Evidence map›Paper›PMID 39595203›Full record

ArticleBiomedicines2024

Severe Malaria in Angola: The Clinical Profile and Disease Outcome Among Adults from a Low-Endemic Area.

Inês Morais, Soraia Rodrigues, Aida Mas, Serguei Escalon, Adalzira Borrego, Fatima Nogueira, Maria Lina Antunes

Abstract read
In one paragraph

Article in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Inês MoraisGlobal Health and Tropical Medicine (GHTM), Associate Laboratory in Translation and Innovation Towards Global Health (LA-REAL), Instituto de Higiene e Medicina Tropical (IHMT), Universidade NOVA de Lisboa (UNL), Rua da Junqueira 100, 1349-008 Lisboa, Portugal.ORCID 0000-0003-3906-694X
Soraia RodriguesInstituto de Higiene e Medicina Tropical, Universidade NOVA de Lisboa, Rua da Junqueira 100, 1349-008 Lisboa, Portugal.
Aida MasFaculdade de Medicina da Universidade Agostinho Neto (FMUAN), Rua Principal da Camama, Distrito Urbano da Cidade Universitária, Talatona CP 815, Luanda, Angola.
Serguei EscalonFaculdade de Medicina da Universidade Agostinho Neto (FMUAN), Rua Principal da Camama, Distrito Urbano da Cidade Universitária, Talatona CP 815, Luanda, Angola.
Adalzira BorregoFaculdade de Medicina da Universidade Agostinho Neto (FMUAN), Rua Principal da Camama, Distrito Urbano da Cidade Universitária, Talatona CP 815, Luanda, Angola.
Fatima NogueiraGlobal Health and Tropical Medicine (GHTM), Associate Laboratory in Translation and Innovation Towards Global Health (LA-REAL), Instituto de Higiene e Medicina Tropical (IHMT), Universidade NOVA de Lisboa (UNL), Rua da Junqueira 100, 1349-008 Lisboa, Portugal.ORCID 0000-0003-0313-0778
Maria Lina AntunesFaculdade de Medicina da Universidade Agostinho Neto (FMUAN), Rua Principal da Camama, Distrito Urbano da Cidade Universitária, Talatona CP 815, Luanda, Angola.ORCID 0000-0002-3231-3162

Funding

Fundação para a Ciência e a Tecnologia GHTMUID/04413/2020Fundação para a Ciência e a Tecnologia LA-REAL - LA/P/0117/2020
6 · The paper itself

Abstract

BACKGROUND/

objectivesSevere malaria poses a significant public health concern in Angola, particularly among adults. This study assessed the clinical manifestations and outcomes of severe

methodsThe study retrospectively reviewed medical records of patients over 14 years old admitted with severe malaria during the first quarter of 2021 and 2022, coinciding with the peak transmission season. The World Health Organization (WHO) criteria were used to clarify the disease severity. The cohort included 640 patients-167 in 2021 and 473 in 2022-distributed across the following departments: the Intensive Care Unit (ICU;

resultsThe median age was 26 years and 59.4% were males. Renal impairment was the most frequent severe manifestation, affecting 37.4% of cases. The mortality rate across the study period was 7%, showing a notable decrease from 10.2% in 2021 to 5.9% in 2022. The higher mortality rate in 2021 may reflect the impact of the COVID-19 pandemic, which limited hospital access and delayed care, resulting in more critical cases being admitted at a later stage. In 2022, with reduced COVID-19 pressures, earlier access to treatment may have improved outcomes, contributing to the lower mortality rate.

conclusionsThis study emphasizes the need to assess the clinical burden of severe malaria in low-endemic regions, where shifting patterns may signal emerging threats such as antimalarial drug resistance. Further research is essential to optimize control strategies and strengthen surveillance systems, reducing morbidity and mortality.

Indexed as

Angolaimpaired consciousnessPlasmodium falciparumrenal impairmentsevere malaria

Identifiers

PMID39595203
PMCPMC11592004

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.