Table 4

Risk factors for PDM in all admissions/unspecified infectious admission studies

ArticleRisk factor categoryMortality risk factor on admissionEstimate typeEstimate (95% CI)Adjusted
Veirum et al 8 AgeAge at discharge>5 years (ref: age 1–12 months)RR 0.15 (0.07 to 0.30) Yes
Age at discharge 4 years (ref: age 1–12 months)RR 0.23 (0.10 to 0.59) Yes
Age at discharge 3 years (ref: age 1–12 months)RR 0.14 (0.06 to 0.35) Yes
Age at discharge 2 years (ref: age 1–12 months)RR 0.52 (0.33 to 0.81) Yes
Age at discharge 1 year (ref: age 1–12 months)RR0.82 (0.59 to 1.13)Yes
Neonatal (ref: age 1–12 months)RR0.69 (0.31 to 1.55)Yes
DiagnosisDiagnosis: other—includes chronic diseases which cannot be treated in Bissau (ref: malaria)RR 1.65 (1.08 to 2.55) Yes
Anaemia (ref: malaria)RR 1.97 (1.07 to 3.63) Yes
Diarrhoea (ref: malaria)RR 1.82 (1.21 to 2.74) Yes
Bronchopneumonia (ref: malaria)RR0.98 (0.65 to 1.51)Yes
Measles (ref: malaria)RR0.77 (0.36 to 1.64)Yes
Hospital stayLeaving against medical adviceRR 8.51 (5.32 to 13.59) Yes
Maternal influenceMother educated (ref: no maternal education)RR 0.74 (0.55 to 0.99) Yes
Moisi et al 9 AgeAge 1–5 monthsHR1.34 (0.93 to 1.92)Yes
Age 6–11 monthsHR0.82 (0.57 to 1.18)Yes
Age 2–5 yearsHR 0.57 (0.36 to 0.90) Yes
Sick young infantHR 2.67 (1.98 to 3.58) Yes
DiagnosisParasitaemiaHR 0.45 (0.29 to 0.71) Yes
BacteraemiaHR 1.77 (1.15 to 2.74) Yes
Mild pneumoniaHR2.30 (1.00 to 5.28)Yes
Severe pneumoniaHR 1.37 (1.05 to 1.79) Yes
Very severe pneumoniaHR 4.09 (2.25 to 7.46) Yes
Severe malnutritionHR 4.37 (2.73 to 7.01) Yes
MeningitisHR 2.29 (1.57 to 3.32) Yes
Growth parametersWAZ < −3HR 3.42 (2.50 to 4.68) Yes
WAZ < −4HR 6.53 (4.85 to 8.80) Yes
Hospital stayHospitalisation>13 daysHR 1.83 (1.33 to 2.52) Yes
One prior discharge (occurring within 1 year of index discharge)HR 2.83 (2.04 to 3.92) Yes
Two prior dischargesHR 7.06 (4.09 to 12.21) Yes
≥3 prior dischargesHR 23.55 (10.70 to 51.84) Yes
SymptomsHypoxiaHR 2.30 (1.64 to 3.23) Yes
JaundiceHR 1.77 (1.08 to 2.91) Yes
HepatomegalyHR 2.34 (1.60 to 3.24) Yes
Wiens et al 10 2015AgeAge (months)OR 0.97 (0.97 to 0.97) No
Comorbid conditionsHIV positiveOR 5.21 (2.55 to 10.65) No
Growth parametersMUAC (mm)OR 0.97 (0.96 to 0.98) No
Weight-for-age z-scoreOR 0.66 (0.57 to 0.76) No
Weight for length/height z-scoreOR 0.81 (0.72 to 0.91) No
Length/height-for-age z-scoreOR 0.79 (0.70 to 0.89) No
Hospital stayIllness>7 days prior to admissionOR 0.50 (0.30 to 0.83) No
Time since last hospitalisation (ordered as <7 days, 7–30 days, 30 days to 1 year, >1 year and never (analysed as continuous and coded as 1–5, respectively)OR 0.75 (0.62 to 0.90) No
Labs/AssessmentsHaemoglobin (g/dL)OR0.95 (0.87 to 1.03)No
Blantyre coma scale<5 (ref: 5)OR 2.40 (1.27 to 4.57) No
Positive blood smearOR 0.33 (0.16 to 0.68) No
Maternal influenceMaternal age (years)OR1.00 (0.97 to 1.04)No
Maternal HIV positive (ref: HIV negative)OR1.79 (0.87 to 3.67)No
Maternal HIV status unknown (ref: HIV negative)OR1.27 (0.64 to 2.52)No
Maternal education primary 3–7 (ref: maternal education<P3)OR1.18 (0.62 to 2.23)No
Maternal education some secondary (ref: maternal education<P3)OR0.72 (0.31 to 1.70)No
Maternal education postsecondary (ref: maternal education<P3)OR1.18 (0.41 to 3.36)No
SexMaleOR0.90 (0.54 to 1.51)No
Social determinants of healthBed net use—sometimes (ref: never)OR1.00 (0.48 to 2.09)No
Bed net use—always (ref: never)OR0.85 (0.46 to 1.58)No
Siblings deathOR1.54 (0.89 to 2.65)No
Number of children in the familyOR1.02 (0.92 to 1.13)No
Boil all drinking waterOR0.82 (0.47 to 1.42)No
Distance from hospital 30–60 min (ref: distance<30 min)OR0.71 (0.31 1.64)No
Distance from hospital>60 min (ref: distance<30 min)OR1.30 (0.70 to 2.41)No
Vital signsHR for age z-scoreOR 0.86 (0.74 to 0.99) No
HR (raw)OR1.00 (0.99 to 1.01)No
RR for age z-scoreOR0.99 (0.92 to 1.06)No
RR (raw)OR1.01 (1.00 to 1.03)No
SBP z-scoreOR0.94 (0.79 to 1.12)No
SBP (raw)OR0.98 (0.96 to 1.00)No
DBP (raw)OR0.99 (0.97 to 1.01)No
Temperature (transformed)OR1.02 (0.90 to 1.16)No
Temperature (raw)OR 0.76 (0.62 to 0.93) No
SpO2 (raw)OR 0.94 (0.92 to 0.96) No
SpO2 (transformed)OR 1.04 (1.02 to 1.05) No
  • Bolded values are statistically significant.

  • DBP, diastolic blood pressure; PDM, postdischarge mortality; RR, relative risk; SBP, systolic blood pressure; WAZ, weight for age z-score.