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Table 1 Baseline clinical and laboratory characteristics of 125 patients hospitalized with dengue

From: Diagnostic accuracy of peripheral venous lactate and the 2009 WHO warning signs for identifying severe dengue in Thai adults: a prospective observational study

Characteristics

All dengue cases

The 2009 WHO dengue case definitions

p-value

Severe dengue

Non-severe dengue

n

No. (%)

n

No. (%)

n

No. (%)

Baseline characteristics

       

 Age (years), median (IQR)

125

24.0 (19.0–36.0)

20

36.5 (20.2–50.5)

105

23.0 (19.0–33.5)

0.010c

 Sex, female

125

57 (45.6)

20

11 (55.0)

105

46 (43.8)

0.499a

 Residential area, Bangkok

125

104 (83.2)

20

18 (90.0)

105

86 (81.9)

0.523b

Clinical symptoms

       

 Fever (days), median (IQR)

125

4.0 (3.0–5.0)

20

5.0 (4.0–6.0)

105

4.0 (3.0–5.0)

0.003c

 Myalgia

125

114 (91.2)

20

19 (95.0)

105

95 (90.5)

1.000b

 Headache

125

109 (87.2)

20

17 (85.0)

105

92 (87.6)

0.720b

 Lethargy

125

94 (75.2)

20

18 (90.0)

105

76 (72.4)

0.155b

 Nausea

125

88 (70.4)

20

14 (70.0)

105

74 (70.5)

1.000a

 Retro-orbital pain

125

80 (64.0)

20

11 (55.0)

105

69 (65.7)

0.509a

 Abdominal pain

125

53 (42.4)

20

9 (45.0)

105

44 (41.9)

0.992a

 Arthralgia

125

41 (32.8)

20

9 (45.0)

105

32 (30.5)

0.313a

 Persistent vomiting

125

20 (16.0)

20

8 (40.0)

105

12 (11.4)

0.004b

Physical examinations

       

 Temperature (°C), median (IQR)

125

38.5 (37.8–39.2)

20

38.5 (37.7–39.0)

105

38.5 (37.8–39.2)

0.580c

 Mean arterial pressure (mmHg), median (IQR)

125

86 (78–92)

20

84 (70–93)

105

86 (78–92)

0.522c

 Heart rate (beats/min), median (IQR)

125

80 (66–90)

20

83 (70–91)

105

79 (66–90)

0.457c

 Respiratory rate (breaths/min), median (IQR)

125

22 (20–22)

20

22 (20–24)

105

20 (18–22)

0.019c

 Tourniquet test, positive

125

106 (84.8)

20

15 (75.0)

105

91 (86.7)

0.187b

 Rash

125

55 (44.0)

20

9 (45.0)

105

46 (43.8)

1.000a

 Mucosal bleeding

125

53 (42.4)

20

14 (70.0)

105

39 (37.1)

0.013a

 Skin bleeding

125

35 (28.0)

20

13 (65.0)

105

22 (21.0)

<0.001a

 Liver span of >15 cm

125

29 (23.2)

20

12 (60.0)

105

17 (16.2)

<0.001b

 Clinical fluid accumulation

125

25 (20.0)

20

15 (75.0)

105

10 (9.5)

<0.001b

Confirmation tests for dengue

       

 Dengue RT-PCR, positive

125

79 (63.2)

20

15 (75.0)

105

64 (61.0)

1.000b

 Serotypes 1 or 4

79

22 (27.8)

15

4 (26.7)

64

18 (28.1)

 

 Serotypes 2 or 3

79

57 (72.2)

15

11 (73.3)

64

46 (71.9)

 

 Dengue ELISA, positive

125

119 (95.2)

20

20 (100)

105

99 (94.3)

0.526b

 Primary dengue infection

119

4 (3.4)

20

1 (5.0)

99

3 (3.0)

 

 Secondary dengue infection

119

115 (96.6)

20

19 (95.0)

99

96 (97.0)

 

Complete blood counts

       

 Hemoglobin, median (IQR), g/dL

125

13.8 (12.8–14.9)

20

13.9 (12.7–16.7)

105

13.8 (12.8–14.9)

0.540c

 Hematocrit, median (IQR), %

125

41.6 (38.1–44.4)

20

40.7 (37.1–48.9)

105

41.6 (38.4–44.4)

0.882c

 WBC, median (IQR), ×103/μL

125

3.0 (2.2–4.8)

20

3.6 (2.1–6.8)

105

3.0 (2.2–4.6)

0.324c

 Platelet counts, median (IQR), ×103/μL

125

78.0 (48.0–127.0)

20

41.5 (11.2–63.5)

105

90.0 (56.0–145.5)

<0.001c

Blood biochemistry

       

 Creatinine, median (IQR), mg/dL

125

0.8 (0.6–1.0)

20

0.8 (0.6–1.1)

105

0.9 (0.7–1.0)

0.859c

 Albumin, median (IQR), g/dL

125

4.2 (3.9–4.5)

20

3.6 (3.1–4.2)

105

4.3 (4.0–4.5)

<0.001c

 AST, median (IQR), IU/L

125

94 (38–202)

20

228 (162–760)

105

71 (36–156)

<0.001c

 ALT, median (IQR), IU/L

125

65 (22–148)

20

172 (114–415)

105

46 (18–102)

<0.001c

 Lactate level, median (IQR), mmol/L

125

1.5 (1.2–1.9)

20

2.7 (1.8–3.1)

105

1.4 (1.2–1.8)

<0.001c

Duration of hospitalization (days), median (IQR)

125

3.9 (2.8–5.0)

20

4.8 (2.9–9.8)

105

3.7 (2.7–4.9)

0.012c

  1. aChi-square test; bFisher’s exact test; cMann-Whitney U test; WHO World Health Organization; IQR interquartile range; RT-PCR reverse-transcriptase polymerase chain reaction; ELISA enzyme-linked immunosorbent assay; WBC white blood cell count; AST aspartate aminotransferase; ALT alanine aminotransferase