Table 3. Differential severity and clinical management among dengue patients with severe organ involvement outcome compared against matched dengue patients with no severe organ involvement outcome.
Controls^ (N = 865) | % | Cases (N = 174) | % | AcOR | p-value | 95% CI | 95% CI | |
---|---|---|---|---|---|---|---|---|
Classification at Presentation | ||||||||
DHF/DSS (WHO 1997) | 96 | 11.1 | 49 | 28.2 | 3.11 | <0.0001 | 2 | 4.85 |
WS (WHO 2009) | 567 | 65.6 | 125 | 71.8 | 1.38 | 0.95 | 0.95 | 2.02 |
Classification as final outcome | ||||||||
DHF/DSS (WHO 1997) | 167 | 19.3 | 81 | 46.6 | 3.95 | <0.0001 | 2.68 | 5.82 |
WS (WHO 2009) | 656 | 75.8 | 152 | 87.4 | 1.93 | 0.008 | 1.19 | 3.14 |
Severe dengue (WHO 2009) | 104 | 12 | 174 | 100 | 62.81 | <0.0001 | 31.37 | 125.76 |
Liver involvement | 0 | 0 | 106 | 61 | ||||
Renal involvement | 0 | 0 | 60 | 34.5 | ||||
CNS involvement | 0 | 0 | 23 | 13.2 | ||||
Renal & liver involvement | 0 | 0 | 15 | 8.6 | ||||
Median LOS (IQR) | 4 | (3–5) | 5 | (4–7) | 1.4 | <0.0001 | 1.27 | 1.54 |
ICU admission | 0 | 0 | 12 | 6.9 | ||||
IV Fluid | 748 | 86.5 | 167 | 96 | 3.46 | 0.003 | 1.53 | 7.80 |
Blood transfusion | 4 | 0.5 | 10 | 5.8 | 11.92 | <0.0001 | 3.55 | 40.6 |
Platelets transfusion | 80 | 9.3 | 58 | 33.3 | 5.12 | <0.0001 | 3.21 | 8.16 |
DHF - Dengue haemorrhagic fever.
DSS - Dengue shock syndrome.
WS - Dengue warning signs (WHO 2009 dengue classification).
CNS - Central nervous system.
LOS - Length of stay.
IQR - Interquartile range.
ICU - Intensive care unit.
IV - intravenous.
^Matched by year of presentation as the surrogate marker to minimize the impact of different predominant serotypes of that year.
*Adjusted by age group, gender, day post fever duration at presentation, diabetic, hypertension, hyperlipidemia, cardiac disorder and asthma.