Prevalence and characteristics of dengue shock syndrome in an acute care setting

Aims and Objectives: Dengue is a mosquito-borne illness caused by Flaviviridae. Although presents with mild symptoms, occasionally deterioration of circulatory parameters results into dengue hemorrhagic fever (DHF) and/or Dengue shock syndrome (DSS) the later presents with plasma leakage and narrow...

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Main Authors: Sarah Mansoor, Aimen Malik, Hammad Akram
Format: Article
Language:English
Published: SAGE Publishing 2022-01-01
Series:Apollo Medicine
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Online Access:http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=1;spage=12;epage=15;aulast=Mansoor
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author Sarah Mansoor
Aimen Malik
Hammad Akram
author_facet Sarah Mansoor
Aimen Malik
Hammad Akram
author_sort Sarah Mansoor
collection DOAJ
description Aims and Objectives: Dengue is a mosquito-borne illness caused by Flaviviridae. Although presents with mild symptoms, occasionally deterioration of circulatory parameters results into dengue hemorrhagic fever (DHF) and/or Dengue shock syndrome (DSS) the later presents with plasma leakage and narrow pulse pressure. The objectives of this study are to quantify and characterize dengue shock syndrome among patients with diagnosed dengue fever at the Holy family hospital in Rawalpindi, Pakistan. Methods: A cross-sectional study was conducted between August 2016 and April 2017. Patients with DF were enrolled, and clinical information was abstracted while following the 2011 World Health Organization classifications and guidelines. Results: In our sample (n = 280), we found a higher proportion was of males (71.1%), <30 years old (~64%) and patients with primary type of infection (~71%). 22.1% suffered from DSS. The average duration of illness among patients was 3.6 days. DSS percentage was higher among patients who were aged <30 years (63%), males (64.5%) had a duration of illness <5 days (82.3%) and suffered from primary infection (60%). The odds of DSS were higher among patients with secondary infection (odds ratio [OR] = 2.0, confidence interval [CI] = 1.12–3.62, P = 0.02) and duration of illness <5 days (OR = 15.58, CI = 7.55–32.13, P < 0.0001) compared to the counterpart groups. Conclusion: The identification of complications of dengue is important in preventing the mortality and morbidity of the disease and reducing the burden on the health-care systems as well as on the community.
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spelling doaj-art-ec0994d6b3424d939fc664debe6a39f42025-08-20T02:21:47ZengSAGE PublishingApollo Medicine0976-00162213-36822022-01-01191121510.4103/am.am_119_21Prevalence and characteristics of dengue shock syndrome in an acute care settingSarah MansoorAimen MalikHammad AkramAims and Objectives: Dengue is a mosquito-borne illness caused by Flaviviridae. Although presents with mild symptoms, occasionally deterioration of circulatory parameters results into dengue hemorrhagic fever (DHF) and/or Dengue shock syndrome (DSS) the later presents with plasma leakage and narrow pulse pressure. The objectives of this study are to quantify and characterize dengue shock syndrome among patients with diagnosed dengue fever at the Holy family hospital in Rawalpindi, Pakistan. Methods: A cross-sectional study was conducted between August 2016 and April 2017. Patients with DF were enrolled, and clinical information was abstracted while following the 2011 World Health Organization classifications and guidelines. Results: In our sample (n = 280), we found a higher proportion was of males (71.1%), <30 years old (~64%) and patients with primary type of infection (~71%). 22.1% suffered from DSS. The average duration of illness among patients was 3.6 days. DSS percentage was higher among patients who were aged <30 years (63%), males (64.5%) had a duration of illness <5 days (82.3%) and suffered from primary infection (60%). The odds of DSS were higher among patients with secondary infection (odds ratio [OR] = 2.0, confidence interval [CI] = 1.12–3.62, P = 0.02) and duration of illness <5 days (OR = 15.58, CI = 7.55–32.13, P < 0.0001) compared to the counterpart groups. Conclusion: The identification of complications of dengue is important in preventing the mortality and morbidity of the disease and reducing the burden on the health-care systems as well as on the community.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=1;spage=12;epage=15;aulast=Mansoordengue feverdengue hemorrhagic feverdengue shock syndromepakistanvector-borne illness
spellingShingle Sarah Mansoor
Aimen Malik
Hammad Akram
Prevalence and characteristics of dengue shock syndrome in an acute care setting
Apollo Medicine
dengue fever
dengue hemorrhagic fever
dengue shock syndrome
pakistan
vector-borne illness
title Prevalence and characteristics of dengue shock syndrome in an acute care setting
title_full Prevalence and characteristics of dengue shock syndrome in an acute care setting
title_fullStr Prevalence and characteristics of dengue shock syndrome in an acute care setting
title_full_unstemmed Prevalence and characteristics of dengue shock syndrome in an acute care setting
title_short Prevalence and characteristics of dengue shock syndrome in an acute care setting
title_sort prevalence and characteristics of dengue shock syndrome in an acute care setting
topic dengue fever
dengue hemorrhagic fever
dengue shock syndrome
pakistan
vector-borne illness
url http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=1;spage=12;epage=15;aulast=Mansoor
work_keys_str_mv AT sarahmansoor prevalenceandcharacteristicsofdengueshocksyndromeinanacutecaresetting
AT aimenmalik prevalenceandcharacteristicsofdengueshocksyndromeinanacutecaresetting
AT hammadakram prevalenceandcharacteristicsofdengueshocksyndromeinanacutecaresetting