Dengue Deaths: Associated Factors and Length of Hospital Stay

Pooransingh, Shalini; Teelucksingh, Surujpal; Dialsingh, Isaac

doi:10.1155/2016/6807674

Cited by 10 publications

(8 citation statements)

References 13 publications

(24 reference statements)

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“…22,24 but several studies have found no such association. 10,15,16,25 The current study observed that the lesser platelet count was associated with lesser duration of hospitalization which is in contrast to some local studies and need further insight into the aspect. 24 Similar to another study, our Study also observed that the association between the platelet count at the time of admission and bleeding tendencies was not significant thereby meaning that the platelet counts at admission were neither an indicator of prognosis nor of bleeding tendencies or progression of the disease.…”

Section: Discussioncontrasting

confidence: 79%

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

Mishra¹,

Chopra²,

Jauhari³

et al. 2019

Int J Community Med Public Health

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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.

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Section: Discussioncontrasting

confidence: 79%

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

Mishra¹,

Chopra²,

Jauhari³

et al. 2019

Int J Community Med Public Health

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“…Nelson et al (2016) stated that patients with greater comorbidities had higher hospital costs of $ 2,000. Pooransingh et al (2016) stated that comorbidities that occurred in patients with DHF were caused by comorbidities such as diabetes and hypertension. This was also similar to the DHF case in Dr. Soeroto Hospital, Ngawi Regency which found that diabetes was a accompanying disease of DHF patients.…”

Section: The Relationship Between Comorbidity and The Difference In Costs Between Ina Cbgs And The Cost Of Hospital Medical Servicesmentioning

confidence: 99%

Factors Affecting The Cost Gap Between INA CBGs Tariff and Hospital Tariff for Patients with Dengue Hemorrhagic Fever in Ngawi Regional Public Hospital, East Java

Ariwardani

Tamtomo

Murti

2019

J HEALTH POLICY MANAGE

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Background: Dengue Hemorrhagic Fever (DHF) has a high cost burden. Payment for hospital treatment was paid by Health insurance (BPJS) with a case based payment method in the era of the National Health Insurance. This method allowed the hospital to gain profit or loss. This study aimed to analyze the factors that influence the differences in Indonesian Cased Based Groups (INA CBGs) with the medical service costs for DHF in Dr. Soeroto hospitals, Ngawi Regency. Subjects and Method:This study used an observational analytic study with a cross-sectional approach conducted at Dr. Soeroto Hospital, Ngawi Regency, East Java in September -October 2019. A sample of 200 subjects was selected by using simple random sampling. The dependent variable was the difference in rate. The independent variables were class of care, length of stay, age, blood transfusion, comorbidity and complications. Data analysis was using multiple linear regression with Stata 13.Results: INA CBG rates (mean= Rp 6,120,000; SD= Rp 2,330,000) was lower than the cost of hospital treatment (mean= Rp 7,070,000; SD= Rp 4,650,000). There is a negative relationship between the difference in rates and it was statistically significant on the length of stay (b= 0.73; 95% CI= -1,131,915 to -329,501; p= <0.001), patients' age (b= 0.41; 95% CI= -707,099 to -110,293; p= 0.008), blood transfusion action (b= 0.79; 95% 549,190; p= 0.041), and comorbidity (b= 1.14 ; 95% CI= -1,817,112 to -474,641; p= 0.001). While there was a statistically insignificant relationship between classes of care (b= 0.42; 95% CI = -931,443 to 82,607; p= 0.100) and complication (b= 0.34; 95% CI= -1,093,208 to 408,223; p= 0.369). Conclusion:Difference in INA CBG rates and hospital medical service costs were affected by the class of care, length of stay, age, blood transfusion, comorbidity and complications.

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“…Duration of hospitalization can be considered as an outcome variable which is an indicator of patient's treatment. 28 However, researchers assumed that all patients have been treated according to WHO clinical guidelines, which regulates the management of care according to patient needs. This approach has been validated by Toledo et al who studied the duration of hospitalization with mortality in patients with severe dengue infection and comorbid diseases using systematic literature review.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Children with Severe Dengue Infection in Dr. Soetomo General Hospital

2020

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Introduction: Dengue infection is endemic to Indonesia and remains a public health problem. Severe dengue infection can cause rapid death, especially in children. Aim: To determine the epidemiology of children with severe dengue infection in Dr. Soetomo Hospital. A cross-sectional study was conducted at the pediatric ward of Dr. Soetomo Hospital. Data were derived from medical records of children aged ≤18 years which hospitalized with severe dengue from March to April 2019. Of 135 children admitted with DHF, obtained 48 samples with characteristics >5–12 years old (72.9%), male (58.3%), residence Surabaya (89.6%), elementary school (60.3%), referral (81.3%), hospitalized ≤5 days (66.7%), day of illness ≥4 days (89.6%), moderate malnutrition (35.4%), had severe plasma leakage consisting of DHF grade III (73%) and IV (27%). Two patients died (4.2%). No patient with congenital disease and malignancy. This study is not in line with the tendency of shifted dengue incidence to older age groups (>15 years old) in Indonesia. All patients had severe plasma leakage. No severe dengue patient with severe hemorrhage and organ impairment. Most patients were male, had moderate malnutrition, from referral, day of illness ≥4 days, hospitalized ≤5 days.

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Dengue Deaths: Associated Factors and Length of Hospital Stay

Cited by 10 publications

References 13 publications

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

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

Factors Affecting The Cost Gap Between INA CBGs Tariff and Hospital Tariff for Patients with Dengue Hemorrhagic Fever in Ngawi Regional Public Hospital, East Java

Epidemiology of Children with Severe Dengue Infection in Dr. Soetomo General Hospital

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