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Table 1 Clinical characteristics, management and outcome of children 0–5 years of age admitted in Lira and Jinja Hospitals on selected days between June 2016 and May 2017

From: High rate of inappropriate blood transfusions in the management of children with severe anemia in Ugandan hospitals

 

Lira hospital

N = 819

Jinja hospital

N = 1456

Overall

N = 2275

Age, median (IQR)

1.3 (0.66, 2.6)

1.6 (0.75, 3.0)

1.5 (0.75, 3.0)

Sex, n (% male)

450 (54.9%)

815 (56.0%)

1265 (55.6%)

Presentation, n (%)

 Fever

784 (95.7%)

1271 (87.3%)

2055 (90.3%)

 Cough

515 (62.9%)

879 (60.4%)

1394 (61.3%)

 Vomiting

258 (31.5%)

510 (35.0%)

768 (33.8%)

 Convulsions

106 (12.9%)

168 (11.5%)

274 (12.0%)

Duration of illness days, mean (SD)

2.7 (1.5)

3.3 (2.6)

3.1 (2.2)

Temperature, mean (SD)

37.9 (0.9)

37.7 (1.3)

37.8 (1.2)

Laboratory tests done, n (%)

 Hba measurement

287 (64.6%)

474 (32.6%)

761 (33.5%)

 Malaria test (RDTbor microscopy)

600 (73.3%)

1129 (77.5%)

1729 (76.0%)

 Complete Blood Count

238 (29.1%)

357 (24.5%)

595 (26.2%)

 Othersc

11 (1.3%)

02 (0.2%)

13 (0.6%)

Treatments given, n (%)

 Blood transfusion

266 (32.5%)

294 (20.2%)

560 (24.6%)

 Antimalarials

590 (72.0%)

845 (58.0%)

1435 (63.1%)

 Antibiotics

797 (97.3%)

1148 (78.8%)

1945 (85.5%)

Severe anemiad

274 (33.5%)

300 (20.6%)

574 (25.3%)

Duration of hospitalization, median (IQR)

3.0 (2.0, 4.0)

3.00 (2.0, 5.0)

3.0 (2.0, 5.0)

Outcome

 Died

30 (3.7%)

60 (4.1%)

90 (4.0%)

  1. aHb Haemoglobin
  2. bRDT Rapid Diagnostic Test
  3. cThese included: Urinalysis, stool analysis, sickling test, HIV serology, Blood sugar
  4. dDiagnosis of severe anaemia made by the clinician on basis of patient having severe pallor