Research Article

Association of Hematological and Biochemical Parameters with Serological Markers of Acute Dengue Infection during the 2022 Dengue Outbreak in Nepal

Table 3

Kruskal–Wallis test and the post hoc Dunn’s pairwise analysis with Bonferroni adjustment among the dengue negative group and NS1 positive, IgM positive, and both NS1 + IgM positive dengue patients.

ParametersKruskal–Wallis testDunn’s pairwise comparison with Bonferroni adjustment
Dengue positive (NS1, NS1 + IgM (B), IgM) value
Dengue negative (C)
H valueNS1/CB/CIgM/CB/IgMB/NS1NS1/IgM

Age (yrs)7.9490.047nsnsnsnsnsns
Hemoglobin (gm/dl)7.491ns
RBC (X 1012/L)2.756ns
HCT (%)2.923ns
MCV (fl)11.7210.008nsns0.013nsns0.044
MCH (pg)21.988<0.001nsns0.04nsns<0.001
MCHC (gm/dl)54.099<0.001<0.0010.024nsnsns<0.001
TLC (cells per µl)116.280<0.001<0.001<0.001<0.0010.004nsns
Neutrophil (%)22.970<0.001ns0.035nsns<0.001<0.001
Lymphocyte (%)29.998<0.001<0.001nsnsns<0.001<0.001
Monocyte (%)47.874<0.001<0.001<0.001nsnsnsns
Eosinophil (%)51.000<0.001<0.001ns<0.001ns0.002ns
Platelets (per µl)193.996<0.001<0.001<0.001<0.001nsnsns
NLR28.772<0.0010.002nsnsns<0.001<0.001
LMR65.861<0.001<0.0010.001nsnsns<0.001
Glucose (mg/dl)45.213<0.0010.012<0.001<0.001nsns0.016
Urea (mg/dl)17.6100.001ns0.035ns0.012ns<0.001
Creatinine (mg/dl)10.8930.0120.016nsns0.046nsns
Total bilirubin (mg/dl)7.9390.047nsnsnsnsnsns
Direct bilirubin (mg/dl)2.015ns
Total protein (gm/dl)12.8690.005ns0.003nsnsnsns
Albumin (gm/dl)1.8590.0020.002nsnsnsnsns
ALP (U/L)38.872<0.001<0.001nsnsns0.011<0.001
AST (U/L)166.520<0.001<0.001<0.001<0.001ns0.0130.008
ALT (U/L)80.633<0.001ns<0.001<0.001<0.001ns<0.001
AST/ALT ratio105.156<0.001<0.001<0.001<0.001nsnsns

RBC, red blood bell; HCT, hematocrit; MCV, mean cell volume; MCH, mean cell hemoglobin; MCHC, mean cell hemoglobin concentration; TLC, total leukocyte count; NLR neutrophil lymphocyte ratio; LMR, lymphocyte monocyte ratio; ALP, alkaline phosphatase; AST, aspartate aminotransferase; ALT, alanine aminotransferase; ns, nonsignificant; is considered significant. The bold numerical values in the table represent statistical significance.