Variables | Mild (Grade 2a) n = 40 | Severe (Grades 2b1&2b2) n = 48 | Very severe (Grades 3&4) n = 54 | Total n = 142 |
---|---|---|---|---|
Demographics | ||||
Male/female | 21/19 | 26/22 | 35/19 | 82/60 |
Median age (months) (range) | 16 (2.4–43.2) | 25.6 (6.8–154.8) | 19 (4.1–118.2) | 21.7 (2.4–154.8) |
HCM city origin | 18 (45) | 19 (39.6) | 23 (42.6) | 60 (42.3) |
Other provinces | 22 (55) | 29 (60.4) | 31 (57.4) | 82 (57.7) |
Length of stay (days) Median (range) | 3 (2–10) | 4 (2–10) | 7 (1–43) | 5 (1–43) |
Clinical features (n, %) | ||||
Skin lesion | 37 (92.5) | 45 (93.8) | 54 (100) | 135 (95.1) |
Mouth ulcer | 38 (95) | 45 (93.8) | 46 (85.2) | 129 (90.8) |
High fever | 25 (62.5) | 36 (75) | 50 (92.6) | 111 (78.2) |
Cough | 4 (10) | 2 (4.1) | 6 (11.1) | 12 (8.5) |
Runny nose | 13 (32.5) | 1 (2.1) | 3 (5.5) | 17 (12) |
Vomiting | 11 (27.5) | 11 (22.9) | 8 (14.8) | 30 (21.1) |
Diarrhea | 4 (10) | 6 (12.5) | 8 (14.8) | 18)12.7) |
Lethargy | 9 (22.5) | 34 (70.8) | 41 (75.9) | 84 (59.2) |
Irritable | 35 (87.5) | 39 (81.3) | 38 (70.4) | 111 (78.2) |
Myoclonus (history) | 8 (20) | 35 (72.9) | 33 (61.1) | 75 (52.8) |
Sweating | 2 (5) | 1 (2.1) | 5 (9.2) | 8 (5.6) |
Drowsiness | 1 (2.5) | 3 (6.3) | 10 (18.5) | 14 (9.9) |
Trembling | 0 | 18 (37.5) | 16 (29.6) | 34 (23.9) |
Mottled skin | 0 | 2 (4.1) | 5 (9.2) | 7 (4.9) |
Pulse (beats/minute) Median (range) | 140 (110–168) | 140 (106–187) | 148 (118–190) | 143.5 (106–190) |
SBP (mmHg) Median (range) | 92.5 (80–110) | 100 (90–160) | 105 (85–160) | 100 (80–160) |
DBP (mmHg) Median (range) | 60 (45–68) | 60 (50–95) | 60 (52–100) | 60 (45–100) |
Respiratory rate (breaths/minute) Median( range) | 32 (22–60) | 34 (22–46) | 38 (22–70) | 34 (22–70) |
Pathogens (n, %) | ||||
EV-A71 | 12 (30) | 31 (64.6) | 37 (68.5) | 80 (56.3) |
CVA6 | 2 (5) | 2 (4.3) | 1 (1.8) | 5 (3.5) |
CVA10 | 6 (15) | 0 | 0 | 6 (4.2) |
CV-A16 | 2 (5) | 3 (6.4) | 2 (3.6) | 7 (4.9) |
Other enterovirus serotypesa | 8 (20) | 4 (8.3) | 8 (14.8) | 20 (14.1) |
PCR negative | 10 (25) | 7 (14.6) | 7 (13) | 24 (16.9) |