Hematological indices as predictors of mortality in dengue shock syndrome: A retrospective study

Objective: To explore predictive hematological parameters on admission which are associated with mortality in NS1 positive dengue shock syndrome patients. Methods: Demographic characteristics, hematological parameters, and the outcome of NS1 positive dengue shock syndrome patients without any comorb...

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Main Authors: L A Gauri, Ketan Bhatnagar, Parvez Sameja, Hardeva Ram Nehara, Kuldeep Saini, Ravi Dutt, Bhupen Bhatnagar, Mohit Singh Khokhar, Vikas Kumar, Anjali Garg
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Acute Disease
Subjects:
Online Access:http://www.jadweb.org/article.asp?issn=2221-6189;year=2022;volume=11;issue=4;spage=150;epage=155;aulast=Gauri
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author L A Gauri
Ketan Bhatnagar
Parvez Sameja
Hardeva Ram Nehara
Kuldeep Saini
Ravi Dutt
Bhupen Bhatnagar
Mohit Singh Khokhar
Vikas Kumar
Anjali Garg
author_facet L A Gauri
Ketan Bhatnagar
Parvez Sameja
Hardeva Ram Nehara
Kuldeep Saini
Ravi Dutt
Bhupen Bhatnagar
Mohit Singh Khokhar
Vikas Kumar
Anjali Garg
author_sort L A Gauri
collection DOAJ
description Objective: To explore predictive hematological parameters on admission which are associated with mortality in NS1 positive dengue shock syndrome patients. Methods: Demographic characteristics, hematological parameters, and the outcome of NS1 positive dengue shock syndrome patients without any comorbidity and coexisting infections were collected from the Intensive Care Unit and the results were compared between the survivor and non-survivor groups. Results: The mean age was (30.77±11.48) years and 56 (56.6%) patients were males. Out of the total 99 patients, 72 (72.27%) patients were successfully discharged and 27 (27.27%) patients eventually succumbed to death. The most common hematological finding was thrombocytopenia (95.95%), followed by anemia (52.52%) and decreased mean platelet volume (37.37%). After controlling other variables, logistic regression analysis showed that absolute neutrophil count and mean platelet volume were associated with mortality. Conclusions: Total leucocyte count, absolute neutrophil count, and total platelet count are significantly higher, and mean platelet volume is significantly lower in the non-survivor group as compared to the survivor group. Absolute neutrophil count and mean platelet volume are predictors associated with mortality.
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spelling doaj.art-fd7ec908bb2345e79288b2e31117acc92022-12-22T04:30:17ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892589-55162022-01-0111415015510.4103/2221-6189.355312Hematological indices as predictors of mortality in dengue shock syndrome: A retrospective studyL A GauriKetan BhatnagarParvez SamejaHardeva Ram NeharaKuldeep SainiRavi DuttBhupen BhatnagarMohit Singh KhokharVikas KumarAnjali GargObjective: To explore predictive hematological parameters on admission which are associated with mortality in NS1 positive dengue shock syndrome patients. Methods: Demographic characteristics, hematological parameters, and the outcome of NS1 positive dengue shock syndrome patients without any comorbidity and coexisting infections were collected from the Intensive Care Unit and the results were compared between the survivor and non-survivor groups. Results: The mean age was (30.77±11.48) years and 56 (56.6%) patients were males. Out of the total 99 patients, 72 (72.27%) patients were successfully discharged and 27 (27.27%) patients eventually succumbed to death. The most common hematological finding was thrombocytopenia (95.95%), followed by anemia (52.52%) and decreased mean platelet volume (37.37%). After controlling other variables, logistic regression analysis showed that absolute neutrophil count and mean platelet volume were associated with mortality. Conclusions: Total leucocyte count, absolute neutrophil count, and total platelet count are significantly higher, and mean platelet volume is significantly lower in the non-survivor group as compared to the survivor group. Absolute neutrophil count and mean platelet volume are predictors associated with mortality.http://www.jadweb.org/article.asp?issn=2221-6189;year=2022;volume=11;issue=4;spage=150;epage=155;aulast=Gauridengue shock syndrome; ns1; complete blood count; thrombocytopenia; leucocytosis; white blood cell; absolute neutrophil count; mean platelet volume
spellingShingle L A Gauri
Ketan Bhatnagar
Parvez Sameja
Hardeva Ram Nehara
Kuldeep Saini
Ravi Dutt
Bhupen Bhatnagar
Mohit Singh Khokhar
Vikas Kumar
Anjali Garg
Hematological indices as predictors of mortality in dengue shock syndrome: A retrospective study
Journal of Acute Disease
dengue shock syndrome; ns1; complete blood count; thrombocytopenia; leucocytosis; white blood cell; absolute neutrophil count; mean platelet volume
title Hematological indices as predictors of mortality in dengue shock syndrome: A retrospective study
title_full Hematological indices as predictors of mortality in dengue shock syndrome: A retrospective study
title_fullStr Hematological indices as predictors of mortality in dengue shock syndrome: A retrospective study
title_full_unstemmed Hematological indices as predictors of mortality in dengue shock syndrome: A retrospective study
title_short Hematological indices as predictors of mortality in dengue shock syndrome: A retrospective study
title_sort hematological indices as predictors of mortality in dengue shock syndrome a retrospective study
topic dengue shock syndrome; ns1; complete blood count; thrombocytopenia; leucocytosis; white blood cell; absolute neutrophil count; mean platelet volume
url http://www.jadweb.org/article.asp?issn=2221-6189;year=2022;volume=11;issue=4;spage=150;epage=155;aulast=Gauri
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