Evidence map›Paper›PMID 27495047›Full record

Observational studyMedicine2016

The outcomes of patients with severe dengue admitted to intensive care units.

Chin-Ming Chen, Khee-Siang Chan, Wen-Liang Yu, Kuo-Chen Cheng, Hui-Chun Chao, Chiu-Yin Yeh, Chih-Cheng Lai

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05938647 (Characteristics of Patients With Severe Dengue Admitted in Critical Care Units at Villavicencio, Colombia. A Retrospective Observational Trial.), which is not on this map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05938647 completednot on this mapstarted 2024, after this paper: background citation

Characteristics of Patients With Severe Dengue Admitted in Critical Care Units at Villavicencio, Colombia. A Retrospective Observational Trial.

TypeobservationalSponsorHospital Departamental de VillavicencioRan2024 to 2025Enrolled199ConditionsSevere DengueArmsRisk factor: group 3, Risk factor: group 4
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. In-Hospital Mortality in Mechanically Ventilated Children With Severe Dengue Fever: Explanatory Factors in a Single-Center Retrospective Cohort From Vietnam, 2013-2022.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Proceedings of the 6th Asia Dengue Summit, June 2023.PLoS neglected tropical diseases · 2024
    Article
  13. Article
  14. Article
  15. Observational
  16. Increased TNF-Journal of immunology research · 2021
    Observational
  17. Article
  18. Atypical Presentation of Methicillin-SusceptiblePathogens (Basel, Switzerland) · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Chin-Ming ChenDepartment of Recreation and Health-Care Management, Chia Nan University of Pharmacy and Science Department of Intensive Care Medicine, Chi Mei Medical Center, Tainan Department of Medicine, Taipei Medical University, Taipei Department of Internal Medicine, Chi-Mei Medical Center Department of Safety Health and Environment, Chung Hwa University of Medical Technology Department of Intensive Care Medicine, Chi Mei Medical Center, Liouying, Tainan, Taiwan.
Khee-Siang Chan
Wen-Liang Yu
Kuo-Chen Cheng
Hui-Chun Chao
Chiu-Yin Yeh
Chih-Cheng Lai
Chi Mei Medical Center · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Outcomes of adult patients with dengue infections requiring intensive care unit (ICU) admissions remain unclear. We assessed the clinical manifestations and prognostic factors of patients critically ill with severe dengue.This retrospective study was done in a tertiary referral hospital with 96 adult ICU beds. All of the patients with laboratory-confirmed severe dengue infections and admitted to the ICU were enrolled between July 31 and November 31, 2015, during the large outbreak period. The medical records of all the recruited patients were reviewed for the following information: age, gender, clinical manifestations, disease severity scores, underlying conditions, laboratory examinations, and outcomes. The primary endpoint was to find the predictors of ICU mortality.During the study period, 4787 patients with dengue infections required ICU admission. One hundred forty-three (2.99%) were critically ill (mean age: 69.7 years). Hypertension (n = 90, 62.9%) and diabetes mellitus (n = 70, 49.0%) were the 2 most common underlying diseases. Eighty critically ill patients (55.9%) had cobacterial infections, and 33 had cobacteremia. The hematologic system failed most often, followed by thoracic and cardiovascular systems. Fever was the most common presentation (n = 112; 78.3%), followed by anorexia (n = 47; 32.9%) and abdominal pain (n = 46; 32.2%). Overall, 33 patients died (mortality rate: 23.1%). Multivariate analysis showed that ICU mortality was significantly associated with lower Glasgow Coma Scale (GCS) scores, lower platelet counts before ICU discharge, and more organ failures.The number of severe dengue patients who require ICU admission remains high. The mortality rate was associated with lower GCS scores, lower platelet counts, and more organ failures. In addition, more than half of the critically ill dengue patients had comorbid bacterial infections.

Indexed as

Hospital MortalityAdultAgedAnalysis of VarianceCause of DeathCohort StudiesCritical CareCritical IllnessFemaleGlasgow Coma ScaleHospitalizationHumansIntensive Care UnitsLogistic ModelsMaleMiddle Aged

Identifiers

PMID27495047
PMCPMC4979801
OpenAlexW2506933045

What OpenQuestion holds

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LicenceCC BY-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.