Table 2. Heterogeneity and the effect of moderators on heterogeneity for the proportions of children presenting with different clinical features in descriptive studies of severe Plasmodium falciparum malaria.
Outcome of interest | Number of studies with available data (n) | Overall heterogeneity from random effects model (I 2) | Total estimated heterogeneity in random effects model (τ2) | Effect of moderators on heterogeneity (τ2) | Final mixed effect model | ||||
Definition, τ2 (%) | Region, τ2 (%) | Year, τ2 (%) | Age, τ2 (%) | Moderators included | Residual heterogeneity, τ2 (%) | ||||
Clinical manifestation proportion: | |||||||||
Deep coma | 37 | 99.8% | 0.0355 | 0.0177 (50)*** | 0.0318 (10)* | 0.0343 (NS) | 0.0292 (18)** | Def+Age | 0.0167 (53)* |
Metabolic acidosis | 11 | 98.9% | 0.0128 | 0.0070 (45)** | 0.0131 (NS) | 0.0081 (37)* | 0.0139 (NS) | Def | 0.0070 (45)** |
Severe anemia | 35 | 99.5% | 0.0265 | 0.0228 (14)* | 0.0266 (NS) | 0.0258 (NS) | 0.0273 (NS) | Def | 0.0228 (14)* |
Hypoglycemia | 31 | 99.6% | 0.0048 | 0.0046 (NS) | 0.0043 (10)* | 0.0049 (NS) | 0.0049 (NS) | Region | 0.0043 (10)* |
Coma/anemia/acidosis overlap syndromea | 5 | 71.9% | 0.0001 | 0.0001 (NS) | 0.0001 (NS) | 0.0001 (NS) | 0.0001 (NS) | Nil | 0.0001 |
NS, No statistically significant contribution to overall heterogeneity; Def, Definition; *, ** and ***, P-values<0.05, <0.01 and <0.0001, respectively;
children with an overlapping syndrome comprising coma, severe anemia and any of: metabolic acidosis, respiratory distress or hyperlactatemia.