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Table 2 Clinical course and case management among fatal measles cases and non-fatal measles controls — Romania, 2016–2018

From: Risk factors for measles deaths among children during a Nationwide measles outbreak – Romania, 2016–2018

Variable

Cases (n = 50)n (%)

Controls (n = 250)n (%)

p valuea

Clinical course & case management

Days to hospitalization after rash onset

  0 day

18 (36.0)

80 (32.0)

REF

  1 day

7 (14.0)

66 (26.4)

0.116

   > 1 day

16 (32.0)

60 (24.0)

0.452

Type of hospital admitted

  District, Local and Clinical hospitals

9 (18.0)

80 (32.0)

REF

  Emergency hospital

8 (16.0)

25 (10.0)

0.015

  Specialty hospital

24 (48.0)

101 (40.4)

0.016

Treatment received (yes/no)

  Vitamin A (any)

5 (10.0)

10 (4.0)

0.076

  Antibiotics (any)

47 (94.0)

225 (90.0)

0.997

Respiratory complications (yes/no)

  Bronchitis

18 (36.0)

23 (9.2)

0.000

  Laryngitis

3 (6.0)

27 (10.8)

0.289

  Pneumonia

45 (90.0)

180 (72.0)

0.002

  Acute respiratory distress syndrome

27 (54.0)

16 (6.4)

0.000

  Influenza

1 (2.0)

0 (0.0)

0.997

Chest radiograph findings (yes/no)

  Bilateral consolidation

13 (26.0)

4 (1.6)

0.000

  Interstitial pattern

14 (28.0)

75 (30.0)

0.899

  None performed

18 (36.0)

124 (49.6)

0.093

Neurologic complications (yes/no)

  Encephalitis

3 (6.0)

3 (1.2)

0.051

  Meningitis

2 (4.0)

0 (0.0)

0.998

  Seizure

4 (8.0)

4 (1.6)

0.028

Other complications (yes/no)

  Diarrhea

4 (8.0)

61 (24.4)

0.009

  1. aExact conditional logistic regression tests that the distribution of the study participants was different between the case and control groups, excluding “Unknown” categories