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Table 2 WHO 1997 criteria for dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS)

From: Confirmed adult dengue deaths in Singapore: 5-year multi-center retrospective study

Criteria

No.(%) of patients

DHF (fulfilling all 4 criteria):

10 (35.7)

DHF (fulfilling 3 criteria excluding bleeding):

28 (100.0)

   Fever

27 (96.4)

   Platelet ≤100 × 10^9/L

26 (92.9)

   Any bleeding

10 (35.7)

   Plasma leakage:

28 (100.0)

Hematocrit change ≥20%

25 (89.3)

Pleural effusion or ascites

13 (46.4)

Hypoproteinemia

25 (89.3)

DSS:

8 (28.6)

   DHF, rapid pulse and narrow pulse pressure

5 (17.9)

Rapid pulse >100/minute

26 (92.9)

Narrow pulse pressure <20 mmHg

10 (35.7)

   DHF and hypotension

8 (28.6)

Hypotension <90 mmHg

21 (75.0)

  1. WHO = World Health Organization