RESUMO
We analysed 110 adult patients with cerebral malaria, 38 of whom had serum creatinine above 3 mg%, to study the effect of acute renal failure (ARF) on survival. Patients with cerebral malaria had an increased risk of death (39.5% versus 13.9%) when also suffering from ARF. For each one log unit increase of creatinine at admission, odds of death increased by a factor of 10.8 (95% confidence interval 3.0-39.4).
Assuntos
Injúria Renal Aguda/complicações , Malária Cerebral/mortalidade , Injúria Renal Aguda/sangue , Adulto , Animais , Creatinina/sangue , Feminino , Hospitais de Distrito , Humanos , Índia/epidemiologia , Malária Cerebral/complicações , Masculino , Mortalidade , Plasmodium falciparum , Fatores de Risco , Análise de SobrevidaRESUMO
Of 1857 Plasmodium falciparum malaria patients hospitalized from 1995 to 1998, 608 had severe malaria and 83 died. Acute renal failure, jaundice and respiratory distress were common in adults whereas children frequently had severe anaemia. Cerebral malaria occurred equally in adults and children but recovery from coma was quicker in children. Multiple complications caused high mortality in adults.
