Evidence map›Paper›PMID 33533817›Full record

ArticleRevista da Sociedade Brasileira de Medicina Tropical2021

Early hematological parameters as predictors for outcomes in children with dengue in northern India: A retrospective analysis.

Sumi Nandwani, Bhanu Kiran Bhakhri, Nupur Singh, Ruchi Rai, Dharmender Kumar Singh

Open access · diamondAbstract read
In one paragraph

Article in Revista da Sociedade Brasileira de Medicina Tropical, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.9field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 27 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Sumi NandwaniSuperspecialty Pediatric Hospital & Postgraduate Teaching Institute, Department of Microbiology, Noida, Uttar Pradesh, India.
Bhanu Kiran BhakhriSuperspecialty Pediatric Hospital & Postgraduate Teaching Institute, Department of Pediatrics, Noida, Uttar Pradesh, India.ORCID http://orcid.org/0000-0001-5582-8196
Nupur SinghSuperspecialty Pediatric Hospital & Postgraduate Teaching Institute, Department of Pediatrics, Noida, Uttar Pradesh, India.
Ruchi RaiSuperspecialty Pediatric Hospital & Postgraduate Teaching Institute, Department of Neonatology, Noida, Uttar Pradesh, India.
Dharmender Kumar SinghSuperspecialty Pediatric Hospital & Postgraduate Teaching Institute, Department of Pediatrics, Noida, Uttar Pradesh, India.
ICARE Eye Hospital & Postgraduate Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDengue presents with a variable clinical course, ranging from mild illness to potentially fatal hemorrhage and shock. We aimed to evaluate the capabilities of various hematological parameters observed early in the course of illness for predicting the clinical outcomes of illness.

methodsWe retrospectively analyzed the records of children admitted in the pediatric inpatient services of the institute with dengue between 2017 and 2019. We determined the relationships between the hematological parameters observed during the first evaluation and the various clinical outcomes.

resultsWe evaluated data from 613 patients (age range, 26 days to 17 years). Of these, 29.85% exhibited fever with warning signs, and 8.97% had severe dengue. Lower values of hemoglobin, platelet count, mean corpuscular volume, mean corpuscular hemoglobin concentration, and mean platelet volume, and higher values of total leukocyte count (TLC), hematocrit, and red cell distribution width variably correlated with numerous clinical outcomes-duration of hospital stay, development of complications, requirement of blood component transfusion, inotropic support, and mortality. Among the parameters, TLC ≥20,000/mL and initial platelet count ≤20,000/mL significantly associated with mortality, with odds ratios (95% confidence interval) of 11.81 (4.21-33.80) and 5.53 (1.90-16.09), respectively.

conclusionsHematological parameters observed early during dengue infection may predict its clinical outcomes in infected children. Initial high TLC and low platelet count are potential predictors of fatal outcomes in the course of disease.

Indexed as

DengueSevere DengueAdultChildHematocritHumansIndiaLeukocyte CountRetrospective Studies

Identifiers

PMID33533817
PMCPMC7849329
OpenAlexW3127297041

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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.