Cargando…
A retrospective study on the socio-demographic factors and clinical parameters of dengue disease and their effects on the clinical course and recovery of the patients in a tertiary care hospital of Bangladesh
Dengue, a mosquito transmitted febrile viral disease, is a serious public health concern in Bangladesh. Despite significant number of incidences and reported deaths each year, there are inadequate number of studies relating the temporal trends of the clinical parameters as well as socio-demographic...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8979461/ https://www.ncbi.nlm.nih.gov/pubmed/35377886 http://dx.doi.org/10.1371/journal.pntd.0010297 |
_version_ | 1784681180657876992 |
---|---|
author | Prattay, Kazi Milenur Rahman Sarkar, Md. Raihan Shafiullah, Abu Zar Md. Islam, Md. Saiful Raihan, Sheikh Zahir Sharmin, Nahid |
author_facet | Prattay, Kazi Milenur Rahman Sarkar, Md. Raihan Shafiullah, Abu Zar Md. Islam, Md. Saiful Raihan, Sheikh Zahir Sharmin, Nahid |
author_sort | Prattay, Kazi Milenur Rahman |
collection | PubMed |
description | Dengue, a mosquito transmitted febrile viral disease, is a serious public health concern in Bangladesh. Despite significant number of incidences and reported deaths each year, there are inadequate number of studies relating the temporal trends of the clinical parameters as well as socio-demographic factors with the clinical course of the disease. Therefore, this study aims to associate the clinical parameters, demographic and behavioral factors of the dengue patients admitted in a tertiary care hospital in Dhaka, Bangladesh during the 2019 outbreak of dengue with the clinical course of the disease. Data were collected from the 336 confirmed dengue in-patients and analyzed using SPSS 26.0 software. Majority of the patients were male (2.2 times higher than female) who required longer time to recover compared to females (p < 0.01), urban resident (54.35%) and belonged to the age group of 18–40 years (73.33%). Dengue fever (90.77%) and dengue hemorrhagic fever (5.95%) were reported in most of the dengue patients while fever (98%) was the most frequently observed symptom. A significantly positive association was found between patient’s age and number of manifested symptoms (p = 0.013). Average duration of stay in the hospital was 4.9 days (SD = 1.652) and patient’s recovery time was positively correlated with delayed hospitalization (p < 0.01). Additionally, recovery time was negatively correlated with initial blood pressure (both systolic (p = 0.001, and diastolic (p = 0.023)) and platelet count (p = 0.003) of the patients recorded on the first day of hospitalization. Finally, a statistical model was developed which predicted that, hospital stay could be positively associated with an increasing trend of temperature, systolic blood pressure and reduced platelets count. Findings of this study may be beneficial to better understand the clinical course of the disease, identify the potential risk factors and ensure improved patient management during future dengue outbreaks. |
format | Online Article Text |
id | pubmed-8979461 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-89794612022-04-05 A retrospective study on the socio-demographic factors and clinical parameters of dengue disease and their effects on the clinical course and recovery of the patients in a tertiary care hospital of Bangladesh Prattay, Kazi Milenur Rahman Sarkar, Md. Raihan Shafiullah, Abu Zar Md. Islam, Md. Saiful Raihan, Sheikh Zahir Sharmin, Nahid PLoS Negl Trop Dis Research Article Dengue, a mosquito transmitted febrile viral disease, is a serious public health concern in Bangladesh. Despite significant number of incidences and reported deaths each year, there are inadequate number of studies relating the temporal trends of the clinical parameters as well as socio-demographic factors with the clinical course of the disease. Therefore, this study aims to associate the clinical parameters, demographic and behavioral factors of the dengue patients admitted in a tertiary care hospital in Dhaka, Bangladesh during the 2019 outbreak of dengue with the clinical course of the disease. Data were collected from the 336 confirmed dengue in-patients and analyzed using SPSS 26.0 software. Majority of the patients were male (2.2 times higher than female) who required longer time to recover compared to females (p < 0.01), urban resident (54.35%) and belonged to the age group of 18–40 years (73.33%). Dengue fever (90.77%) and dengue hemorrhagic fever (5.95%) were reported in most of the dengue patients while fever (98%) was the most frequently observed symptom. A significantly positive association was found between patient’s age and number of manifested symptoms (p = 0.013). Average duration of stay in the hospital was 4.9 days (SD = 1.652) and patient’s recovery time was positively correlated with delayed hospitalization (p < 0.01). Additionally, recovery time was negatively correlated with initial blood pressure (both systolic (p = 0.001, and diastolic (p = 0.023)) and platelet count (p = 0.003) of the patients recorded on the first day of hospitalization. Finally, a statistical model was developed which predicted that, hospital stay could be positively associated with an increasing trend of temperature, systolic blood pressure and reduced platelets count. Findings of this study may be beneficial to better understand the clinical course of the disease, identify the potential risk factors and ensure improved patient management during future dengue outbreaks. Public Library of Science 2022-04-04 /pmc/articles/PMC8979461/ /pubmed/35377886 http://dx.doi.org/10.1371/journal.pntd.0010297 Text en © 2022 Prattay et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Prattay, Kazi Milenur Rahman Sarkar, Md. Raihan Shafiullah, Abu Zar Md. Islam, Md. Saiful Raihan, Sheikh Zahir Sharmin, Nahid A retrospective study on the socio-demographic factors and clinical parameters of dengue disease and their effects on the clinical course and recovery of the patients in a tertiary care hospital of Bangladesh |
title | A retrospective study on the socio-demographic factors and clinical parameters of dengue disease and their effects on the clinical course and recovery of the patients in a tertiary care hospital of Bangladesh |
title_full | A retrospective study on the socio-demographic factors and clinical parameters of dengue disease and their effects on the clinical course and recovery of the patients in a tertiary care hospital of Bangladesh |
title_fullStr | A retrospective study on the socio-demographic factors and clinical parameters of dengue disease and their effects on the clinical course and recovery of the patients in a tertiary care hospital of Bangladesh |
title_full_unstemmed | A retrospective study on the socio-demographic factors and clinical parameters of dengue disease and their effects on the clinical course and recovery of the patients in a tertiary care hospital of Bangladesh |
title_short | A retrospective study on the socio-demographic factors and clinical parameters of dengue disease and their effects on the clinical course and recovery of the patients in a tertiary care hospital of Bangladesh |
title_sort | retrospective study on the socio-demographic factors and clinical parameters of dengue disease and their effects on the clinical course and recovery of the patients in a tertiary care hospital of bangladesh |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8979461/ https://www.ncbi.nlm.nih.gov/pubmed/35377886 http://dx.doi.org/10.1371/journal.pntd.0010297 |
work_keys_str_mv | AT prattaykazimilenurrahman aretrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT sarkarmdraihan aretrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT shafiullahabuzarmd aretrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT islammdsaiful aretrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT raihansheikhzahir aretrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT sharminnahid aretrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT prattaykazimilenurrahman retrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT sarkarmdraihan retrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT shafiullahabuzarmd retrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT islammdsaiful retrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT raihansheikhzahir retrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh AT sharminnahid retrospectivestudyonthesociodemographicfactorsandclinicalparametersofdenguediseaseandtheireffectsontheclinicalcourseandrecoveryofthepatientsinatertiarycarehospitalofbangladesh |