Elizeus Kahigwa|David Schellenberg|Sergi Sanz|John J. Aponte|John Wigayi|Hassan Mshinda|Pedro L. Alonso|Clara Menéndez
Risk factors for presentation to hospital with severe anaemia in Tanzanian children: a case–control study
Ifakara Health Institute|St. Francis Referral Hospital|Ifakara Health Institute|Consorci Institut D'Investigacions Biomediques August Pi I Sunyer|Consorci Institut D'Investigacions Biomediques August Pi I Sunyer|Consorci Institut D'Investigacions Biomediques August Pi I Sunyer|Ifakara Health Institute|Ifakara Health Institute|Consorci Institut D'Investigacions Biomediques August Pi I Sunyer|Consorci Institut D'Investigacions Biomediques August Pi I Sunyer
summary malaria endemic areas anaemia usually silent condition nevertheless places considerable burden health services cases severe anaemia often require hospitalization blood transfusions objective study assess risk factors admission anaemia facilitate design anaemia control programmes conducted prospective casecontrol study children aged 259 months admitted district hospital southern tanzania 216 cases severe anaemia packed cell volume pcv lt 25 234 agematched controls pcv 25 cases 556 n 120 lt 1 year age anaemia significantly associated educational level parents type accommodation healthseeking behaviour childs nutritional status recent current medical history single important factor plasmodium falciparum parasitaemia 43 95 confidence interval ci 2965 p lt 0001 multivariate analysis showed increased recent health expenditure 22 95 ci 1339 p 0005 malnutrition 24 95ci 1343 p lt 0001 living gt 10 km hospital 30 95 ci 1949 p lt 0001 history previous blood transfusion 38 95 ci 1791 p lt 0001 p falciparum parasitaemia 95 95 ci 43213 p lt 0001 independently related risk admitted anaemia findings considered terms pathophysiological pathway leading anaemia concentration anaemia infants problems access health services adequate case management underline need targeted preventive strategies anaemia control