From: Development of a bedside score to predict dengue severity
Characteristics | Number (%) | Non severe cases (%) n = 253 | Severe cases (%) n = 130 | Odds ratio [CI 95%] p value |
---|---|---|---|---|
Sex | ||||
Men | 174 (45.4%) | 109 (43.1%) | 65 (50%) | 1.32 [0.86–2.02] p = 0.23 |
Women | 209 (54.6%) | 144 (56.9%) | 65 (50%) | Reference |
Age class | ||||
< 10 years old | 48 (12.4%) | 39 (15.4%) | 9 (6.9%) | 0.77 [0.28–2.06] p = 0.63 |
[10–20] | 69 (18.0%) | 50 (19.8%) | 19 (14.6%) | 1.26 [0.55–2.98] p = 0.68 |
[20–30] | 72 (18.8%) | 43 (17%) | 29 (22.3%) | 2.22 [1.01–5.11] p = 0.05 |
[30–40] | 52 (13.6%) | 40 (15.8%) | 12 (9.2%) | Reference |
[40–50] | 42 (11.0%) | 26 (10.3%) | 16 (12.3%) | 2.03 [0.83–5.11] p = 0.17 |
[50–60] | 39 (10.2%) | 24 (9.5%) | 15 (11.5%) | 2.06 [0.82–5.26] p = 0.16 |
[60–70] | 24 (6.3%) | 12 (4.7%) | 12 (9.2%) | 3.26 [1.16–9.44] p = 0.03 |
> 70 | 37 (9.7%) | 19 (7.5%) | 18 (13.8%) | 3.10 [1.25–7.97] p = 0.02 |
Self-declared ethnicity | ||||
Melanesian | 141 (36.7%) | 92 (36.4%) | 49 (37.7%) | 1.30 [0.73–2.34] p = 0.37 |
European | 86 (22.5%) | 61 (24.1%) | 25 (19.2%) | Reference |
Polynesian | 68 (17.8%) | 43 (17%) | 25 (19.2%) | 1.40 [0.71–2.81] p = 0.39 |
Métis /Other | 63 (16.4%) | 44 (17.3%) | 19 (14.6%) | 1.05 [0.51–2.15] p = 1 |
Not specified | 25 (5.1%) | 12 (9.2%) | 5 (3.8%) | 2.23 [0.88–5.66] p = 0.09 |
Risky behavior | ||||
Tobacco | 105 (27.4%) | 62 (24.5%) | 43 (33.1%) | 1.52 [0.95–2.42] p = 0.09 |
Cannabis | 19 (4.9%) | 12 (4.7%) | 7 (5.4%) | 1.15 [0.41–2.97] p = 0.81 |
Kavaa | 15 (3.9%) | 10 (3.9%) | 5 (3.8%) | 0.98 [0.29–2.89] p = 1 |
Alcohol (> 3 units/day) | 9 (2.3%) | 4 (1.6%) | 5 (3.8%) | 2.46 [0.62–10.56] p = 0.17 |
Comorbidities | ||||
Obesity | 95 (24.8%) | 52 (20.6%) | 43 (33.1%) | 1.91 [1.18–3.07] p = 0.08 |
Diabetes | 34 (8.8%) | 20 (7.9%) | 14 (10.8%) | 1.41 [0.67–2.89] p = 0.35 |
Dyslipidemia | 27 (7.0%) | 13 (5.1%) | 14 (10.8%) | 2.22 [1.0–4.97] p = 0.06 |
Hypertension | 66 (17.2%) | 31 (12.3%) | 35 (26.9%) | 2.63 [1.53–4.54] p < 0.01 |
Heart disease | 21 (5.5%) | 11 (4.3%) | 10 (7.7%) | 1.83 [0.74–4.51] p = 0.23 |
Lung diseases | 31 (8.1%) | 24 (9.5%) | 7 (5.4%) | 0.55 [0.21–1.26] p = 0.23 |
Renal failure | 9 (2.3%) | 4 (1.6%) | 5 (3.8%) | 2.46 [0.62–10.56] p = 0.17 |
Immunodepression | 7 (1.8%) | 5 (2%) | 2 (1.5%) | 0.81 [0.10–3.99] p = 1 |
Cancer | 14 (3.7%) | 8 (3.2%) | 6 (4.6%) | 1.49 [0.47–4.46] p = 0.57 |
Risk of bleedingb | 9 (2.3%) | 6 (2.4%) | 3 (2.3%) | 1.0 [0.20–3.97] p = 1 |
Number of clinical problems | ||||
No medical history | 201 (52.5%) | 142 (56.1%) | 59 (45.4%) | Reference |
1 | 87 (22.7%) | 59 (23.3%) | 28 (21.5%) | 1.04 [0.58–1.80] p = 1 |
2 or more | 95 (24.8%) | 52 (20.6%) | 43 (33.1%) | 2.12 [1.29–3.49] p < 0.01 |
History of arbovirus infection | ||||
Presence of dengue IgG | 132 (34.5%) | 68 (26.9%) | 64 (49.2%) | 2.93 [1.83–4.75] p < 0.001 |
Presence of Zika IgG | 42 (11.0%) | 25 (9.9%) | 17 (13.1%) | 1.30 [0.66–2.53] p = 0.49 |
Treatment | ||||
Paracetamol | 300 (78.3%) | 203 (80.2%) | 97 (74.6%) | 0.72 [0.44–1.20] p = 0.24 |
Corticosteroids | 2 (0.5%) | 0 | 2 (1.5%) | – |
NSAI | 6 (1.6%) | 4 (1.6%) | 2 (1.5%) | 1.00 [0.12–5.56] p = 1 |
Anticoagulants | 9 (2.3%) | 3 (1.2%) | 6 (4.62%) | 3.92 [0.98–19.96] p = 0.07 |
PAI | 38 (9.9%) | 19 (7.5%) | 19 (14.6%) | 2.10 [1.06–4.17] p = 0.03 |
Traditional medicine | 71 (18.5%) | 46 (18.2%) | 25 (19.2%) | 1.07 [0.62–1.83] p = 0.89 |
Symptoms | ||||
Fever | 347 (90.6%) | 231 (91.3%) | 116 (89.2%) | 0.79 [0.39–1.64] p = 0.58 |
Muscle soreness/myalgia | 249 (65.0%) | 161 (63.6%) | 88 (67.7%) | 1.20 [0.77–1.88] p = 0.50 |
Arthralgia | 174 (45.4%) | 110 (43.5%) | 64 (49.2%) | 1.26 [0.82–1.93] p = 0.33 |
Headaches | 261 (68.1%) | 175 (69.2%) | 86 (66.2%) | 0.87 [0.56–1.37] p = 0.56 |
Retro-orbital pain | 98 (25.6%) | 71 (28.1%) | 27 (20.8%) | 0.67 [0.40–1.11] p = 0.14 |
Diarrhea | 129 (33.7%) | 85 (33.6%) | 44 (33.8%) | 1.01 [0.64–1.58] p = 1.0 |
Nausea/vomiting | 209 (54.6%) | 135 (53.4%) | 74 (56.9%) | 1.15 [0.75–1.77] p = 0.52 |
Skin rash | 130 (33.9%) | 95 (37.5%) | 35 (26.9%) | 0.61 [0.38–0.97] p = 0.041 |
Conjunctival hyperemia | 41 (10.7%) | 33 (13.0%) | 8 (6.2%) | 0.44 [0.18–0.95] p = 0.053 |
Edema | 18 (4.7%) | 8 (3.2%) | 10 (7.7%) | 2.54 [0.96–6.90] p = 0.071 |
Gingivorrhagia | 58 (15.1%) | 33 (13.0%) | 25 (19.2%) | 1.59 [0.89–2.80] p = 0.13 |
Purpura | 78 (20.4%) | 47 (18.6%) | 31 (23.8%) | 1.37 [0.81–2.29] p = 0.23 |
Epistaxis | 58 (15.1%) | 34 (13.4%) | 24 (18.5%) | 1.46 [0.81–2.58] p = 0.23 |
Hematuria/blood in stools | 19 (5.0%) | 6 (2.4%) | 13 (10%) | 4.49 [1.71–13.30] p < 0.01 |
Alert signs | ||||
Abdominal pain | 147 (38.4%) | 88 (34.8%) | 59 (45.4%) | 1.56 [1.01–2.40] p = 0.046 |
Persistant vomiting | 42 (11.0%) | 28 (11.1%) | 14 (10.7%) | 0.97 [0.48–1.90] p = 1.0 |
Clinical liquid accumulation | 28 (7.3%) | 11 (4.3%) | 17 (13.1%) | 3.28 [1.50–7.50] p < 0.01 |
Mucosal bleeding | 170 (44.4%) | 83 (32.8%) | 87 (66.9%) | 4.12 [2.64–6.51] p < 0.01 |
Lethargy/anxiety | 72 (18.8%) | 46 (18.2%) | 26 (20.0%) | 1.13 [0.65–1.92] p = 0.68 |
Hepatomegaly | 17 (4.4%) | 9 (3.6%) | 8 (6.2%) | 1.78 [0.64–4.83] p = 0.30 |
Increase in Ht and platelet count drop | 68 (17.8%) | 37 (14.6%) | 31 (23.8%) | 1.83 [1.07–3.12] p = 0.034 |
Biological parameters | ||||
Normal platelet count | 225 (58.7%) | 175 (69.1%) | 50 (38.4%) | Reference |
Platelets < 30 × 109/L | 134 (35.0%) | 59 (23.3%) | 75 (57.7%) | 4.42 [2.79–7.08] p < 0.01 |
GFR < 60 mL/min | 42 (11.0%) | 8 (3.1%) | 34 (26.1%) | 9.28 [4.22–22.90] p < 0.01 |
Normal AST | 217 (56.7%) | 157 (62%) | 60 (46.1%) | Reference |
AST > 10 N | 110 (28.7%) | 51 (20%) | 59 (45.4%) | 3.01 [1.87–4.89] p < 0.01 |
Normal ALT | 275 (71.8%) | 198 (78.3%) | 77 (59.2%) | Reference |
ALT > 10 N | 51 (13.3%) | 10 (3.9%) | 41 (31.5%) | 10.34 [5.10–22.94] p < 0.01 |