Individual organ dysfunction in case of acute febrile illness
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 21, Issue 3
Abstract
Objective: 1) To document proportion of single organ dysfunction or combination of organ dysfunction in acute febrile illness cases. 2) To asses demographic profile, etiology, severity of illness (by SOFA score) in these patient. Material and Methods: It is a cross sectional observational study in a tertiary care centre in Mumbai. All the patients admitted to hospital with acute febrile illness with organ dysfunction will be noted and those admitted to MICU with inclusion criteria mentioned above will be included. Results: Our study which was an observational study was done in a tertiary care centre in Mumbai over a period of 1 year. Overall admissions in Medical ward during this period were 18513. Out of these patients, all patients those having AFI were screened and statistical analyses were done. Total 2560 patients were diagnosed as AFI, which was 13.83% of total admissions. Maximum number of AFI patients with organ failure was young adults predominantly male. Dengue, malaria and leptospirosis are the commonest amongst etiology. Out of these 8.20% were AFI with organ failure and 36 patient required ICU (17.14%). Sizable number of AFI patients develops organ failure (8.20%). Coagulation failure is commonest followed by ARF, Hypotension, Hepatitis, Hypoxia and CNS involvement. Conclusion: AFI is a common cause of organ dysfunction requiring ICU care.
Authors and Affiliations
Santosh P Ghagare, Trupti H Trivedi, Nivedita D Moulick
Keywords
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