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Prognostic Factors for Leptospirosis Infection Severity
Background: Leptospirosis is an important health problem in Thailand. People infected with leptospirosis may not have any mild symptoms, whereas some people have acute and severe illnesses. It is crucial to strengthen critical patients’ diagnosis and treatment to prevent severe complications and red...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9963743/ https://www.ncbi.nlm.nih.gov/pubmed/36828528 http://dx.doi.org/10.3390/tropicalmed8020112 |
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author | Pongpan, Surangrat Thanatrakolsri, Pantitcha Vittaporn, Supa Khamnuan, Patcharin Daraswang, Punnaphat |
author_facet | Pongpan, Surangrat Thanatrakolsri, Pantitcha Vittaporn, Supa Khamnuan, Patcharin Daraswang, Punnaphat |
author_sort | Pongpan, Surangrat |
collection | PubMed |
description | Background: Leptospirosis is an important health problem in Thailand. People infected with leptospirosis may not have any mild symptoms, whereas some people have acute and severe illnesses. It is crucial to strengthen critical patients’ diagnosis and treatment to prevent severe complications and reduce mortality. This study was performed to explore a set of parameters for the prediction of severe leptospirosis illness under routine clinical practice. Methods: A case-control study was conducted in eight general hospitals in Thailand. Retrospective collection data were used, and key information was retrieved from inpatient medical files. Patients were grouped into two severity categories, severe and non-severe infection. Backward elimination was used to reach the final multivariate model. Results: The six significant predictors identified in the study were hemoptysis (OR = 25.80, 95% CI 5.69, 116.92), hypotension (blood pressure < 90/60 mmHg) (OR = 17.33, 95% CI 6.89, 43.58), platelet count < 100,000/µL (OR = 8.37, 95% CI 4.65, 15.09), white blood cell count (WBC) > 14,000/µL (OR = 5.12, 95% CI 2.75, 9.51), hematocrit ≤ 30% (OR = 3.49, 95% CI 1.61, 7.57), and jaundice (OR = 3.11, 95% CI 1.71, 5.65). These predictors could correctly predict the severity of leptospirosis infection in 91.31% of the area under the receiver operation curve (AuROC). Conclusions: The results of this study showed that severe leptospirosis infections have identifiable predictors. The predictors may be used to develop a scoring system for predicting the level of severity. |
format | Online Article Text |
id | pubmed-9963743 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99637432023-02-26 Prognostic Factors for Leptospirosis Infection Severity Pongpan, Surangrat Thanatrakolsri, Pantitcha Vittaporn, Supa Khamnuan, Patcharin Daraswang, Punnaphat Trop Med Infect Dis Article Background: Leptospirosis is an important health problem in Thailand. People infected with leptospirosis may not have any mild symptoms, whereas some people have acute and severe illnesses. It is crucial to strengthen critical patients’ diagnosis and treatment to prevent severe complications and reduce mortality. This study was performed to explore a set of parameters for the prediction of severe leptospirosis illness under routine clinical practice. Methods: A case-control study was conducted in eight general hospitals in Thailand. Retrospective collection data were used, and key information was retrieved from inpatient medical files. Patients were grouped into two severity categories, severe and non-severe infection. Backward elimination was used to reach the final multivariate model. Results: The six significant predictors identified in the study were hemoptysis (OR = 25.80, 95% CI 5.69, 116.92), hypotension (blood pressure < 90/60 mmHg) (OR = 17.33, 95% CI 6.89, 43.58), platelet count < 100,000/µL (OR = 8.37, 95% CI 4.65, 15.09), white blood cell count (WBC) > 14,000/µL (OR = 5.12, 95% CI 2.75, 9.51), hematocrit ≤ 30% (OR = 3.49, 95% CI 1.61, 7.57), and jaundice (OR = 3.11, 95% CI 1.71, 5.65). These predictors could correctly predict the severity of leptospirosis infection in 91.31% of the area under the receiver operation curve (AuROC). Conclusions: The results of this study showed that severe leptospirosis infections have identifiable predictors. The predictors may be used to develop a scoring system for predicting the level of severity. MDPI 2023-02-11 /pmc/articles/PMC9963743/ /pubmed/36828528 http://dx.doi.org/10.3390/tropicalmed8020112 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pongpan, Surangrat Thanatrakolsri, Pantitcha Vittaporn, Supa Khamnuan, Patcharin Daraswang, Punnaphat Prognostic Factors for Leptospirosis Infection Severity |
title | Prognostic Factors for Leptospirosis Infection Severity |
title_full | Prognostic Factors for Leptospirosis Infection Severity |
title_fullStr | Prognostic Factors for Leptospirosis Infection Severity |
title_full_unstemmed | Prognostic Factors for Leptospirosis Infection Severity |
title_short | Prognostic Factors for Leptospirosis Infection Severity |
title_sort | prognostic factors for leptospirosis infection severity |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9963743/ https://www.ncbi.nlm.nih.gov/pubmed/36828528 http://dx.doi.org/10.3390/tropicalmed8020112 |
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