Table 6.
Number | Site | Arm | Event type | Outcome | Relationship* | Additional details |
---|---|---|---|---|---|---|
GAS230 | Mbale | Plan C | Convulsions | Resolved | Unlikely | Lethargic at admission and suffered repeated seizures/status (controlled by IV diazepam) after admission leading to worsening conscious level. Previous history of seizures prior to admission (in this illness). Severe malaria anaemia: received 1 unit of whole blood. |
GAS263 | Mbale | Slow | Suspected Pulmonary oedema | Fatal | Unlikely | Severe pneumonia and gastroenteritis. Left-sided pleural effusion on x-ray. Lethargic at admission. Had worsening difficulty in breathing needing supplemental oxygen. Died about 36 h into admission. |
GAS002 | Kilifi | Plan C | Cardiovascular collapse/heart failure | Fatal | Probable | Comatose, hypoglycaemic and in shock at admission. Fluid boluses x 2: post-resuscitation echo showed “worsening biventricular function, tricuspid regurgitation and right atrial enlargement” treated with frusemide intravenously. Died 13 h into admission: cause of death: heart failure. |
GAS003 | Kilifi | Plan C | Cardiovascular collapse | Fatal | Unlikely | Severe pneumonia and gastroenteritis and had prolonged capillary refilling and a weak pulse at admission. Required supplemental oxygen at admission but did get a bolus. Died 1-h post-admission following cardiovascular collapse. Blood culture: Haemophilus influenzae. |
GAS004 | Kilifi | Slow | Convulsions | Resolved | Unlikely | Comatose and hypoglycaemic at admission. Suffered seizures on day 3 of admission. Admission history suggested seizures (in this illness) prior to admission. Seizures were controlled with I.V phenobarbitone |
GAS007 | Kilifi | Slow | Cardiovascular collapse | Fatal | Unlikely | Comatose at admission, very sick needing supplemental oxygen (saturations 52%) by mask and had hepatomegaly 4 cm BCM. Suffered seizures following admission which were controlled with I.V phenytoin. Died about 10 h into admission following cardiac arrest that was preceded by respiratory arrest. |
*By attending clinician