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Table 5 Socio-demographic and clinical factors associated with child mortality in a matched case control study at PML hospital in Accra, Ghana

From: Under-five mortality pattern and associated risk factors: a case-control study at the Princess Marie Louise Children’s Hospital in Accra, Ghana

Characteristic

Crude OR [95 % CI]

p-value

Adjusted OR [95 % CI]1

p-value

Referral source

 Hospital/clinic referral

3.38 [1.53–7.43]

0.003

1.43 [0.40–5.19]

0.584

 Self-referral

1.00

1.00

Previous hospital visit within the last year

 Yes

1.08 [0.62–1.89]

0.777

-

-

 No

1.00

Previous hospital admission within the last year

 Yes

2.67 [1.04–6.81]

0.040

3.08 [0.48–19.88]

0.238

 No

1.00

1.00

Previous episode of diarrhoea within the last year

 Yes

5.50 [1.90–15.96]

0.002

6.93 [1.50–32.08]

0.013

 No

1.00

1.00

Reported feeding problem

 Yes

0.61 [0.29–1.29]

0.198

0.88 [0.21–3.70]

0.862

 No

1.00

1.00

Duration of symptoms before presentation

 1–2 days

2.5 [1.35–4.65]

0.004

2.00 [0.56–7.11]

0.286

  > 2 days

1.00

1.00

Nutritional status (WAZ)

 Malnourished (z-score SD < -2)

4.33 [2.31–8.12]

<0.001

4.44 [1.31–15.06]

0.017

 Well nourished (z-score SD ≥ -2)

1.00

1.00

NHIS registration

 Not registered

1.38 [0.79–2.42]

0.260

-

-

 Registered

1.00

Haemoglobin level category

 Anaemic (<11.0 g/dL)

1.25 [0.59–2.67]

0.565

-

-

 Normal haemoglobin level (≥11.0 g/dL)

1.00

Temperature measurement at presentation

 Fever (≥37.5oC)

1.39 [0.76–2.55]

0.288

-

-

 Normal (<37.5oC)

1.00

WBC count at presentation

 High (>8.5 x 103/μ L)

1.78 [0.79–4.02]

0.267

  

 Normal (2.5 x 103-8.5 x 103/μ L)

1.00

Neutrophil count at presentation

 High (>75.0 %)

1.50 [0.42–5.32]

0.530

-

-

 Normal (≤75.0 %)

1.00

Platelet count at presentation

 High (>400 x 103/μ L)

1.22 [0.51–2.95]

0.655

-

-

 Normal (≤400 x 103/μ L)

1.00

Lymphocyte count at presentation

 High (>60.0 %)

1.00 [0.32–3.10]

1.000

  

 Normal (≤60.0 %)

1.00

  1. 1Variables with p < 0.2 in the univariate analysis were included in the multivariate analysis
  2. WAZ weight-for-age z- score, OR odds ratio, CI confidence interval