Clinical Study

Acute Renal Failure in Patients with Severe Falciparum Malaria: Using the WHO 2006 and RIFLE Criteria

Table 2

Severe falciparum malaria patients with acute renal failure using the WHO 2006 and RIFLE* criteria in relation to RRT requirement and in-hospital mortality.

CriteriaRRT (n = 257) no. (%)Death (n = 249) no. (%)
NoYesP valueNoYesP value

WHO 2006
 No ARF141 (99.3)1 (0.7)117 (86.0)19 (14.0)
 ARF63 (54.8)52 (45.2)<0.00177 (68.1)36 (31.9)0.001
RIFLE*
 No AKI#67 (100.0)0 (0.0)56 (90.3)6 (9.7)
 Any RIFLE*137 (72.1)53 (27.9)<0.001138 (73.8)49 (26.2)0.002
  Risk40 (100.0)0 (0.0)35 (89.7)4 (10.3)
  Injury38 (88.4)5 (11.6)30 (69.8)13 (30.2)
  Failure59 (55.1)48 (44.9)73 (69.5)32 (30.5)

RIFLE: risk, injury, failure, loss, and end-stage renal failure. RRT: renal replacement therapy. ARF: acute renal failure. #AKI: acute kidney injury.