ArticlePLoS neglected tropical diseases2023
Demographic characteristics, clinical symptoms, biochemical markers and probability of occurrence of severe dengue: A multicenter hospital-based study in Bangladesh.
Article in PLoS neglected tropical diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Epidemiological Characteristics of Dengue Infection in Bangladesh: A Systematic Review.International journal of environmental research and public health · 2026Pooled it
- Prognostic Models in Patients with Dengue: A Systematic Review.The American journal of tropical medicine and hygiene · 2025Pooled it
- Evolving epidemiology, clinical features, and genotyping of dengue outbreaks in Bangladesh, 2000-2024: a systematic review.Frontiers in microbiology · 2024Pooled it
- Epidemiological Trends, Public Health Challenges, and Strategic Control Priorities of Dengue in Bangladesh (2000-2024): A Narrative Review.Health science reports · 2026Article
- Metabolic and cardiovascular comorbidities as predictors of severe dengue in Vietnamese adults: a retrospective study, 2022-2024.Osong public health and research perspectives · 2026Article
- Dengue fatality, health seeking behavior and spatiotemporal dynamics in nonendemic regions of Bangladesh during the 2023 outbreak.Scientific reports · 2026Article
- The emergence of autochthonous dengue fever in Iran: a comprehensive analysis of the first major outbreak in Sistan and Baluchestan Province, 2024.BMC infectious diseases · 2026Article
- Proof-of-Concept Machine Learning Framework for Arboviral Disease Classification Using Literature-Derived Synthetic Data: Methodological Development Preceding Clinical Validation.Healthcare (Basel, Switzerland) · 2026Article
- Clinical Profile and Outcome of Dengue Fever in Medical Intensive Care Unit of a Tertiary Level Hospital: An Observational Study.JNMA; journal of the Nepal Medical Association · 2025Observational
- The 2023 Dengue Outbreak in Bangladesh: An Epidemiological Update.Health science reports · 2025Article
- Clinical spectrum and risk factors of severe dengue infection: findings from the 2023 dengue outbreak in Bangladesh.BMC infectious diseases · 2025Article
- Epidemiological and Geographical Factors Associated with Dengue in Bangladesh: A Multicenter Study of the 2023 Dengue Epidemic.The American journal of tropical medicine and hygiene · 2025Article
- Modeling Intraday Aedes-human exposure dynamics enhances dengue risk prediction.Scientific reports · 2025Article
- Dengue Investigation Research in Bangladesh: Insights From a Scoping Review.Health science reports · 2025Review
- Molecular epidemiology of circulating dengue serotypes in Dhaka, Bangladesh: 2023 outbreak.IJID regions · 2025Article
- Risk factors for dengue mortality: a 7-year retrospective cohort in Honduras.BMC infectious diseases · 2025Article
- Correlation between CRP and ferritin in dengue patients: A hospital-based prospective observational study.Journal of family medicine and primary care · 2024Article
- Using Computational Simulations Based on Fuzzy Cognitive Maps to Detect Dengue Complications.Diagnostics (Basel, Switzerland) · 2024Article
- Understanding dengue outbreaks in Rajshahi district, Bangladesh: A comprehensive case study.IDCases · 2024Article
- Economic Burden of Mosquito-Borne Diseases in Low- and Middle-Income Countries: Protocol for a Systematic Review.JMIR research protocols · 2023Article
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5 authors.
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Abstract
Establishing reliable early warning models for severe dengue cases is a high priority to facilitate triage in dengue-endemic areas and optimal use of limited resources. However, few studies have identified the complex interactive relationship between potential risk factors and severe dengue. This research aimed to assess the potential risk factors and detect their high-order combinative effects on severe dengue. A structured questionnaire was used to collect detailed dengue outbreak data from eight representative hospitals in Dhaka, Bangladesh, in 2019. Logistic regression and machine learning models were used to examine the complex effects of demographic characteristics, clinical symptoms, and biochemical markers on severe dengue. A total of 1,090 dengue cases (158 severe and 932 non-severe) were included in this study. Dyspnoea (Odds Ratio [OR] = 2.87, 95% Confidence Interval [CI]: 1.72 to 4.77), plasma leakage (OR = 3.61, 95% CI: 2.12 to 6.15), and hemorrhage (OR = 2.33, 95% CI: 1.46 to 3.73) were positively and significantly associated with the occurrence of severe dengue. Classification and regression tree models showed that the probability of occurrence of severe dengue cases ranged from 7% (age >12.5 years without plasma leakage) to 92.9% (age ≤12.5 years with dyspnoea and plasma leakage). The random forest model indicated that age was the most important factor in predicting severe dengue, followed by education, plasma leakage, platelet, and dyspnoea. The research provides new evidence to identify key risk factors contributing to severe dengue cases, which could be beneficial to clinical doctors to identify and predict the severity of dengue early.
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