Evidence map›Paper›PMID 37068115›Full record

ArticlePLoS neglected tropical diseases2023

Associated risk factors of severe dengue in Reunion Island: A prospective cohort study.

Mathys Carras, Olivier Maillard, Julien Cousty, Patrick Gérardin, Malik Boukerrou, Loïc Raffray, Patrick Mavingui, Patrice Poubeau, André Cabie, Antoine Bertolotti

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

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. It is linked to trial NCT01099852 (Descriptive and Prognostic Study of Arbovirus Infections in France, Based on a Hospital Cohort of Children and Adults With Suspected Arbovirose.), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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.

NCT01099852 unknown statusnot on this map

Descriptive and Prognostic Study of Arbovirus Infections in France, Based on a Hospital Cohort of Children and Adults With Suspected Arbovirose.

TypeobservationalSponsorUniversity Hospital Center of MartiniqueRan2010 to 2023Enrolled1,377ConditionsFever, Dengue, Chikungunya, Zika VirusArmsbiological sample collection, Quality of life Questionnaire EuroQol®, Health Assessment Questionnaire - MDHAQ and RAPID3, Neuropathic Pain Questionnaire (DN4)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Risk of cognitive decline among patients with dengue virus infection: a systematic review.The international journal of neuropsychopharmacology · 2024
    Pooled it
  2. Article
  3. Article
  4. Clinical characteristics, complications and outcomes of critically ill patients with Dengue in Brazil, 2012-2024: A nationwide, multicenter cohort study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2025
    Article
  5. Article
  6. 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

10 authors at 3 institutions in 3 countries.

Mathys CarrasIntensive Care Unit, CHU Réunion, Saint Pierre, Reunion, France.
Olivier MaillardDepartment of Public Health and Research, CHU Réunion, Saint-Pierre, Reunion, France.ORCID 0000-0001-6677-3952
Julien CoustyIntensive Care Unit, CHU Réunion, Saint Pierre, Reunion, France.
Patrick GérardinDepartment of Public Health and Research, CHU Réunion, Saint-Pierre, Reunion, France.
Malik BoukerrouDepartment of Gynecology and Obstetrics, CHU Réunion, Saint Pierre, Reunion, France.
Loïc RaffrayDepartment of Internal Medicine, CHU Réunion, Saint Denis, Reunion, France.
Patrick MavinguiUMR Processus Infectieux en Milieu Insulaire Tropical (PIMIT), CNRS 9192, INSERM 1187, IRD 249, Université de La Réunion, Sainte-Clotilde, Reunion, France.
Patrice PoubeauDepartment of Infectious Diseases, CHU Réunion, Saint-Pierre, Reunion, France.
André CabieDepartment of Infectious and Tropical Diseases, CHU Martinique, Fort-de-France, Martinique, France.
Antoine BertolottiClinical Investigation Center, INSERM CIC1410, CHU Réunion, Saint Pierre, Reunion, France.
Inserm · FRCentre National de la Recherche Scientifique · FRPeuplements végétaux et bioagresseurs en milieu tropical · RE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince 2018, a dengue epidemic has been raging annually in Reunion Island, which poses the major problem of its morbidity and mortality. However, there is no consensus in the literature on factors associated with severity of illness. The objective of this study was to identify the factors associated with the occurrence of severe dengue (SD) according to the criteria adopted in 2009 by the World Health Organization (WHO), during the 2019 epidemic. METHODOLOGY/PRINCIPAL

findingsA total of 163 patients with RT-PCR-confirmed dengue were included in a multicenter prospective cohort study in Reunion Island between January and June 2019. Of these, 37 (23%) were classified as SD, which involves presentation dominated by at least one organ failure, and 126 (77%) classified as non-SD (of which 90 (71%) had warning signs). Confusion, dehydration, and relative hypovolemia were significantly associated with SD in bivariate analysis (p < 0.05). The factors associated with SD in multivariate analysis were a time from first symptom to hospital consultation over 2 days (OR: 2.46, CI: 1.42-4.27), a history of cardiovascular disease (OR: 2.75, 95%CI: 1.57-4.80) and being of Western European origin (OR: 17.60, CI: 4.15-74). CONCLUSIONS/SIGNIFICANCE: This study confirms that SD is a frequent cause of hospitalization during dengue epidemics in Reunion Island. It suggests that cardiovascular disease, Western European origin, and delay in diagnosis and management are risk factors associated with SD fever, and that restoration of blood volume and correction of dehydration must be performed early to be effective.

trial registrationNCT01099852; clinicaltrials.gov.

Indexed as

Cardiovascular DiseasesDengueSevere DengueDehydrationHumansProspective StudiesReunionRisk Factors

Identifiers

PMID37068115
PMCPMC10138848
OpenAlexW4366083357

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.