‘A prospective case control study to evaluate shock index for identifying patients at risk of clinically important malaria in refugee settings’

TY - JOUR

T1 - ‘A prospective case control study to evaluate shock index for identifying patients at risk of clinically important malaria in refugee settings’

AU - Kuhrt, Katy

AU - Seed, Paul T.

AU - Shennan, Andrew H.

N1 - Funding Information: We thank Sharon Charles Nabwira (local project coordinator), Emma Cordell, Michael Shennan and Léa Adamson who assisted with organisation and delivery of training and data collection. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Medical Research Council, (grant number MR/N006240/1). Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Medical Research Council, (grant number MR/N006240/1). Publisher Copyright: © The Author(s) 2023.

PY - 2023/1/18

Y1 - 2023/1/18

N2 - Bidibidi Refugee Settlement's 223,000 refugees are vulnerable to malaria due to crowded conditions and limited healthcare access. Early identification and referral of suspected cases is key to reduce morbidity and mortality. We evaluated the shock index (heart rate/ systolic blood pressure) for detection of abnormal vital signs, calculated by the CRADLE Vital Signs Alert device, which can be used in routine patient blood pressure and heart rate assessment by non-medically trained Voluntary Health Team workers. The single most frequent diagnosis causing shock was malaria, and thus the device was useful to detect severe cases (as well as discovering other cases), after calculating appropriate shock indices.

AB - Bidibidi Refugee Settlement's 223,000 refugees are vulnerable to malaria due to crowded conditions and limited healthcare access. Early identification and referral of suspected cases is key to reduce morbidity and mortality. We evaluated the shock index (heart rate/ systolic blood pressure) for detection of abnormal vital signs, calculated by the CRADLE Vital Signs Alert device, which can be used in routine patient blood pressure and heart rate assessment by non-medically trained Voluntary Health Team workers. The single most frequent diagnosis causing shock was malaria, and thus the device was useful to detect severe cases (as well as discovering other cases), after calculating appropriate shock indices.

KW - community health formatted: English (United Kingdom)

KW - Malaria

UR - http://www.scopus.com/inward/record.url?scp=85147416413&partnerID=8YFLogxK

U2 - 10.1177/00494755221134975

DO - 10.1177/00494755221134975

M3 - Article

C2 - 36654493

AN - SCOPUS:85147416413

SN - 0049-4755

VL - 53

SP - 233

EP - 236

JO - Tropical Doctor

JF - Tropical Doctor

IS - 2

ER -