Assessment of risk factors and early warning signs for mortality in children with severe dengue at tertiary care hospital, Dhaka, Bangladesh: a prospective observational study

Moshrefa Newaz; M. Mahbubul Hoque; Mashhura Huq; Sabrina Akter; Tahera Nasrin; Fahmida Hossain; Afsana Khanom

doi:10.18203/2349-3291.ijcp20242011

Authors

Moshrefa Newaz Department of Pediatrics, Islami Bank Central Hospital, Dhaka, Bangladesh
M. Mahbubul Hoque Department of Pediatrics Medicine (Neonatal ICU), Bangladesh Institute of Child Health and Dhaka Shishu (Children) Hospital, Sher-e-Bangla Nagar, Dhaka, Bangladesh
Mashhura Huq Department of Pediatrics, Ad-din Women's Medical College, Dhaka, Bangladesh
Sabrina Akter Department of Pediatrics, Ad-din Sakina Women’s Medical College, Jashore, Bangladesh
Tahera Nasrin Department of Pediatrics, Ibn Sina Hospital, Jashore, Bangladesh
Fahmida Hossain Department of Pediatrics, Ad-din Women's Medical College, Dhaka, Bangladesh
Afsana Khanom Department of Pediatrics, Sajida Hospital, Keranigonj, Dhaka Bangladesh

DOI:

https://doi.org/10.18203/2349-3291.ijcp20242011

Keywords:

Severe dengue, Pediatrics, Mortality, Major bleeding, Clinical presentation

Abstract

Background: Dengue remains a significant public health challenge, especially in pediatric populations. This study aims to analyze the demographic distribution, clinical presentation, and outcomes of severe dengue in children, with a focus on identifying key factors associated with recovery and mortality.

Methods: This cross-sectional analytical study was conducted on 300 children diagnosed with severe dengue at Dhaka Shishu (Children) hospital, Bangladesh, from January 2019 to December 2020. Participants were selected using convenient sampling, and data on demographic characteristics, clinical symptoms, and physical examination findings were collected and analyzed using SPSS V. 22.

Result: The study included a majority in the 6-10 years age group (56.67%), with a male predominance (59.33%). Major bleeding was observed in 27.33% of participants. The mortality rate was 4.67%. No significant differences in age and gender distribution were found between the recovery and mortality groups. Symptoms like cough, breathlessness, and abdominal pain, along with physical findings such as increased hematocrit, pleural effusion, and hepatomegaly, were significantly associated with mortality.

Conclusions: Severe dengue in children presents with a range of symptoms, with major bleeding being a critical indicator of disease severity. The study highlights the need for comprehensive clinical assessment and vigilant monitoring, emphasizing the importance of recognizing both common and severe symptoms in pediatric dengue for effective management and improved outcomes.

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