Bulletin of the World Health Organization

Cost-effectiveness of parenteral artesunate for treating children with severe malaria in sub-Saharan Africa

Yoel Lubell, Arthorn Riewpaiboon, Arjen M Dondorp, Lorenz von Seidlein, Olugbenga A Mokuolu, Margaret Nansumba, Samwel Gesase, Alison Kent, George Mtove, Rasaq Olaosebikan, Wirichada Pan Ngum, Caterina I Fanello, Ilse Hendriksen, Nicholas PJ Day, Nicholas J White & Shunmay Yeung

Volume 89, Number 7, July 2011, 504-512

Table 3. Mortality and incidence of moderate or severe neurological sequelae

Parameter Quinine Artesunate
Mortality 297/2713 (10.9%) 230/2712 (8.5%)
Severe neurological sequelae 21/2713 (0.8%) 22/2712 (0.8%)
DALYs 3 (95% PI: 2.4–4.6) 2.3 (95% PI: 1.9–2.6)a
Incremental DALYs averted with the use of artesunate 0.7(95% PI: 0.2–1.3)a
Incremental number needed to treat (with artesunate) to avert 1 death 41 (95% CI: 25–112)

CI, confidence interval; DALY, disability-adjusted life year; PI, percentile interval.

a The 95% PI represents the interval between the 2.5% and 97.5% percentiles.