Risk factors and clinical outcome of profound thrombocytopenia in adult patients with DENV infections.

Abstract:

:Severe thrombocytopenia is common in dengue virus (DENV) infections. However, studies focusing on the role of profound thrombocytopenia (PT) (nadir platelet counts ≤ 20 000/mm3) in DENV infections are scarce. This study aims to identify the associated features and outcome of DENV patients with PT. It involves 237 adult hospitalized patients who were DENV PCR positive. The presence of comorbidity (AOR = 4.625; 95% CI = 1.113-19.230), higher admission hematocrit (AOR = 1.213; 95% CI = 1.067-1.379), lower admission albumin (AOR = 0.870; 95% CI = 0.766-0.988) and lower admission platelets (AOR = 0.980; 95% CI = 0.969-0.991) was associated with platelets ≤ 20 000/mm3 in multivariate logistic regression. PT was not affected by DENV serotypes, coinfections and secondary DENV infections. Patients with PT had significantly higher risk of experiencing warning signs (AOR = 3.709, 95% CI = 1.089-12.634) and longer hospital stay (AOR = 1.943, 95% CI = 1.010-3.774). However, severe dengue disease, hemorrhagic manifestations and need for intensive care were not significantly associated with PT.

journal_name

Platelets

journal_title

Platelets

authors

Dhanoa A,Rajasekaram G,Hassan SS,Ramadas A,Azreen Adnan NA,Lau CF,Chan TS,Ngim CF

doi

10.1080/09537104.2017.1293802

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

724-727

issue

7

eissn

0953-7104

issn

1369-1635

journal_volume

28

pub_type

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