Prediction of mortality in patients with severe dengue in the Intensive Care Unit
Journal Title: Revista Información Científica - Year 2018, Vol 97, Issue 3
Abstract
Introduction: dengue is an important public health problem for endemic regions. Objective: to identify clinical, biological and imaging variables associated with the probability of dying in patients with severe dengue admitted to the intensive care unit of the General Teaching Hospital "Dr. Agostinho Neto" between January and November 2014. Method: a study was conducted epidemiological, case-control, retrospective study in which all patients were admitted to the research scenario with a diagnosis of severe dengue and whom were confirmed serologically in this studied period. Descriptive statistics and univariate, bivariate and logistic regression were used to determine the association of the selected variables with mortality. It were analyzed 90 cases, 10 deaths and 80 alive. Results: In the univariate analysis, mean blood pressure, urinary output and platelet count, glycaemia, metabolic acidosis and pericardial effusion were found to have significant differences. In the multivariate analysis, that shown an association with mortality, urinary output and mean arterial pressure, glycemia, metabolic acidosis and pericardial effusion. Pericardial effusion and metabolic acidosis have acceptable measures of diagnostic validity and safety of the probability of dying. Conclusions: Mean arterial pressure and urinary output 3, glycemia 2 and 3, metabolic acidosis with DB≥8 mmol / l at time 1 and 2 and pericardial effusion at time 3 were found to be variables with predictive capacity of mortality in patients with severe dengue.
Authors and Affiliations
Yunieski Griñán Garrido, Yariusbi Plasencia Columbié, Argelio Díaz Ortiz
Keywords
Related Articles
- EP ID EP438603
- DOI -
- Views 48
- Downloads 0
Immunotherapy with Valergen sublingual vaccines in asthmatics patients from Cabaiguan to Sancti Spiritus
Introduction: sublingual immunotherapy makes its way into allergological practice and numerous studies confirm its effectiveness and safety. Objective: to characterize the results with the use of Valergen sublingual vacc...
An integral management of the diabetes during the pregnancy
Introduction: gestational diabetes is a condition characterized by carbohydrate intolerance with varying degrees of severity that is recognized for the first time during pregnancy and may or may not resolve after this. I...
Influence of gender on the effectiveness of ozone therapy in stomatitis subprosthesis
Introduction: gender analysis is essential to determine inequities related to the health of men and women, is a field to be explored in Stomatology and more when it comes to the effectiveness of ozone therapy in the trea...
Quality of life in the elderly from the University of the Elderly
A literature review on the quality of life of the elderly was conducted at the University of Guantanamo, with the objective of assessing the role of the Chair of the University of the elderly as a way to raise the qualit...
Diagnosis of aspects and environmental impacts in the School of Dentistry of Havana
Introduction: Stomatology faculties have a predominant role in environmental management for their general performance, innovation and sustainable development. Objective: to diagnose the aspects and associated environment...