Factors associated with severe dengue in patients from Cauca, Colombia, 2015–2021
Introduction: The department of Cauca, Colombia, is endemic for dengue fever. The prevalence of severe dengue has consistently exceeded national indicators, highlighting the critical importance of appropriate and timely classification and treatment of patients according to dengue types. Objectives:...
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
2025-04-01
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| Series: | Iatreia |
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| Online Access: | https://revistas.udea.edu.co/index.php/iatreia/article/view/356476 |
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| author | Bolaños-Díaz, María Cristina López-Delgado, Darío Sebastian Arango-Luque, Adriana Polanco-Pasaje, Jhon Edwin |
| author_facet | Bolaños-Díaz, María Cristina López-Delgado, Darío Sebastian Arango-Luque, Adriana Polanco-Pasaje, Jhon Edwin |
| author_sort | Bolaños-Díaz, María Cristina |
| collection | DOAJ |
| description | Introduction: The department of Cauca, Colombia, is endemic for dengue fever. The prevalence of severe dengue has consistently exceeded national indicators, highlighting the critical importance of appropriate and timely classification and treatment of patients according to dengue types.
Objectives: To determine the sociodemographic and clinical factors associated with severe dengue in the department of Cauca from 2015 to 2021.
Methods: An observational, analytical, retrospective cross-sectional study was conducted with a population of 4,048 dengue cases. Statistically significant variables were entered into a logistic regression model.
Results: Of all cases, 98.5% (n=3,987) were classified as dengue fever. Factors associated with severe dengue included: days elapsed until medical consultation (OR 5.2; 95% CI: 2.1–12.5), hypotension (OR 3.8; 95% CI: 1.3– 10.9), hepatomegaly (OR 3.2; 95% CI: 1.4–7.3), mucosal hemorrhage (OR 2.3; 95% CI: 1.2–4.6), platelet count below 100,000 (OR 3.4; 95% CI: 1.7–6.8), and fluid accumulation (OR 6.5; 95% CI: 2.6–16.2).
Conclusions: This study emphasizes the importance of comprehensive evaluation of dengue patients as a measure for early detection of warning signs and prevention of complications. |
| format | Article |
| id | doaj-art-cf6f2a79bb7744aaa813ee7b2c30ccbd |
| institution | OA Journals |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| publishDate | 2025-04-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj-art-cf6f2a79bb7744aaa813ee7b2c30ccbd2025-08-20T02:09:01ZspaUniversidad de AntioquiaIatreia0121-07932011-79652025-04-0138224025310.17533/udea.iatreia.315Factors associated with severe dengue in patients from Cauca, Colombia, 2015–2021Bolaños-Díaz, María Cristina0https://orcid.org/0000-0003-1589-7378López-Delgado, Darío Sebastian1https://orcid.org/0000-0001-9826-6314Arango-Luque, Adriana2https://orcid.org/0000-0002-2953-2225Polanco-Pasaje, Jhon Edwin3https://orcid.org/0000-0002-7497-5607Secretaría de Salud Departamental del Cauca, Popayán, ColombiaUniversidad Cooperativa de Colombia, Pasto, ColombiaFundación Universitaria del Areandina, Bogotá, ColombiaUniversidad del Cauca, Popayán, ColombiaIntroduction: The department of Cauca, Colombia, is endemic for dengue fever. The prevalence of severe dengue has consistently exceeded national indicators, highlighting the critical importance of appropriate and timely classification and treatment of patients according to dengue types. Objectives: To determine the sociodemographic and clinical factors associated with severe dengue in the department of Cauca from 2015 to 2021. Methods: An observational, analytical, retrospective cross-sectional study was conducted with a population of 4,048 dengue cases. Statistically significant variables were entered into a logistic regression model. Results: Of all cases, 98.5% (n=3,987) were classified as dengue fever. Factors associated with severe dengue included: days elapsed until medical consultation (OR 5.2; 95% CI: 2.1–12.5), hypotension (OR 3.8; 95% CI: 1.3– 10.9), hepatomegaly (OR 3.2; 95% CI: 1.4–7.3), mucosal hemorrhage (OR 2.3; 95% CI: 1.2–4.6), platelet count below 100,000 (OR 3.4; 95% CI: 1.7–6.8), and fluid accumulation (OR 6.5; 95% CI: 2.6–16.2). Conclusions: This study emphasizes the importance of comprehensive evaluation of dengue patients as a measure for early detection of warning signs and prevention of complications.https://revistas.udea.edu.co/index.php/iatreia/article/view/356476denguedengue virussevere dengue |
| spellingShingle | Bolaños-Díaz, María Cristina López-Delgado, Darío Sebastian Arango-Luque, Adriana Polanco-Pasaje, Jhon Edwin Factors associated with severe dengue in patients from Cauca, Colombia, 2015–2021 Iatreia dengue dengue virus severe dengue |
| title | Factors associated with severe dengue in patients from Cauca, Colombia, 2015–2021 |
| title_full | Factors associated with severe dengue in patients from Cauca, Colombia, 2015–2021 |
| title_fullStr | Factors associated with severe dengue in patients from Cauca, Colombia, 2015–2021 |
| title_full_unstemmed | Factors associated with severe dengue in patients from Cauca, Colombia, 2015–2021 |
| title_short | Factors associated with severe dengue in patients from Cauca, Colombia, 2015–2021 |
| title_sort | factors associated with severe dengue in patients from cauca colombia 2015 2021 |
| topic | dengue dengue virus severe dengue |
| url | https://revistas.udea.edu.co/index.php/iatreia/article/view/356476 |
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