Clinical and Laboratory Predictors of Mortality in Pediatric Patients with Severe Dengue at Dhaka Shishu Hospital

Authors

  • Moshrefa Newaz Consultant, Department of Pediatrics Islami Bank Central Hospital, Dhaka, Bangladesh
  • Mashhura Huq Assistant Professor, Department of Paediatrics, Ad-din Women's Medical College Dhaka, Bangladesh.
  • Sabrina Akter Assistant Professor, Department of Pediatrics, Ad-din Sakina Women’s Medical College Jashore, Bangladesh.
  • Tahera Nasrin Consultant, Department of Pediatrics, Ibn Sina Hospital, Jashore, Bangladesh.
  • Fahmida Hossain Registrar, Department of Pediatrics, Ad-din Women Medical College and Hospital Dhaka, Bangladesh.
  • Afsana Khanom NICU & Pediatrics Consultant, Department of Pediatrics, Sajida Hospital, Keranigonj Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jrpmc.v9i1.72700

Keywords:

Dengue fever, Pediatrics, Mortality predictors, Hematological profile, Biochemical markers

Abstract

Background: Dengue fever, particularly in its severe form, poses a significant health challenge in tropical regions like Bangladesh. Understanding the clinical and laboratory predictors of mortality in pediatric patients with severe dengue is crucial for improving management strategies and patient outcomes. Methods: This cross-sectional analytical study was conducted at the Department of Pediatrics, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh, from January 2019 to December 2020. It included 300 pediatric patients diagnosed with severe dengue. Results: Of the 300 participants, 286 (95.33%) survived, while 14 (4.67%) succumbed to the disease. Major bleeding, refractory shock, a significant rise in hematocrit, signs of pleural effusion, and ascites were significantly associated with mortality. Hematologically, a low platelet count (<15000/mm3) was a strong predictor of mortality. Elevated serum ferritin levels (>500 micrograms/L) were also significantly associated with increased mortality risk. Conclusions: The study highlights major bleeding, refractory shock, significant hemoconcentration, pleural effusion, ascites, low platelet count, and high serum ferritin levels as key predictors of mortality in pediatric patients with severe dengue. These findings underscore the need for comprehensive clinical monitoring and targeted management strategies to improve outcomes in pediatric dengue patients.

J Rang Med Col. March 2024; Vol. 9, No. 1:10-15

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Published

2024-05-05

How to Cite

Newaz, M. ., Huq, M. ., Akter, S. ., Nasrin, T. ., Hossain, F. ., & Khanom, A. . (2024). Clinical and Laboratory Predictors of Mortality in Pediatric Patients with Severe Dengue at Dhaka Shishu Hospital. Journal of Rangpur Medical College, 9(1), 10–15. https://doi.org/10.3329/jrpmc.v9i1.72700

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Original Article