52-4-10

8/18/2019 52-4-10

1/4

Paediatrica IndonesianaVOLUME 52 NUMBER 4 July

Original Article

Paediatr Indones, Vol. 52, No. 4, July 2012 239

The relationship between pleural effusion index and

mortality in children with dengue shock syndrome

Novrianti Hawarini1, Muhammad Sholeh Kosim1, M Supriatna1, Yusrina Istanti1, Eddy Sudijanto2

AbstractBackground

can be identified in the right lateral decubitus position on chest

thought that

failure and death.

Objective

MethodsThis cross-sectional, retrospective study was held in the

diagnosis was established by the presence of fluid in the pleural

logistic regression tests were used to analyze the data.

Results There were

survived and

Conclution

[Paediatr Indones. 2012;52:239-42].

Keywords: pleural effusion index, mortality indengue shock syndrome

. Department of

2

Reprint requests to:

novrianti_dr@ yahoo.com

Dengue hemorrhagic fever is an important

cause of morbidity in Asian children,

significant number of childhood deaths.

hypovolemia.

for age, prolonged capillary refill, cold and clammy

occurs at the time of defervescence, usually after

ascites measurements may be used to predict the

2-5

8/18/2019 52-4-10

2/4

Novrianti Hawarini et al:

240 Paediatr Indones, Vol. 52, No. 4, July 2012

reduced functional residual capacity. Furthermore,

pleural effusion causes hypoxemia and increased

breathing effort. Clinical manifestations caused by

pleural effusion depend upon the volume of pleural

fluid, in addition to lung parenchymal pathology, suchas acute respiratory distress syndrome.

Right lateral decubitus position on chest x-ray

is used to evaluate pleural effusion. The degree of

of the right pleural effusion, divided by the maximal

width of the right hemithorax.

The objective of this study was to evaluate

children.

Methods

The retrospective, cross-sectional study was held in

who fulfilled the inclusion criteria. Eligible subjects

diagnosis was confirmed by clinical and radiological

position on chest x-rays and calculated by the formula

(Figure 1).8

Radiological examination results were reviewed

Results

Table 1. Table 2 shows

(Table 3).

Discussion

This study was conducted to determine the relationship

reported a higher number of cases of men than

hospitalized due to dengue.

significant difference between males and females in

be below 3%.

Figure 1 8

Table 1 Characteristics n = 48 %

Male

Female

18

30

37.5

62.5

Mortality status

Survived

Died

29

19

60.4

39.6

8/18/2019 52-4-10

3/4


Paediatr Indones, Vol. 52, No. 4, July 2012 241

by the presence of pleural effusion, hemoconcentration,

and hypoalbuminemia. In some studies, significant

mortality.

A limitation of our study was that we could not

findings, since this was a retrospective study.

Our study revealed a significant relationship

References

1.

randomized double-blind comparison of 4 intravenous fluid

regimens in the first hour. Clin Infect Dis.

management of dengue complication in pediatric. Indonesian

et al. A clinical study ofthe patients with dengue hemorrhagic

role of vascular endothelial growth factor leading to vascular

reporting and management. Dengue fever and fengue

Table 3.

PEI Death

n (%)

OR 95% CI P

15-30% 2 (11.8) 0.110 0.021 to 0.564 30% 17 (65.4) 18,889 3,581 to 99,642 30%

1

4

17

26

2.1

8.3

35.4

54.2

8/18/2019 52-4-10

4/4


242 Paediatr Indones, Vol. 52, No. 4, July 2012

EJ, Vorndam AV. Dengue and dengue haemorrhagic fever.

52-4-10

Documents