MỘT SỐ CHỈ SỐ LIÊN QUAN ĐẾN TIÊN LƯỢNG Ở BỆNH NHÂN NHI SỐT XUẤT HUYẾT DENGUE NẶNG

Abstract

With the purpose to decrease the mortality of severe dengue hemorrhagic fever, the World Health Organization (WHO) recommended to intensive treatment for DHF patients with warning sign.

Objectives: To determine the prognostic factors for severe dengue hemorrhagic fever.

Methods: We conducted a study to compared a pair 27 severe DHF patients and a pair of 81 patients in controlgroup including 27 DHF patients with warning signs and 54 DHF patients.

Results: Althought intensive treatment for DHF patients with warning sign,the prognostic factors for severe DHF were abdominal pain (OR: 3.7; CI: 1.1 - 12.7), platelet ≤ 50.000G/L (OR: 5.7; CI: 1. 2 - 27.5), AST > 500U/l (OR: 10,2; CI: 1.1 - 93.0), ALT > 250U/l (OR: 4.5; CI: 1.05 - 19.0) and APTT > 44 seconds (OR: 90.7;
CI: 1.8 - 4691.1).

Conclusion: Need to note the prognostic factors in severe DHF patients for timely treatment to reduce the risk of death.