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Table 4 Cox regression analysis of risk of new Plasmodium falciparum infection by day 28

From: Artemether-lumefantrine treatment of uncomplicated Plasmodium falciparum malaria: a systematic review and meta-analysis of day 7 lumefantrine concentrations and therapeutic response using individual patient data

Parameter

Patientsa

Eventsa

HR (95 % CI)

P value

Univariable model

 

Day 7 lumefantrine concentration (log2)

    

Allb

2,528

180

0.79 (0.72 to 0.87)

<0.001

 Venous plasma

1,336

40

0.65 (0.56 to 0.76)

<0.001

 Capillary bloodb

663

130

0.87 (0.78 to 0.98)

0.002

 Venous blood

529

10

0.82 (0.33 to 2.07)

0.619

Age (years)

2,528

180

0.95 (0.92 to 0.99)

0.009

Age category

    

  < 1 year

73

9

3.51 (1.16 to 10.59)

0.026

 1–4 years

1,004

148

5.01 (2.06 to 12.21)

<0.001

 5–11 years

540

14

2.95 (1.17 to 7.39)

0.021

 12+ years

911

9

Reference

 

Sex (female)

2,528 (1,157)

180 (93)

1.13 (0.84 to 1.51)

0.428

WAZ

1,076

157

0.86 (0.76 to 0.97)

0.015

Underweightc

1,076 (192)

157 (37)

1.22 (0.84 to 1.79)

0.299

Transmission intensity areas (TIAs)

    

 Very low/lowd

557

9

0.17 (0.05 to 0.51)

0.002

 Moderate

721

17

0.16 (0.05 to 0.56)

0.004

 High

1,070

154

Reference

 

Multivariable model

 

Day 7 lumefantrine concentration (log2)e

2,528

180

0.70 (0.63 to 0.78)

<0.001

Location/transmission intensity area (TIA)

    

Very low/low/moderate TIA

1,304

26

0.22 (0.06 to 0.82)

0.024

High TIA

    

  < 1 year

57

9

0.91 (0.27 to 3.05)

0.882

 1–4 years

703

138

1.35 (0.49 to 3.74)

0.565

 5+ years

464

7

Reference

 
  1. aNumber in brackets refers to patients with presence of the symptom/characteristic; bP value for testing proportional hazards assumption <0.05; conly evaluated in children <5 years of age and defined as weight-for-age Z-score (WAZ) < −2; dvery low and low TIAs were combined as no new infections were observed in very low TIA; efor concentrations measured on filter paper, the association with risk of new infection diminished after 21 days, hazard ratio = 1.062 (0.887–1.270), while for venous plasma this remained the same over the whole period. TIA, transmission intensity area