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Abstract
The objective of this article is to determine which factors are associated with severity and the requirement for admission to the pediatric intensive care unit (PICU). This is a retrospective cross-sectional observational study, which includes patients between 1 month and 17 years of age with a diagnosis of dengue with alarm signs or laboratory-confirmed severe dengue, who were admitted to the PICU of the Club Noel Children's Clinic Foundation (FCICN) between September 2013 to December 2019. 152 patients who met selection criteria were included. 31.6% were classified as severe dengue. The average age was 9.5 ± 3.4 years, with a predominance of females (55%). The most common alarm sign was pleural effusion (44.1%), and the most frequent criterion for severe dengue was dengue shock (79.2%). Tachycardia was more frequent in the severe dengue group; hypotension was associated with dengue shock and severe dengue with statistical significance. Mortality was 2%, no factors associated with mortality were found. Most of the patients in this study presented with dengue with alarm signs (ASD), which differs from what is reviewed in the literature, differences were also found in terms of the count platelet and age of presentation. It is reaffirmed that the clinic, and more specifically, the altered vital signs, are early indicators to detect those patients at increased risk of developing severe forms of dengue.
Key words: Dengue, Critical care, Pediatrics. Source: DeCS.