Research Article
Risk Factors Associated with Fatal Dengue Hemorrhagic Fever in Adults: A Case Control Study
Table 2
Clinical symptoms and selected physical signs of fatalities on admission.
| | Clinical features on admission | | Patients directly admitted to THP (n = 9) | Patients transferred (n = 11) | Overall | | Serial no. | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | | | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | | | | | | Patient no. | 1 | 4 | 5 | 10 | 12 | 15 | 16 | 17 | 19 | (N) | % | 2 | 3 | 6 | 7 | 8 | 9 | 11 | 13 | 14 | 18 | 20 | Frq. | % | Frq. | % |
| | Headache | | + | | | | | + | | | 2 | 22.2 | | | | | | | | + | | | | 1 | 9 | 3 | 15 | | Altered consciousness | − | | − | − | − | − | − | + | − | 1 | 11.1 | − | | | + | + | − | − | + | − | − | − | 3 | 27.3 | 4 | 20 | | Arthralgia/myalgia | + | + | + | | | | + | | | 4 | 44.4 | | | + | | | | | + | | | | 2 | 18.2 | 6 | 30 | | Fever | + | | + | − | − | − | | | | 2 | 22.2 | + | + | − | + | − | | + | − | + | + | − | 6 | 54.5 | 8 | 40 | | Nausea/vomiting | + | + | | + | − | − | + | + | + | 6 | 66.7 | − | | | − | | | + | | + | | + | 3 | 27.3 | 9 | 45 | | Abdominal pain | | | − | + | + | − | | − | | 2 | 22.2 | − | | | + | | | + | − | + | | + | 4 | 36.4 | 6 | 30 | | Postural dizziness | | + | − | + | + | + | + | + | + | 7 | 77.8 | − | | + | − | | | + | | + | + | − | 4 | 36.4 | 11 | 55 | | Bleeding | − | + | − | − | + | − | − | − | − | 2 | 22.2 | + | + | + | − | + | + | + | + | − | − | − | 7 | 63.6 | 9 | 45 | | Diarrhea | | | | + | | | | − | − | 1 | 11.1 | | | | | | | | − | + | − | − | 1 | 9 | 2 | 10 | | RH pain | | | | | | | | | + | 1 | 11.1 | | | | | | | | | | | | 0 | 0 | 1 | 5 | | Presence of at least 1 warning sign | + | + | − | + | + | + | + | + | + | 8 | 88.9 | + | + | + | + | + | + | + | + | + | + | + | 11 | 100 | 19 | 95 | | Abdominal tenderness | − | + | | + | + | + | + | + | − | 6 | 66.7 | − | + | − | + | | − | + | − | + | − | + | 5 | 45.5 | 11 | 55 | | Confusion | − | | − | − | − | − | − | + | − | 1 | 11.1 | − | | | − | + | + | − | + | − | − | − | 3 | 27.3 | 4 | 20 | | Pleural effusion | − | − | − | − | + | + | − | − | − | 2 | 22.2 | + | − | + | + | − | + | + | + | + | − | − | 7 | 63.6 | 9 | 45 | | Ascites | − | − | − | − | − | − | + | − | − | 1 | 11.1 | + | − | + | + | + | − | − | − | + | − | − | 5 | 45.5 | 6 | 30 | | Hepatomegaly | − | + | − | − | − | − | − | − | − | 1 | 11.1 | − | − | − | − | − | − | − | − | − | − | − | 0 | 0 | 1 | 5 | | Oliguria | − | − | − | − | − | − | + | + | | 2 | 22.2 | + | + | − | + | + | + | − | − | + | − | | 6 | 54.5 | 8 | 40 | | RR > 30/minute | − | − | − | − | − | − | − | − | | 0 | 0 | − | − | + | − | − | + | − | − | + | + | − | 4 | 36.4 | 4 | 20 | | PR > 120/minute | − | − | − | − | − | − | − | − | − | 0 | 0 | + | + | + | + | − | + | − | + | + | + | − | 8 | 72.7 | 8 | 40 | | SBP < 90 mmHg | − | + | − | − | − | + | + | − | − | 3 | 33.3 | − | + | + | − | + | − | − | − | + | − | − | 4 | 63.6 | 7 | 35 | | Dehydration | − | + | + | | | | | + | | 3 | 33.3 | | | | | | | | | | | + | 1 | 9 | 4 | 20 | | Shock | − | | | | | | + | | | 1 | 11.1 | + | + | + | | + | + | | + | | | | 6 | 54.5 | 7 | 35 |
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THP: Teaching Hospital Peradeniya, RH: right hypochondriac, RR: respiratory rate, PR: pulse rate, SBP: systolic blood pressure.
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