In-hospital mortality predictors among hospitalized adults and those with chronic kidney disease with dengue

Lee, Ing-Kit; Lee, Nan-Yao; Huang, Wen-Chi; Hsu, Jui-Chi; Tai, Chien-Hsiang; Cheng, Yang; Huang, Chung‐Hao; Lin, Chun‐Yu; Chang, Ko; Chen, Yen-Hsu

doi:10.1016/j.jmii.2023.08.004

Cited by 3 publications

(2 citation statements)

References 38 publications

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“…A study done by Lee et al published in 2023 assessed characteristics of 138 dengue patients with CKD [ 11 ]. This study included patients with and without plasma leakage and demonstrated a high mortality rate of 46.3% (n = 64) among dengue patients with CKD.…”

Section: Increased Mortality In Dhf With Heart Disease and Ckdmentioning

confidence: 99%

“…Several studies conducted among dengue patients, both with and without plasma leakage, have concluded that mortality in those with heart disease and CKD is higher compared to healthy controls [10]. Reasons for the increased mortality in these groups may be manifold, such as propensity for haemodynamic fluctuations, risk of bleeding and use of drugs such as anti-hypertensives, diuretics and antiplatelet agents that can worsen complications in dengue [11,12]. Improper fluid management regimens may also contribute to increased mortality Vidanapathirana Tropical Medicine and Health (2024) 52:33 in these groups, and it may be an important modifiable factor that can be optimized, to target a reduction in mortality.…”

Section: Increased Mortality In Dhf With Heart Disease and Ckdmentioning

confidence: 99%

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Dengue haemorrhagic fever in chronic kidney disease and heart failure: challenges in fluid management

Vidanapathirana

2024

Trop Med Health

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Dengue haemorrhagic fever (DHF) is recognized to have high mortality in patients with chronic kidney disease (CKD) and heart failure (HF). They are at high risk of shock during the ascending limb of the critical phase of DHF, fluid overload during convalescence and bleeding throughout the entire illness. Physiological changes and medications used in CKD/HF make the diagnosis and monitoring of DHF difficult. Treatment with standard fluid regimens also poses a challenge due to the propensity for fluid overload. As a result, standard dengue guidelines do not provide recommendations on fluid management regimens in DHF with CKD/HF. This article provides a narrative review on the existing evidence for management of DHF in patients with volume-changed states such as HF, CKD and nephrotic/ nephritic syndromes. It will explore the relevant diagnostic and therapeutic dilemmas, acknowledge the challenges for developing guidelines and recommend strategies to improve fluid management in these groups of patients.

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Section: Increased Mortality In Dhf With Heart Disease and Ckdmentioning

confidence: 99%

Section: Increased Mortality In Dhf With Heart Disease and Ckdmentioning

confidence: 99%

Dengue haemorrhagic fever in chronic kidney disease and heart failure: challenges in fluid management

Vidanapathirana

2024

Trop Med Health

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MoS2 Nanoflower and Cysteine-Conjugated AgNPs Based Electrochemical Biosensor for Detection of NS1 Protein Specific to Dengue Virus

Rani,

Kaur,

Rohilla

et al. 2024

J Inorg Organomet Polym

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Prevalência e riscos de diabetes e hipertensão em pacientes com dengue: uma metanálise

Silva,

Sousa,

Souza

et al. 2024

Cad. Pedagógico

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A dengue, uma doença infecciosa transmitida por mosquitos, é exacerbada por diabetes e hipertensão, aumentando a gravidade e complicações. Prevenção foca no controle de mosquitos. Estudos analisam essa relação. Foram incluídos estudos sobre a associação entre dengue, diabetes e hipertensão em adultos, focando na mortalidade. Bases de dados utilizadas: Google Scholar, ScienceDirect e MEDLINE. Dois revisores independentes realizaram triagem, extração de dados e avaliação do risco de viés usando a escala Newcastle-Ottawa. Análises estatísticas foram conduzidas com o software JASP. Após uma busca em bases de dados, 205 artigos foram inicialmente identificados. Após triagem, 35 estudos foram incluídos. Os resultados mostraram uma prevalência de diabetes de 16% e hipertensão de 22% entre pacientes com dengue. Odds ratios indicaram que diabetes e hipertensão aumentam significativamente o risco de complicações graves da dengue. A avaliação do risco de viés foi conduzida usando a escala de Newcastle-Ottawa, variando de 4 a 9 estrelas. Esses achados indicam um risco significativamente maior dessas condições entre pacientes com dengue. A heterogeneidade elevada entre os estudos reflete variações metodológicas e populacionais. É essencial monitorar essas comorbidades para melhorar os desfechos clínicos em dengue.

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In-hospital mortality predictors among hospitalized adults and those with chronic kidney disease with dengue

Cited by 3 publications

References 38 publications

Dengue haemorrhagic fever in chronic kidney disease and heart failure: challenges in fluid management

Dengue haemorrhagic fever in chronic kidney disease and heart failure: challenges in fluid management

MoS2 Nanoflower and Cysteine-Conjugated AgNPs Based Electrochemical Biosensor for Detection of NS1 Protein Specific to Dengue Virus

Prevalência e riscos de diabetes e hipertensão em pacientes com dengue: uma metanálise

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