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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
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