Table 2.

Clinical characteristics of case patients at time of admission to HDU by α+ thalassemia genotype



No. (%)*
Characteristic
All genotypes
αα/αα
-α/αα
-α/-α
Prostration  275 (42)   106 (40.2)   135 (43.8)   34 (41.0)  
Coma  285 (44)   119 (45.1)   133 (43.2)   33 (39.8)  
Deep breathing  239 (37)   95 (36.0)   111 (36.0)   33 (39.8)  
Coma and deep breathing   94 (14)   38 (14.4)   47 (15.3)   9 (10.8)  
Symptomatic SMA  153 (23)   68 (25.8)   69 (22.4)   15 (18.1)  
Metabolic acidosis§  422/598 (71)   175/241 (72.6)   190/283 (67.1)   57/54 (77.0)  
Hypoglycemia  100/645 (16)   40/258 (15.5)   43/305 (14.1)   17/82 (20.7)  
Fatal outcome
 
72 (11)
 
33 (12.5)
 
32 (10.4)
 
7 (8.4)
 


No. (%)*
Characteristic
All genotypes
αα/αα
-α/αα
-α/-α
Prostration  275 (42)   106 (40.2)   135 (43.8)   34 (41.0)  
Coma  285 (44)   119 (45.1)   133 (43.2)   33 (39.8)  
Deep breathing  239 (37)   95 (36.0)   111 (36.0)   33 (39.8)  
Coma and deep breathing   94 (14)   38 (14.4)   47 (15.3)   9 (10.8)  
Symptomatic SMA  153 (23)   68 (25.8)   69 (22.4)   15 (18.1)  
Metabolic acidosis§  422/598 (71)   175/241 (72.6)   190/283 (67.1)   57/54 (77.0)  
Hypoglycemia  100/645 (16)   40/258 (15.5)   43/305 (14.1)   17/82 (20.7)  
Fatal outcome
 
72 (11)
 
33 (12.5)
 
32 (10.4)
 
7 (8.4)
 
*

Number and percentage of genotypic group manifesting clinical characteristic. N = 655 case patients in all categories except metabolic acidosis and hypoglycemia, for which denominators are shown

Defined as previously described

Hemoglobin less than 5 g/dL, falciparum malaria, acidosis, and deep breathing

§

Base deficit greater than 8 mM

Blood glucose less than 2.5 mM

Deaths in hospital after admission

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