Dataset Information

Impact of Oxidative Stress on Risk of Death and Readmission in African Children With Severe Malaria: A Prospective Observational Study.

ABSTRACT:

Background

We hypothesized that oxidative stress in Ugandan children with severe malaria is associated with mortality.

Methods

We evaluated biomarkers of oxidative stress in children with cerebral malaria (CM, n = 77) or severe malarial anemia (SMA, n = 79), who were enrolled in a randomized clinical trial of immediate vs delayed iron therapy, compared with community children (CC, n = 83). Associations between admission biomarkers and risk of death during hospitalization or risk of readmission within 6 months were analyzed.

Results

Nine children with CM and none with SMA died during hospitalization. Children with CM or SMA had higher levels of heme oxygenase-1 (HO-1) (P < .001) and lower superoxide dismutase (SOD) activity than CC (P < .02). Children with CM had a higher risk of death with increasing HO-1 concentration (odds ratio [OR], 6.07 [95% confidence interval {CI}, 1.17-31.31]; P = .03) but a lower risk of death with increasing SOD activity (OR, 0.02 [95% CI, .001-.70]; P = .03). There were no associations between oxidative stress biomarkers on admission and risk of readmission within 6 months of enrollment.

Conclusions

Children with CM or SMA develop oxidative stress in response to severe malaria. Oxidative stress is associated with higher mortality in children with CM but not with SMA.

Clinical trials registration

NCT01093989.

SUBMITTER: Blatt DB

PROVIDER: S-EPMC9890907 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Publications

Impact of Oxidative Stress on Risk of Death and Readmission in African Children With Severe Malaria: A Prospective Observational Study.

Blatt Daniel B DB Hanisch Benjamin B Co Katrina K Datta Dibyadyuti D Bond Caitlin C Opoka Robert O RO Cusick Sarah E SE Michelow Ian C IC John Chandy C CC

The Journal of infectious diseases 20220901 4

<h4>Background</h4>We hypothesized that oxidative stress in Ugandan children with severe malaria is associated with mortality.<h4>Methods</h4>We evaluated biomarkers of oxidative stress in children with cerebral malaria (CM, n = 77) or severe malarial anemia (SMA, n = 79), who were enrolled in a randomized clinical trial of immediate vs delayed iron therapy, compared with community children (CC, n = 83). Associations between admission biomarkers and risk of death during hospitalization or risk o ...[more]

PMID: 35678643

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Dataset Information

Impact of Oxidative Stress on Risk of Death and Readmission in African Children With Severe Malaria: A Prospective Observational Study.

Background

Methods

Results

Conclusions

Clinical trials registration

Publications

Impact of Oxidative Stress on Risk of Death and Readmission in African Children With Severe Malaria: A Prospective Observational Study.

Similar Datasets

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