Clinical and Laboratory Characteristics and Risk Factors for Fatality in Elderly Patients with Dengue Hemorrhagic Fever

Background: Dengue hemorrhagic fever (DHF) is still periodically around developing countries including Indonesia. Morbidity and mortality of DHF can be reduced if early diagnosis and appropriate management. Objective: Our study evaluate risk factors of death in pediatric DHF patients hospitalized in Wahidin Sudirohusodo Hospital Makassar. Methods: we review the medical records of patients aged ≤ 18 years from January 2016 to December 2018 with confirmed DHF based on WHO criteria and serologically positive anti-dengue Ig M or positive anti-dengue IgM and Ig G. Results: During the study period, 70 patients aged 1-17 years with the complete medical records enrolled in this study. The DHF severity consisted of 37 cases (52,9%) with shock(DSS) and 33 cases (41,7%) without shock and mostly of them was admitted to the hospital on > 3 days of fever (63 cases /90,0%). Boys were predominantly (39/55,7%) found than girls (31/44,3%) and the majority of cases above 5 years (50/71,4%) with well-nourished patients in 46 cases (65,7%). The hematocrit level ≥ 40 mg/dl, platelets ≤ 40.000/mm3, and leukocyte ≤ 4000 mm3/l were observed in 41 cases (58,6%), 36 cases (51,4%), and 48 cases (68,6%); respectively. Death was observed in four girls (5.7%) (p 0,034/OR 1,148/ 95% CI 1,003 - 1,315) with DSS because of severe condition on admission. Conclusions: Girl was an independent risk factor of death among children with DHF.

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Risk Factors that Affect The Incidence of Dengue Haemorrhagic Fever in The Work Area of Puskesmas Pare

JURNAL KESEHATAN LINGKUNGAN ◽

10.20473/jkl.v10i4.2018.417-423 ◽

2018 ◽

Vol 10 (4) ◽

pp. 417

Author(s):

Ericha Fitria Widyatama

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Dengue Hemorrhagic Fever ◽

Community Health Center ◽

Binary Logistic Regression ◽

Hemorrhagic Fever ◽

Haemorrhagic Fever ◽

Cross Sectional ◽

Independent Variables ◽

Work Area

Pare Community Health Center or Puskesmas is one of Puskesmas in Kecamatan Pare which has the highest number of Dengue Hemorrhagic Fever incidence that is 64 incidence in 2016. The purpose of this study is to analyze the risk factors that affect the incidence of Dengue Hemorrhagic Fever in the work area of Puskesmas Pare. It was an observational study with cross sectional approach. Interviews and environmental observations were conducted on 100 respondents, randomly, in the working area of Puskesmas Pare, Desa Tulungrejo. The independent variables of the research were larvae existence , maya index status and 4M Plus behavior, with the dependent variable of the research was Dengue Hemorrhagic Fever incidence in 2016.This data was analized by binary logistic regression test.The results of this study indicate that risk factors that affect the incidence of Dengue Hemorrhagic Fever is the action of 4M Plus (p = 0,017).Therefore, the 4M Plus actions should be further improved independently and promoted evenly to the community in order to suppress the incidence of Dengue Hemorrhagic Fever.

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High Case-Fatality Rate of Adults with Dengue Hemorrhagic Fever During An Outbreak In Non-Endemic Taiwan: Risk Factors For Dengue-Infected Elders

American Journal of Infectious Diseases ◽

10.3844/ajidsp.2008.10.17 ◽

2008 ◽

Vol 4 (1) ◽

pp. 10-17 ◽

Cited By ~ 12

Author(s):

Ching-Chuan Liu ◽

Kao-Jean Huang ◽

Mei-Chih Huang ◽

J.-J. Lin ◽

S.-M. Wang ◽

...

Keyword(s):

Risk Factors ◽

Dengue Hemorrhagic Fever ◽

Case Fatality Rate ◽

Case Fatality ◽

Hemorrhagic Fever ◽

Fatality Rate ◽

High Case Fatality Rate

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Risk Factors For Dengue Hemorrhagic Fever (DHF) Cases In The Working Area Of Mamajang Health Center, Makassar City

Pancasakti Journal Of Public Health Science And Research ◽

10.47650/pjphsr.v1i1.208 ◽

2021 ◽

Vol 1 (1) ◽

pp. 13-21

Author(s):

Kornelia Fini ◽

Nur Hamdani Nur ◽

Muharti Syamsul

Keyword(s):

Risk Factors ◽

Health Center ◽

Dengue Hemorrhagic Fever ◽

Hemorrhagic Fever ◽

Case Control ◽

P Value ◽

Purposive Sampling

Penyakit Demam Berdarah Dengue (DBD) merupakan salah satu masalah kesehatan masyarakat yang utama di dunia. Sejak tahun 1968 jumlah kasusnya cenderung meningkat dan penyebarannya bertambah luas. Penelitian ini bertujuan untuk mengetahui faktor risiko kejadian DBD di Wilayah Kerja Puskesmas Mamajang Kota Makassar. Jenis penelitian yang digunakan adalah analitik observasional dengan desain “Case Control”. Jumlah sampel adalah 72 responden dengan 24 kasus dan 48 kontrol. Sampel dalam penelitian ini diambil dengan teknik purposive sampling. Data diperoleh dari hasil survei dengan menggunakan kuesioner dan dianalisis menggunakan uji chisquare. Hasil penelitian menunjukkan bahwa ada hubungan antara kebiasaan menggunakan kelambu dengan kejadian DBD (nilai p-value=0,032; OR=5,000), ada hubungan dengan penggunaan kawat kasa dengan kejadian DBD (p-value=0,010; OR=0,265), ada hubungan antara kebiasaan menggantung pakaian dengan kejadian DBD (p-value= 0,008; OR=0,252), dan tidak ada hubungan antara keberadaan barang bekas di sekitar rumah dengan kejadian DBD (p-value=0,256; OR=0,234). Peran serta masyarakat diharapkan dengan peduli lingkungan dan perilaku untuk meminimalisir kejadian DBD.

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Association of Dengue Hemorrhagic Fever with Multiple Risk Factors for Pituitary Apoplexy

Endocrine Practice ◽

10.4158/ep11341.cr ◽

2012 ◽

Vol 18 (5) ◽

pp. e97-e101 ◽

Cited By ~ 6

Author(s):

Luiz Wildemberg ◽

Leonardo Neto ◽

Paulo Niemeyer ◽

Emerson Gasparetto ◽

Leila Chimelli ◽

...

Keyword(s):

Risk Factors ◽

Dengue Hemorrhagic Fever ◽

Pituitary Apoplexy ◽

Hemorrhagic Fever ◽

Multiple Risk Factors ◽

Multiple Risk

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Clinical features of dengue hemorrhagic fever and risk factors of shock event

Paediatrica Indonesiana ◽

10.14238/pi46.3.2006.144-8 ◽

2016 ◽

Vol 46 (3) ◽

pp. 144 ◽

Cited By ~ 1

Author(s):

Rismala Dewi ◽

Alan Roland Tumbelaka ◽

Damayanti Rusli Sjarif

Keyword(s):

Risk Factors ◽

Platelet Count ◽

Clinical Features ◽

Dengue Hemorrhagic Fever ◽

Univariate Analysis ◽

Hemorrhagic Fever ◽

Chi Square ◽

Logistic Regression Method ◽

Chi Square Test ◽

Level Of Significance

Background Dengue hemorrhagic fever (DHF) can lead to highmorbidity and mortality. Its clinical features vary from time to time.Many studies were performed to determine the risk factors of se-vere dengue infection.Objective To find out clinical features and risk factors for predict-ing the likelihood of shock in DHF.Methods A retrospective cohort study was conducted in all con-firmed DHF children who were hospitalized at the Department ofChild Health, Cipto Mangunkusumo Hospital within the period ofJanuary 1, 2003 until June 30, 2004. Risk factors for developmentof shock were analyzed using chi-square test and multiple logisticregressions with a level of significance of <0.05.Results A total of 101 patients, consisted of 47 males and 54females were enrolled in this study. Mean age was 6.5 (SD 3.6)years, ranged from 5 months to 15 years. About 31.7% patientshad grade III DHF, 30.7% grade II, and 26.7% grade IV (including1 patient with encephalopathy). Shock was more frequent amongpatients aged between 6-10 years, female, under-nourished, bodytemperature <38°C, hematocrit level 46-50 vol%, and platelet count<20 000/ml. During year 2003-2004, there was increased numberof patients who developed shock. Based on univariate analysis,hepatomegaly, high hematocrit value, and thrombocytopenia wereconsidered significantly different. Among those variables analyzedwith multiple logistic regression method, only hepatomegaly andthrombocytopenia were identified as predictors of shock.Conclusion There was an alteration on clinical features of DHFin our hospital in 2003-2004 period compared to the previous years.Hepatomegaly and platelet count <50 000/ml are independent riskfactors of shock among DHF patients

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