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VOLUME 22 , ISSUE 1 ( 2018 ) > List of Articles

BRIEF COMMUNICATION

Acute renal failure adversely affects survival in pediatric dengue infection

Biswanath Basu, Birendranath Roy

Keywords : Acute renal failure, dengue hemorrhagic fever, dengue shock syndrome, pediatric dengue infection

Citation Information : Basu B, Roy B. Acute renal failure adversely affects survival in pediatric dengue infection. Indian J Crit Care Med 2018; 22 (1):30-33.

DOI: 10.4103/ijccm.IJCCM_94_17

License: CC BY-ND 3.0

Published Online: 00-01-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aims: Dengue is currently one of the most important mosquito-borne viral infections. Acute renal failure (ARF) is a serious complication among children suffering from dengue infection. Subjects and Methods: A retrospective cohort review of baseline characteristics, disease outcomes, and risk factors of dengue-infected patients, with and without renal failure (RF), were compared. Results: Among 97 children with dengue, 13.4% had RF (estimated glomerular filtration rate <60 ml/min/1.73 m2) at presentation. In comparison to all children (100%) of RF cohort, only 32% children of non-RF cohort (P &FNx01#60; 0.0001) were suffering either from dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). The 7-day survival rate was 61.5% (8/13) among RF group as compared to 96.4% (81/84) in non-RF group (P &FNx01#60; 0.001). When a fraction of patients who needed vasopressor support were significantly higher in RF cohort (70% vs. 14% for RF and non-RF, respectively, P < 0.001), requirement of mechanical ventilation (15% vs. 11%, P = 0.67) was comparable in both cohorts. Conclusions: DHF/DSS is an independent risk factor for the development of ARF in patients with dengue infection. Mortality rate is high once RF develops in these children.


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