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. 2020 Jun 23;64(7):e01848-19. doi: 10.1128/AAC.01848-19

TABLE 3.

Clinical determinants associated with QTc prolongation

Factor Clinical determinants associated with:
ΔQTcSSB interval prolongation
Absolute QTcSSB interval prolongation
≤30 msa 31–60 ms >60 ms P value for:
≤450 msa 451–480 ms 481–500 ms >500 ms P value for:
≤30 ms vs 31–60 ms ≤30 ms vs >60 ms All groups ≤450 ms vs 451–480 ms ≤450 ms vs 481–500 ms 450 ms vs >500 ms All groups
No. (%) of patients 638 (64.2) 286 (28.8) 70 (7.0) 481 (48.4) 408 (41.0) 78 (7.8) 27 (2.7)
No. (%) female 322 (50.5) 161 (56.3) 33 (47.1) 0.117 0.617 0.186 229 (47.6) 234 (57.4) 39 (50.0) 14 (50.0) 0.004b 0.715 0.696 0.036b
No. (%) with hypokalemia (<3.5 mmol/liter) 87 (13.6) 52 (18.2) 7 (10.0) 0.090 0.463 0.101 65 (13.5) 63 (15.4) 11 (14.1) 6 (22.2) 0.444 0.860 0.247 0.580
Body temp (°C) [median (IQR)] 37.1 (36.6–37.8) 37.5 (36.8–38.4) 37.6 (36.8–38.6) <0.0001b 0.006b <0.0001b 37.2 (36.6–38.0) 37.3 (36.7–38.0) 37.4 (36.8–37.9) 37.0 (36.5–37.3) >0.999 >0.999 0.543 0.437
Age (yr) [median (IQR)] 7 (5–14) 8 (5–12) 8 (5–10) >0.999 >0.999 0.873 8 (5–15) 7 (4–13) 8 (5–11) 9 (6–12) 0.675 >0.999 >0.999 0.489
Potassium (mmol/liter) [median (IQR)] 4.05 (3.70–4.47) 4.01 (3.70–4.40) 4.16 (3.80–4.49) 0.332 0.383 0.111 4.10 (3.70–4.50) 4.00 (3.70–4.40) 4.01 (3.60–4.38) 3.88 (3.60–4.30) 0.351 0.837 0.164 0.126
Baseline QTcSSB interval (ms) [median (IQR)] 425 (413–435) 422 (406–434) 415 (391–433) 0.015b 0.002b 0.0004b 416 (403–427) 428 (419–439) 436 (424–450) 435 (425–450) <0.0001b <0.0001b <0.0001b <0.0001b
Piperaquine Cmax (ng/ml) [median (IQR)] 694 (442–1,030) 814 (546–1,110) 830 (550–1,120) 0.0004b 0.083 0.0003b 651 (421–960) 783 (517–1,100) 962 (656–1,320) 905 (664–1,150) <0.0001b <0.0001b 0.045b <0.0001b
a

Reference groups.

b

Statistically significant.