Table 3 Factors associated with MR, and neurocognitive deficits at discharge and at D21–D28.

From: Determinants of retinopathy and short-term neurological outcomes after cerebral malaria

Variables

With MR

n = 32

p-value

NeuroCognitive deficits screener positive at discharge

n = 24

p-value

NeuroCognitive deficits screener positive at D21–D28

n = 7

p-value

Age (n = 58)

 

0.376

 

0.921

 

0.390

 4 years old or less

19/36 (52.8%)

 

16/33 (48.5%)

 

6/27 (22.2%)

 

 More than 4 years old

11/22 (65.0%)

 

8/16 (50.0%)

 

1/17 (6.7%)

 

Gender (n = 56)

 

0.385

 

0.913

 

0.099

 Female

21/34 (61.8%)

 

15/31 (48.4%)

 

2/25 (0.1%)

 

 Male

11/22 (50%)

 

9/18 (50.0%)

 

5/17 (29.4%)

 

Admitting hospital (n = 56)

 

0.054

 

0.316

 

0.679

 Calavi

13/29 (44.8%)

 

10/24 (41.7%)

 

2/18 (11.1%)

 

 CHUMEL

19/27 (70.3%)

 

14/25 (56.0%)

 

5/24 (20.8%)

 

Medical consultation

(n = 56)

 

0.446

 

1.000

 

0.067

 Yes

29/49 (59.2%)

 

22/45 (48.9%)

 

5/39 (12.8%)

 

 No

3/7 (42.9%)

 

2/4 (50.0%)

 

2/3 (66.7%)

 

Traditional consultation

(n = 55)

 

0.003*

 

0.905

 

0.225

 Yes

18/22 (81.8%)

 

10/20 (50.0%)

 

4/15 (26.7%)

 

 No

14/33 (42.4%)

 

14/29 (48.3%)

 

3/27 (11.1%)

 

Pre-admission treatment

      

 Antibiotic

(n = 56)

 

0.670

 

0.083

 

0.075

 Yes

21/38 (55.3%)

 

19/33 (57.6%)

 

7/28 (25.0%)

 

 No

11/18 (61.1%)

 

5/16 (31.2%)

 

0/14 (0.0%)

 

Anti-epileptic

(n = 55)

 

0.013*

 

0.562

 

0.093

 Yes

10/25 (40.0%)

 

12/22 (54.6%)

 

6/21 (28.6%)

 

 No

22/30 (73.3%)

 

12/26 (46.2%)

 

1/21 (4.8%)

 

Onset of illness with coma

(n = 56)

 

0.641

 

1.000

 

1.000

 Yes

30/51 (58.8%)

 

22/45 (48.9%)

 

7/39 (17.9%)

 

 No

2/5 (40%)

 

2/4 (50.0%)

 

0/3 (0.0%)

 

Clinical and biological examinations

      

Blantyre’s score

(n = 56)

 

0.573

 

0.496

 

1.000

 2

26/44 (59.1%)

 

18/39 (46.2%)

 

6/33 (11.1%)

 

 0 or 1

6/12 (50%)

 

6/10 (60.0%)

 

1/9 (11.1%)

 

Multiple convulsions

(n = 55)

 

0.210

 

0.083

 

0.410

 Yes

18/27 (66.8%)

 

9/24 (62.5%)

 

5/21 (23.8%)

 

 No

14/28 (50%)

 

9/24 (37.5%)

 

2/20 (10.0%)

 

Respiratory distress (n = 56)

 

0.361

 

0.725

 

0.312

 Yes

6/13 (46.1%)

 

5/9 (55.6%)

 

0/8 (0.0%)

 

 No

26/43 (60.5%)

 

19/40 (47.5%)

 

7/34 (20.6%)

 

Jaundice§ (n = 55)

 

0.262

 

0.017*

 

0.089

 Yes

15/23 (65.2%)

 

13/18 (72.2%)

 

5/16 (31.2%)

 

 No

16/32 (50.0%)

 

11/31 (36.7%)

 

2/25 (8.0%)

 

Hypoglycaemia§ (n = 56)

 

0.338

 

0.675

 

0.113

 Yes

7/15 (46.7%)

 

6/11 (54.6%)

 

3/8 (37.5%)

 

 No

25/41 (61.0%)

 

18/38 (47.4%)

 

4/34 (11.8%)

 

Acidosis§ (n = 55)

 

0.660

 

1.000

 

1.000

 Yes

13/21 (61.9%)

 

8/16 (50.0%)

 

2/14 (37.5%)

 

 No

19/34 (55.9%)

 

16/32 (50.0%)

 

5/27 (11.8%)

 

Severe anaemia§

(n = 56)

 

0.014*

 

0.905

 

1.000

 Yes

17/22 (77.3%)

 

10/20 (50.0%)

 

3/18 (16.7%)

 

 No

15/34 (44.1%)

 

14/29 (48.3%)

 

4/24 (16.7%)

 

MR (n = 32)

   

0.005*

 

0.222

 Yes

  

19/29 (25.0%)

 

6/26 (23.1%)

 

 No

  

5/20 (65.5%)

 

1/16 (6.3%)

 
  1. The table shows the percentages of children with retinopathy, neurocoginitive deficit at discharge and at D21-D28 for each variable subgroup (age over or under 4 years, gender M or F, etc.), and the significance of the comparison between the percentages obtained for each variable sub-group (p-value).
  2. p-value < 0.20 are in bold. *p-value < 0.05.
  3. § Jaundice or elevated bilirubin > 50 µmol/L; Hypoglycaemia (glucose < 2.2 mmol/L); Acidosis (plasma bicarbonate < 15 mmol/L); Severe anaemia (haemoglobin < 50 g/L, haematocrit < 15%).