Résumé

Introduction:The objective of this research was to study the factors associated with mortality in children over five years old hospitalized for severe malaria at the Regional Teaching Hospital of Ouahigouya in Burkina Faso. Methodology:This was a retrospective cross-sectional study with descriptive and analytical aims conducted over a period of 24 months. Results:Severe malaria accounted for 2.66% of admissions. The mean age of the children was 6.67 years (range 5-14 years). The male-to-female sex ratio was 1.39 in favor of boys. The mean time to admission was 64.23 hours (range 1 to 168 hours, SD = 44.17). A total of 71 children (35.32%) presented with impaired general condition. The mean hemoglobin level was 6.5 g/dL, and 101 children (50.25%) had a hemoglobin level <= 5 g/dL. Severe pallor, prostration, lethargy, hemoglobinuria, and a hemoglobin level <= 5 g/dL were statistically correlated with a significantly elevated risk of death. Conclusion:Severe malaria in children over five years of age is relatively common. Factors associated with mortality were severe anemia, hemoglobinuria, lethargy, and prostration.

Mot-clés :

Severe Malaria, Mortality, Older Children, Ouahigouya, Burkina Faso