Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, Rawalpindi

Objective: To evaluate the correlation between changes in serum liver function tests and the severity of dengue fever. Study Design: Cross-sectional study. Place and Duration of Study: This study was conducted at the Department of Medicine, Pak Emirates Military Hospital, from 1st May 2023 till 30th...

Full description

Saved in:
Bibliographic Details
Main Authors: Waleed Ur Rehman, Muhammad Zafar Ali, Abdul Rehman Arshad, Muhammad Iqbal, Nauman Karim, Muttahar Abbas, Zubair Ahmed
Format: Article
Language:English
Published: National University of Medical Sciences 2025-01-01
Series:Life and Science
Subjects:
Online Access:https://ojs.lifenscience.org/index.php/life-and-science/article/view/709
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850048228090707968
author Waleed Ur Rehman
Muhammad Zafar Ali
Abdul Rehman Arshad
Muhammad Iqbal
Nauman Karim
Muttahar Abbas
Zubair Ahmed
author_facet Waleed Ur Rehman
Muhammad Zafar Ali
Abdul Rehman Arshad
Muhammad Iqbal
Nauman Karim
Muttahar Abbas
Zubair Ahmed
author_sort Waleed Ur Rehman
collection DOAJ
description Objective: To evaluate the correlation between changes in serum liver function tests and the severity of dengue fever. Study Design: Cross-sectional study. Place and Duration of Study: This study was conducted at the Department of Medicine, Pak Emirates Military Hospital, from 1st May 2023 till 30th October 2023. Methods: Patients aged 18 years and above who had dengue NS1 rapid test assay or dengue IgM/IgG rapid test positive were included in the study using convenience sampling.  Participants with pre-existing liver conditions, chronic kidney disease, pregnant women, and those with concurrent infectious illness were excluded. The World Health Organization classification system was used to classify the patient’s disease severity into Dengue Fever and Severe dengue. Results: One hundred and seventy-one patients, including 131 (76.61%) males, had a mean age of 35.91±12.86 years. Severe dengue was observed in 15 (8.8%), while 156 (91.2%) had dengue fever. The dengue NS1 protein assay was positive in 169 (98.8%) and dengue serology was positive only in 2 (1.2%). All liver enzymes, including serum alanine transaminase, serum alkaline phosphatase, serum albumin, and serum bilirubin, had significant relation amongst the dengue disease severity groups. The severity of hepatic impairment was also significantly related to the World Health Organization classification (P = 0.02). Conclusion: Dengue fever severity can be predicted early by derangements in liver function tests as they statistically correlate with the severity of the disease. How to cite this: Rehman W, Ali MZ, Arshad AR, Iqbal M, Karim N, Abbas M, Ahmed Z. Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, Rawalpindi. Life and Science. 2025; 6(1): 95-101. doi: http://doi.org/10.37185/LnS.1.1.709
format Article
id doaj-art-45521fd7f5c14dd49bfca9cbe86fdd91
institution DOAJ
issn 2521-0475
2708-2970
language English
publishDate 2025-01-01
publisher National University of Medical Sciences
record_format Article
series Life and Science
spelling doaj-art-45521fd7f5c14dd49bfca9cbe86fdd912025-08-20T02:54:01ZengNational University of Medical SciencesLife and Science2521-04752708-29702025-01-0161070710.37185/LnS.1.1.709709Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, RawalpindiWaleed Ur Rehman0Muhammad Zafar Ali1Abdul Rehman Arshad2Muhammad Iqbal3Nauman Karim4Muttahar Abbas5Zubair Ahmed6Pak Emirates Military Hospital (PEMH) Rawalpindi, PakistanPak Emirates Military Hospital (PEMH) Rawalpindi, PakistanPak Emirates Military Hospital (PEMH) Rawalpindi, PakistanPak Emirates Military Hospital (PEMH) Rawalpindi, PakistanPak Emirates Military Hospital (PEMH) Rawalpindi, PakistanPak Emirates Military Hospital (PEMH) Rawalpindi, PakistanPak Emirates Military Hospital (PEMH) Rawalpindi, PakistanObjective: To evaluate the correlation between changes in serum liver function tests and the severity of dengue fever. Study Design: Cross-sectional study. Place and Duration of Study: This study was conducted at the Department of Medicine, Pak Emirates Military Hospital, from 1st May 2023 till 30th October 2023. Methods: Patients aged 18 years and above who had dengue NS1 rapid test assay or dengue IgM/IgG rapid test positive were included in the study using convenience sampling.  Participants with pre-existing liver conditions, chronic kidney disease, pregnant women, and those with concurrent infectious illness were excluded. The World Health Organization classification system was used to classify the patient’s disease severity into Dengue Fever and Severe dengue. Results: One hundred and seventy-one patients, including 131 (76.61%) males, had a mean age of 35.91±12.86 years. Severe dengue was observed in 15 (8.8%), while 156 (91.2%) had dengue fever. The dengue NS1 protein assay was positive in 169 (98.8%) and dengue serology was positive only in 2 (1.2%). All liver enzymes, including serum alanine transaminase, serum alkaline phosphatase, serum albumin, and serum bilirubin, had significant relation amongst the dengue disease severity groups. The severity of hepatic impairment was also significantly related to the World Health Organization classification (P = 0.02). Conclusion: Dengue fever severity can be predicted early by derangements in liver function tests as they statistically correlate with the severity of the disease. How to cite this: Rehman W, Ali MZ, Arshad AR, Iqbal M, Karim N, Abbas M, Ahmed Z. Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, Rawalpindi. Life and Science. 2025; 6(1): 95-101. doi: http://doi.org/10.37185/LnS.1.1.709https://ojs.lifenscience.org/index.php/life-and-science/article/view/709aedes-borne diseases, dengue fever, hepatitis, liver, liver dysfunction
spellingShingle Waleed Ur Rehman
Muhammad Zafar Ali
Abdul Rehman Arshad
Muhammad Iqbal
Nauman Karim
Muttahar Abbas
Zubair Ahmed
Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, Rawalpindi
Life and Science
aedes-borne diseases, dengue fever, hepatitis, liver, liver dysfunction
title Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, Rawalpindi
title_full Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, Rawalpindi
title_fullStr Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, Rawalpindi
title_full_unstemmed Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, Rawalpindi
title_short Correlation Between Liver Function Test and Severity of Dengue Fever at a Tertiary Care Hospital, Rawalpindi
title_sort correlation between liver function test and severity of dengue fever at a tertiary care hospital rawalpindi
topic aedes-borne diseases, dengue fever, hepatitis, liver, liver dysfunction
url https://ojs.lifenscience.org/index.php/life-and-science/article/view/709
work_keys_str_mv AT waleedurrehman correlationbetweenliverfunctiontestandseverityofdenguefeveratatertiarycarehospitalrawalpindi
AT muhammadzafarali correlationbetweenliverfunctiontestandseverityofdenguefeveratatertiarycarehospitalrawalpindi
AT abdulrehmanarshad correlationbetweenliverfunctiontestandseverityofdenguefeveratatertiarycarehospitalrawalpindi
AT muhammadiqbal correlationbetweenliverfunctiontestandseverityofdenguefeveratatertiarycarehospitalrawalpindi
AT naumankarim correlationbetweenliverfunctiontestandseverityofdenguefeveratatertiarycarehospitalrawalpindi
AT muttaharabbas correlationbetweenliverfunctiontestandseverityofdenguefeveratatertiarycarehospitalrawalpindi
AT zubairahmed correlationbetweenliverfunctiontestandseverityofdenguefeveratatertiarycarehospitalrawalpindi