malaria predictors.