DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20195071

A study on length of stay and its predictors among dengue patients in a tertiary care institute in Lucknow

Sandhya Mishra, Deepak Chopra, Nidhi Jauhari, Ausaf Ahmad

Abstract


Background: Dengue virus infection is a growing health problem and is prevalent throughout India. Research focusing on length of hospital stay and its predictors is scarce from India. This is important considering the burden of the disease during epidemics and impact on hospital admissions. Hence the study was conducted with the objectives to find out the factors influencing the length of stay in hospital of dengue patients.

Methods: A cross sectional retrospective observational study conducted at a tertiary care hospital from August 2016 to October 2016. Data was retrieved from case sheets at Medical Record Department of 350 lab confirmed adult dengue patients admitted in the hospital.

Results: The majority of patients admitted were of economically productive age group of 18-45 years and males indicating the occupational exposure to the vector of dengue. The study found that majority had length of stay of less than a week and as age increases the length of stay also increases (statistically significant). The nil case fatality and lesser number of mean days of symptoms before admission possibly indicate that early arrival of patients to hospital can lead to very low fatality rates. Further research required to find out the other predictors of length of stay.

Conclusions: The study concludes that the dengue affects the economically productive age group and more males thereby indicating occupational exposure to the vector. The age of the patient can be used as an indicator to the length of stay in the hospital.


Keywords


Length of stay, Dengue, Platelet count, Hospitalization

Full Text:

PDF

References


O'Brien D, Tobin S, Brown GV, Torresi J. Fever in returned travelers: review of hospital admissions for a 3-year period. Clin Infect Dis. 2001;33:603-9.

MacLean J, Lalonde R, Ward B. Fever from the tropics. Travel Med Advisor. 1994;5:27.1-.14

Muto R. Summary of dengue situation in WHO Western Pacific Region. Dengue Bulletin. 1998;22:12-9.

National Vector Borne Disease Control Program, GoI, India. Available at: http://www.nvbdcp.gov. in/den-cd.html. Accessed on 30 August 2019.

Kumar A, Rao CR, Pandit V, Shetty S, Bammigatti C, Samarasinghe CM. Clinical manifestations and trend of dengue cases admitted in a tertiary care hospital, Udupi district, Karnataka. Indian J Community Med. 2010;35:386-90.

Pardeshi A, Shinde R, Jagtap A, Kembhavi R, Giri M, Kavathekar S. Retrospective cross-sectional study of dengue cases in ipd with reference to treatment- monitoring and outcome in KEM Hospital, Mumbai. Am J Epidemiol Infect Dis. 2014;2(4):97-100.

Aung KL, Thanachartwet V, Desakorn V. Factors associated with severe clinical manifestation of dengue among adults in Thailand. Biomedica. 2006;26(2):286-94.

Yashaswini LS, Vidyashri P. A study of hematological parameters and requirement of platelet transfusion in dengue fever. Int J Adv Med. 2017;4:1668-71.

Antony J, Celine TM. A descriptive study on dengue fever reported in a Medical College Hospital. Sahel Med J 2014;17:83-6. Available at: http://www.smjonline.org/text.asp?2014/17/3/83/140285. Accessed on 30 August 2019.

Aroor AR, Saya RP, Sharma A, Venkatesh A, Alva NR. Clinical Manifestations and predictors of thrombocytopenia in hospitalized adults with dengue fever. Am J Med Sci. 2015;7(12):547-52.

National Guidelines for Clinical Management of Dengue Fever, Government of India; 2014.

Kanungo S, Amarasingh A. Surveillance for dengue fever in eastern Kolkata, West Bengal, India: preliminary results. IMED Vienna, Austria: International meeting on emerging diseases and surveillance; 2009.

Daniel R, Rajamohanan, Philip AZ. A study of clinical profile of dengue fever in Kollam, Kerala, India. Dengue Bulletin. 2005;29:197-202.

Antony J, Celine TM. A descriptive study on dengue fever reported in a Medical College Hospital. Sahel Med J 2014;17:83-6.

Khan NA, Azhar EI, El-Fiky S, Madani HH, Abuljadial MA, Ashshi AM, et al. Clinical profile and outcome of hospitalized patients during first outbreak of dengue in Makkah, Saudi Arabia. Acta Trop. 2008;105:39-44.

Lye DC, Lee VJ, Sun Y, Leo YS. The benign nature of acute dengue infection in hospitalized older adults in Singapore. Int J Infect Dis. 2010;14:e410-3.

Kumar A, Hilair MG, Jason V, Ugwuagu C, Krishnamurthy K. The clinical characteristics and outcome of children hospitalized with dengue in Barbados, an English Caribbean country. J Infect Dev Ctries. 2015;9(4):394-401.

Pardeshi A, Shinde R, Jagtap A, Kembhavi R, Giri M, Kavathekar S. Retrospective cross-sectional study of dengue cases in IPD with reference to treatment- monitoring and outcome in KEM Hospital, Mumbai. Am J Epidemiol Infectious Dis. 2014;2(4):97-100.

Lo CH, Ben RJ, Chen CD, Hsueh CW, Feng NH. Clinical experience of dengue fever in a regional teaching hospital in Southern Taiwan. J Intern Med Taiwan. 2009;20:248-54.

Khan NA, Azhar EI, El-Fiky S, Madani HH, Abuljadail MA, Ashishi AM, et al. Clinical profile and outcome of hospitalized patients during first outbreak of dengue in Makkah, Saudi Arabia. Acta Trop. 2008;105:39-44.

Lye D, Chan M, Lee V, Leo YS. Do young adults with uncomplicated dengue fever need hospitalization?. A retrospective analysis of clinical and laboratory features. Singapore Med J. 2008;49:476-9.

Khalil MAM, Tan J, Khalil MAU, Awan S, Rangasami M. Predictors of hospital stay and mortality in dengue virus infection-experience from Aga Khan University Hospital Pakistan. BMC Research Notes20147:473.

Hamer D, Jessurun AER, Hindori M, Codrington J, Roosblad J, Lichtveld M. A retrospective analysis of dengue cases in Suriname: implications for treatment and prevention in a upper middle income country (UMIC). Int J Trop Dis Health. 2015;7(4):132-43.

Chavan SA, Padhiyar R, Kamtalwar S, Darole P. Study of clinical and laboratory predictors of in hospital outcome in dengue fever in Mumbai city. Int J Recent Trend Sci Technol. 2016;19(2):304-8.

Pooransingh S, Teelucksingh S, Dialsingh I. Dengue deaths: associated factors and length of hospital stay. Advances Prevent Med. 2016;6807674.