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Table 4 Prevalence of anaemia, number of blood transfusions and mortality, by site

From: Anaemia and blood transfusion in African children presenting to hospital with severe febrile illness

 

Kenya

Uganda

Tanzania

TOTAL

N (%)

Kilifi

Mulago

Soroti

Lacor

Mbale

Teule

 

Children with admission Hb

215

745

629

232

1,164

97

3,082

ADMISSION FINDINGS

       

Severe pallor

77 (36%)

310 (42%)

364 (58%)

122 (53%)

648 (56%)

54 (56%)

1,575 (51%)

Jaundice

1 (<1%)

55 (7%)

169 (27%)

27 (12%)

721 (62%)

1 (1%)

974 (32%)

Haemoglobinuria

1 (<1%)

46 (6%)

136 (22%)

26 (11%)

174 (15%)

2 (2%)

385 (13%)

Malaria parasitaemia

87 (40%)

369 (50%)

338 (54%)

160 (69%)

742 (64%)

53 (55%)

1,749 (57%)

BLOOD TRANSFUSION

       

All children

       

Received any transfusion (%)

45 (21%)

251 (34%)

332 (53%)

97 (42%)

616 (53%)

46 (47%)

1,387 (45%)

Received one or more re-transfusions (% of those transfused)

1 (2%)

82 (33%)

68 (20%)

14 (14%)

150 (24%)

2 (4%)

317 (23%)

Severe anaemia (Hb <5 g/dL)

       

At admission

28 (13%)

172 (23%)

269 (43%)

59 (25%)

452 (39%)

22 (23%)

1,002 (33%)

At 8 hours*

15/193 (8%)

93/704 (13%)

90/534 (17%)

40/204 (20%)

174/1,078 (16%)

16/83 (19%)

428/2,796 (15%)

At 24 hours*

13/191 (7%)

46/687 (7%)

59/568 (10%)

31/197 (16%)

89/1,032 (9%)

4/79 (5%)

242/2,754 (9%)

Received any transfusion (%)

26 (93%)

156 (91%)

250 (93%)

56 (95%)

425 (94%)

20 (91%)

933 (94%)

Received one or more re-transfusions (% of those transfused)

1 (4%)

65 (42%)

61 (24%)

14 (25%)

133 (31%)

1 (5%)

275 (29%)

Moderate anaemia (Hb 5 to <7 g/dL)

       

At admission

32 (15%)

110 (15%)

81 (13%)

51 (22%)

204 (18%)

23 (24%)

501 (16%)

At 8 hours*

39/193 (20%)

191/704 (27%)

185/534 (35%)

68/204 (33%)

326/1,078 (30%)

27/83 (33%)

836/2,796 (30%)

At 24 hours*

39/191 (20%)

163/687 (24%)

182/568 (32%)

71/197 (36%)

329/1,032 (32%)

20/79 (25%)

804/2,754 (29%)

Received any transfusion (%)

16 (50%)

76 (69%)

58 (72%)

30 (59%)

150 (74%)

21 (91%)

351 (70%)

Received one or more re-transfusions (% of those transfused)

0 (0%)

17 (22%)

7 (12%)

0 (0%)

16 (11%)

1 (5%)

41 (12%)

Mild anaemia (Hb 7 to <10 g/dL)

       

At admission

88 (41%)

198 (27%)

148 (24%)

83 (36%)

301 (26%)

25 (26%)

843 (27%)

At 8 hours*

106/193 (55%)

267/704 (27%)

210/534 (39%)

75/204 (37%)

429/1,078 (39%)

32/83 (39%)

1,119/2,796 (40%)

At 24 hours*

105/191 (55%)

309/687 (45%)

239/568 (42%)

76/197 (39%)

474/1,032 (46%)

41/79 (52%)

1,244/2,754 (45%)

Received any transfusion (%)

3 (3%)

19 (10%)

22 (15%)

11 (13%)

40 (13%)

4 (16%)

99 (12%)

Received one or more transfusions (% of those transfused)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

1 (3%)

0 (0%)

1 (1%)

MORTALITY

       

Died by 48 hours

21 (10%)

62 (8%)

58 (9%)

36 (16%)

108 (9%)

20 (21%)

305 (10%)

Died by 28 days

26 (12%)

76 (10%)

70 (11%)

41 (18%)

118 (10%)

22 (23%)

353 (12%)

  1. *Denominators vary due to deaths or missing Hb values.