Table 2. Demographic, clinical care characteristics, and outcome of children diagnosed as cases of ‘severe anemia’ according whether or not they were managed as per clinical guidelines.
| Managed per guidelines N = 376 |
Not managed per guidelines N = 755 |
Total N = 1,131 |
|
|---|---|---|---|
| Age, Mean (SD†) in years | 2.3 (SD 1.3) | 2.1 (SD 1.3) | 2.1 (SD 1.3) |
| Sex, N (% Male) | 213 (56.7%) | 441 (58.4%) | 654 (57.8%) |
| Referred, N (%) | 151 (40.2%) | 309 (40.9%) | 460 (40.7%) |
| Time of admission | (n = 223) | (n = 401) | (n = 624) |
| Day (8.01 am– 4.00 pm) | 123 (55.2%) | 176 (43.9%) | 299 (47.9%) |
| Evening (4.01 pm– 9.00 pm) | 78 (34.9%) | 158 (39.4%) | 236 (37.8%) |
| Night (9.01 pm to 8.00 am) | 22 (9.9%) | 67 (16.7%) | 89 (14.3%) |
| First seen at admission by a medical officer | 242 (64.4%) | 446 (59.1%) | 688 (60.8%) |
| Co-morbid Diagnosis | |||
| Severe Malaria (SM)# | 323 (85.9%) | 631 (83.6%) | 954 (84.4%) |
| Septicemia* | 166 (44.2%) | 310 (41.1%) | 476 (42.1%) |
| Hemoglobinuria* | 63 (16.8%) | 87 (11.5%) | 150 (13.3%) |
| Severe Acute Malnutrition* | 19 (5.1%) | 49 (6.5%) | 68 (6.0%) |
| Transfused | 376 (100.0%) | 749 (99.2%) | 1,125 (99.5%) |
| Duration of hospitalization, Mean (in days) | 4.5 (SD 3.2) | 4.5 (SD 3.9) | 4.5 (SD 3.7) |
| Inpatient mortality | 10 (2.7%) | 67 (8.9%) | 77 (6.8%) |
Note
†SD = Standard Deviation
* Clinical diagnoses as assigned on the charts without necessarily being confirmed by laboratory tests
# Malaria diagnosis confirmed by positive blood smear or Rapid diagnostic test.