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Analysis of Haematological Parameters as Predictors of Malaria Infection Using a Logistic Regression Model: A Case Study of a Hospital in the Ashanti Region of Ghana

Malaria is the leading cause of morbidity in Ghana representing 40-60% of outpatient hospital attendance with about 10% ending up on admission. Microscopic examination of peripheral blood film remains the most preferred and reliable method for malaria diagnosis worldwide. But the level of skills req...

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Autores principales: Paintsil, Ellis Kobina, Omari-Sasu, Akoto Yaw, Addo, Matthew Glover, Boateng, Maxwell Akwasi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556344/
https://www.ncbi.nlm.nih.gov/pubmed/31263541
http://dx.doi.org/10.1155/2019/1486370
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author Paintsil, Ellis Kobina
Omari-Sasu, Akoto Yaw
Addo, Matthew Glover
Boateng, Maxwell Akwasi
author_facet Paintsil, Ellis Kobina
Omari-Sasu, Akoto Yaw
Addo, Matthew Glover
Boateng, Maxwell Akwasi
author_sort Paintsil, Ellis Kobina
collection PubMed
description Malaria is the leading cause of morbidity in Ghana representing 40-60% of outpatient hospital attendance with about 10% ending up on admission. Microscopic examination of peripheral blood film remains the most preferred and reliable method for malaria diagnosis worldwide. But the level of skills required for microscopic examination of peripheral blood film is often lacking in Ghana. This study looked at determining the extent to which haematological parameters and demographic characteristics of patients could be used to predict malaria infection using logistic regression. The overall prevalence of malaria in the study area was determined to be 25.96%; nonetheless, 45.30% of children between the ages of 5 and 14 tested positive. The binary logistic model developed for this study identified age, haemoglobin, platelet, and lymphocyte as the most significant predictors. The sensitivity and specificity of the model were 77.4% and 75.7%, respectively, with a PPV and NPV of 52.72% and 90.51%, respectively. Similar to RDT this logistic model when used will reduce the waiting time and improve the diagnosis of malaria.
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spelling pubmed-65563442019-07-01 Analysis of Haematological Parameters as Predictors of Malaria Infection Using a Logistic Regression Model: A Case Study of a Hospital in the Ashanti Region of Ghana Paintsil, Ellis Kobina Omari-Sasu, Akoto Yaw Addo, Matthew Glover Boateng, Maxwell Akwasi Malar Res Treat Research Article Malaria is the leading cause of morbidity in Ghana representing 40-60% of outpatient hospital attendance with about 10% ending up on admission. Microscopic examination of peripheral blood film remains the most preferred and reliable method for malaria diagnosis worldwide. But the level of skills required for microscopic examination of peripheral blood film is often lacking in Ghana. This study looked at determining the extent to which haematological parameters and demographic characteristics of patients could be used to predict malaria infection using logistic regression. The overall prevalence of malaria in the study area was determined to be 25.96%; nonetheless, 45.30% of children between the ages of 5 and 14 tested positive. The binary logistic model developed for this study identified age, haemoglobin, platelet, and lymphocyte as the most significant predictors. The sensitivity and specificity of the model were 77.4% and 75.7%, respectively, with a PPV and NPV of 52.72% and 90.51%, respectively. Similar to RDT this logistic model when used will reduce the waiting time and improve the diagnosis of malaria. Hindawi 2019-05-21 /pmc/articles/PMC6556344/ /pubmed/31263541 http://dx.doi.org/10.1155/2019/1486370 Text en Copyright © 2019 Ellis Kobina Paintsil et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Paintsil, Ellis Kobina
Omari-Sasu, Akoto Yaw
Addo, Matthew Glover
Boateng, Maxwell Akwasi
Analysis of Haematological Parameters as Predictors of Malaria Infection Using a Logistic Regression Model: A Case Study of a Hospital in the Ashanti Region of Ghana
title Analysis of Haematological Parameters as Predictors of Malaria Infection Using a Logistic Regression Model: A Case Study of a Hospital in the Ashanti Region of Ghana
title_full Analysis of Haematological Parameters as Predictors of Malaria Infection Using a Logistic Regression Model: A Case Study of a Hospital in the Ashanti Region of Ghana
title_fullStr Analysis of Haematological Parameters as Predictors of Malaria Infection Using a Logistic Regression Model: A Case Study of a Hospital in the Ashanti Region of Ghana
title_full_unstemmed Analysis of Haematological Parameters as Predictors of Malaria Infection Using a Logistic Regression Model: A Case Study of a Hospital in the Ashanti Region of Ghana
title_short Analysis of Haematological Parameters as Predictors of Malaria Infection Using a Logistic Regression Model: A Case Study of a Hospital in the Ashanti Region of Ghana
title_sort analysis of haematological parameters as predictors of malaria infection using a logistic regression model: a case study of a hospital in the ashanti region of ghana
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556344/
https://www.ncbi.nlm.nih.gov/pubmed/31263541
http://dx.doi.org/10.1155/2019/1486370
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