Table 1. Associations with death in 817 subjects with admission retinal exam and retinopathy-positive paediatric cerebral malaria, 137 of whom died and 680 survived.
Retinal features are presented for the worse eye. Estimates are from unadjusted logistic regression. p≤0.01 is bold.
|
Variable name |
Units | Died | Survived | Association with death | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Numerical characteristics | Numerical characteristics | OR | 95% CI | p | ||||||
| Demographics | ||||||||||
| Age (median, IQR) |
months | 35 | 23–59 | 136 | 39 | 27–58.75 | 680 | 0.99 | 0.00–1.00 | 0.43 |
| Weight (median, IQR) |
kg | 11 | 9–15 | 137 | 12 | 10–15 | 680 | 0.97 | 0.93–1.02 | 0.22 |
| Height (median, IQR) |
cm | 89 | 79–103 | 135 | 92 | 83–103 | 671 | 0.99 | 0.98–1.00 | 0.15 |
| Sex (%) |
boy | 48.9 | 66 | 50.29 | 680 | 1.06 | 0.73–1.53 | 0.77 | ||
| girl | 51.1 | 69 | 49.71 | |||||||
| Clinical | ||||||||||
| Coma score (%) |
0 | 23.3 | 32 | 9.85 | 67 | 3.57 | 2.13–5.88 | <0.001 | ||
| 1 | 41.6 | 57 | 37.7 | 256 | 2.13 | 1.28–3.57 | 0.003 | |||
| 2 | 35.0 | 48 | 52.5 | 357 | reference | |||||
| Respiratory distress (%) |
Present | 48.9 | 67 | 39.0 | 265 | 1.5 | 1.04–2.17 | 0.03 | ||
| Absent | 51.1 | 70 | 61.0 | 415 | ||||||
| Convulsions at admission (%) | Present | 12.4 | 17 | 14.9 | 98 | 0.83 | 0.45–1.44 | 0.51 | ||
| Absent | 87.6 | 120 | 85.4 | 574 | ||||||
| Temperature (median, IQR) |
degrees C | 38.7 | 37.8–39.5 | 137 | 38.9 | 38–39.7 | 680 | 0.89 | 0.77–1.03 | 0.12 |
| Systolic BP (median, IQR) |
mmHg | 100 | 90–110 | 127 | 100 | 90–110 | 652 | 0.99 | 0.99–1.01 | 0.63 |
| Pulse (median, IQR) |
beats/min | 156 | 136.5–170.5 | 137 | 152 | 136.75–169 | 678 | 1.0 | 0.99–1.01 | 0.98 |
| Duration of coma (median, IQR) |
Hours | 7 | 4–18 | 110 | 7 | 4–17 | 558 | 0.99 | 0.98–1.01 | 0.29 |
| Duration of fever (median, IQR) |
Hours | 48 | 33.25–72 | 130 | 60 | 43.25–72 | 652 | 0.99 | 0.99–1.00 | 0.09 |
| Hypoglycaemia on ward (%) | Present | 14.6 | 20 | 7.81 | 53 | 2.02 | 1.16–3.5 | 0.012 | ||
| Absent | 85.4 | 117 | 92.1 | 626 | ||||||
| Laboratory | ||||||||||
| Parasitaemia (median, IQR) |
#cells | 79052 | 16695–357000 | 134 | 68076 | 11700–298000 | 649 | 1.0 | 0.99–1.00 | 0.27 |
| White cell count (median, IQR) |
#cells | 11300 | 6925–18225 | 120 | 9200 | 6600–13725 | 630 | 1.0 | 1.00–1.00 | 0.004 |
| Haematocrit (median, IQR) |
% | 19.5 | 15–24.75 | 136 | 20 | 15.8–25 | 673 | 0.99 | 0.97–1.02 | 0.69 |
| Lactate (median, IQR) |
mmol/L | 8.75 | 5.38–12.78 | 92 | 5.3 | 3.2–9.9 | 519 | 1.11 | 1.06–1.16 | <0.001 |
| HRP2 (median, IQR) |
ng/ml | 8838.5 | 4435.5–15102.3 | 120 | 5765 | 2471.5–10031 | 609 | 1.0 | 1.00–1.00 | 0.004 |
| HIV (%) |
Positive | 22.5 | 29 | 14.9 | 88 | 1.66 | 1.03–2.66 | 0.036 | ||
| Negative | 77.5 | 100 | 85.1 | 503 | ||||||
| Ophthalmoscopy | ||||||||||
| Retinal haemorrhage (%) |
>50 | 16.0 | 22 | 4.7 | 32 | 3.4 | 1.78–6.5 | <0.001 | ||
| 21 to 50 | 11.0 | 15 | 6.50 | 44 | 1.69 | 0.85–3.34 | 0.14 | |||
| 6 to 20 | 13.1 | 18 | 19.0 | 129 | 0.69 | 0.38–1.27 | 0.23 | |||
| 1 to 5 | 32.9 | 45 | 42.9 | 291 | 0.76 | 0.48–1.23 | 0.27 | |||
| None | 27.0 | 37 | 27.0 | 183 | reference | |||||
| Macular whitening (%) |
>1 | 23.9 | 32 | 14.8 | 100 | 2.31 | 1.16–4.59 | 0.017 | ||
| 1/3 to 1 | 28.4 | 38 | 25.1 | 170 | 1.61 | 0.83–3.12 | 0.16 | |||
| <1/3 | 37.3 | 50 | 45.2 | 306 | 1.18 | 0.63–2.22 | 0.61 | |||
| None | 10.5 | 14 | 14.9 | 101 | reference | |||||
| Foveal whitening (% of foveal zone) |
>2/3 | 23.3 | 31 | 11.5 | 78 | 3.39 | 1.83–6.26 | <0.001 | ||
| 1/3 to 2/3 | 18.1 | 24 | 15.2 | 103 | 1.99 | 1.05–3.74 | 0.03 | |||
| <1/3 | 42.8 | 57 | 46.8 | 316 | 1.54 | 0.90–2.62 | 0.11 | |||
| none | 15.8 | 21 | 26.5 | 179 | reference | |||||
| Temporal whitening (%) |
3 | 10.0 | 13 | 12.9 | 87 | 0.83 | 0.41–1.66 | 0.60 | ||
| 2 | 24.6 | 32 | 18.4 | 124 | 1.43 | 0.83–2.47 | 0.20 | |||
| 1 | 41.5 | 54 | 43.1 | 290 | 1.03 | 0.64–1.67 | 0.89 | |||
| none | 23.9 | 31 | 25.6 | 172 | reference | |||||
| Orange vessels, temporal quadrant (%) | present | 44.6 | 58 | 21.7 | 145 | 2.9 | 1.96–4.3 | <0.001 | ||
| absent | 55.4 | 72 | 78.3 | 523 | ||||||
| White vessels, temporal quadrant (%) | present | 25.4 | 33 | 24.3 | 162 | 1.06 | 0.69–1.64 | 0.78 | ||
| absent | 74.6 | 97 | 75.8 | 506 | ||||||
| White capillaries (%) |
present | 26.9 | 35 | 33.1 | 221 | 0.75 | 0.49–1.13 | 0.17 | ||
| absent | 73.1 | 95 | 66.9 | 447 | ||||||
| Papilloedema (%) |
present | 39.0 | 53 | 21.8 | 148 | 2.29 | 1.55–3.38 | <0.001 | ||
| absent | 61.0 | 83 | 78.2 | 530 | ||||||
| Disc hyperaemia (%) |
present | 48.7 | 54 | 35.3 | 212 | 1.73 | 1.15–2.61 | 0.008 | ||
| absent | 51.4 | 57 | 64.7 | 388 | ||||||