Clinical Study

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

Table 3

Univariate and multivariate logistic regression analysis of risk factors for in-hospital mortality among severe falciparum malaria patients with acute kidney injury.

ParametersUnivariate analysisMultivariate analysis*
OR (95% CI)P valueOR (95% CI)P value

Glasgow coma scale ≤108.477 (3.852–18.654)<0.001
Number of WHO criteria ≥422.500 (7.625–66.396)<0.001
Inotropic drug
 No1.0001.000
 Dopamine17.185 (5.945–49.679)<0.0017.172 (1.827–28.145)0.005
 Adrenaline130.500 (34.422–494.744)<0.00114.502 (2.874–73.166)0.001
Mechanical ventilator37.266 (12.450–111.546)<0.00110.806 (2.569–45.459)0.001
WBC# >12.0 × 109/L5.286 (2.602–10.736)<0.0013.982 (1.146–13.836)0.030
Potassium >5.5 mmol/L10.427 (2.731–39.808)0.001
Bicarbonate <15 mmol/L6.195 (2.509–15.295)<0.001
Blood sugar <60 mg/dL12.000 (1.379–104.410)0.024
AST >500 U/L7.429 (2.646–20.858)<0.001
ALT >500 U/L13.875 (1.497–128.561)0.021
Albumin ≤2.5 mg/dL2.597 (1.205–5.597)0.015

Unaffected factors including the Glasgow coma scale, total WHO criteria, potassium, bicarbonate, blood sugar, ALT, and albumin.OR: odds ratio. CI: confidence intervals. #WBC: white blood cell count. AST: aspartate aminotransferase. ALT: alanine aminotransferase.