{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:51:05Z","timestamp":1788349865639,"version":"build-2803163510"},"reference-count":41,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T00:00:00Z","timestamp":1640217600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Our study aimed at determining clinical factors associated with prolonged hospitalisation and death among children admitted with blackwater fever (BWF). We analysed 920 eligible records for the period January \u2013 December 2018 from Mbale and Soroti Regional Referral Hospitals in Eastern Uganda. The median hospitalisation was 3 (IQR: 2\u20135 days) days. Prolonged hospitalisation was in 251\/920 (27.3%). Clinical features independently associated with prolonged hospitalisation included abdominal tenderness, body pain and mild fever. 29\/920 (3.2%) died, of these 20 (69.0%) within 48\u2005h of admission. Features of severity associated with mortality were noisy or interrupted breathing, tachypnoea, chest pain, convulsions, delayed capillary refill time (\u22653\u2005s), severe pallor, high fever (&gt;38.5\u00b0C), altered level of consciousness, prostration and acidotic breathing.<\/jats:p>","DOI":"10.1177\/00494755211046782","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T06:48:47Z","timestamp":1640242127000},"page":"61-67","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Predictors of prolonged hospitalisation and mortality among children admitted with blackwater fever in eastern Uganda"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6360-0589","authenticated-orcid":false,"given":"George","family":"Paasi","sequence":"first","affiliation":[{"name":"Mbale Clinical Research Institute (MCRI), Mbale, Uganda"},{"name":"Busitema University, Tororo, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyne","family":"Ndila","sequence":"additional","affiliation":[{"name":"Mbale Clinical Research Institute (MCRI), Mbale, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Okello","sequence":"additional","affiliation":[{"name":"Busitema University, Tororo, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5757-609X","authenticated-orcid":false,"given":"Peter","family":"Olupot-Olupot","sequence":"additional","affiliation":[{"name":"Mbale Clinical Research Institute (MCRI), Mbale, Uganda"},{"name":"Busitema University, Tororo, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,12,23]]},"reference":[{"key":"bibr1-00494755211046782","doi-asserted-by":"publisher","DOI":"10.3201\/eid1107.041237"},{"key":"bibr2-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2005.11.015"},{"key":"bibr3-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1086\/319743"},{"key":"bibr4-00494755211046782","unstructured":"Delacollette C, Taelman H, Wery M. An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains. Zaire 1995.\n                      Ann Soc Belg Med Trop\n                      1995; 75: 51\u201363."},{"key":"bibr5-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(60)91956-5"},{"key":"bibr6-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.1998.00287.x"},{"key":"bibr7-00494755211046782","volume-title":"The burden and spectrum of paediatric severe malaria and aetiology of dark urine syndrome in eastern Uganda","author":"Olupot-Olupot P","year":"2015"},{"key":"bibr8-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2875-12-205"},{"key":"bibr9-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(03)90116-7"},{"key":"bibr10-00494755211046782","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1046\/j.1365-3156.1999.0357a.x","volume":"4","author":"Bisoffi Z","year":"1999","journal-title":"Trop Med Int Health"},{"key":"bibr11-00494755211046782","first-page":"181","volume":"55","author":"Bruce-Chwatt LJ","year":"1987","journal-title":"Acta Leiden"},{"key":"bibr12-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)91047-8"},{"key":"bibr13-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix003"},{"key":"bibr14-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2875-11-336"},{"key":"bibr15-00494755211046782","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.medmal.2005.10.006","volume":"36","author":"Gbadoe A","year":"2005","journal-title":"Med Mal Infect"},{"key":"bibr16-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmv029"},{"key":"bibr17-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/23.6.1274"},{"key":"bibr18-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.1950.11685454"},{"key":"bibr19-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1101549"},{"key":"bibr20-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61924-1"},{"key":"bibr21-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1086\/597258"},{"key":"bibr22-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2875-13-370"},{"key":"bibr23-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4129-7"},{"key":"bibr24-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1186\/s12936-020-03390-7"},{"key":"bibr25-00494755211046782","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.14801.1"},{"key":"bibr26-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2875-13-111"},{"key":"bibr27-00494755211046782","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2006.75.219"},{"key":"bibr28-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa031688"},{"key":"bibr29-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-014-0246-7"},{"key":"bibr30-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60260-8"},{"key":"bibr31-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61734-1"},{"key":"bibr32-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-016-1301-y"},{"key":"bibr33-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2016.02.026"},{"key":"bibr34-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-015-0407-3"},{"key":"bibr35-00494755211046782","author":"Opoka RO","journal-title":"Clin Infect Dis"},{"key":"bibr36-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2875-7-97"},{"key":"bibr37-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-010-0055-8"},{"key":"bibr38-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)02255-1"},{"key":"bibr39-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1016\/0035-9203(95)90494-8"},{"key":"bibr40-00494755211046782","doi-asserted-by":"publisher","DOI":"10.1086\/511437"},{"key":"bibr41-00494755211046782","first-page":"186","volume":"8","author":"Ukaga CN","year":"2006","journal-title":"Southeastern Nigeria Tanzan Health Res Bull"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755211046782","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755211046782","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755211046782","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:33:47Z","timestamp":1777642427000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755211046782"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,23]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1177\/00494755211046782"],"URL":"https:\/\/doi.org\/10.1177\/00494755211046782","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,23]]}}}