Evidence map›Paper›PMID 40704559›Full record

ArticleJournal of medical virology2025

Risk Stratification of Dengue Cases Requiring Hospitalization.

Do Duc Anh, Mario Recker, Nguyen Trong The, Sanjeev Krishna, Peter G Kremsner, Le Huu Song, Thirumalaisamy P Velavan

Abstract read
In one paragraph

Article in Journal of medical virology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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.

Do Duc AnhInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.
Mario ReckerInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.
Nguyen Trong TheVietnamese German Center for Medical Research (VG-CARE), Hanoi, Vietnam.
Sanjeev KrishnaInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.
Peter G KremsnerInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.
Le Huu SongVietnamese German Center for Medical Research (VG-CARE), Hanoi, Vietnam.
Thirumalaisamy P VelavanInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.ORCID 0000-0002-9809-9883

Funding

This study was funded by the PAN-ASEAN Coalition for Epidemic and Outbreak Preparedness (PACE-UP; German Academic Exchange Service (DAAD) Project ID: 57592343).
6 · The paper itself

Abstract

Dengue pathogenesis involves immune-driven inflammation that contributes to severe disease progression. This study assessed a machine learning model to identify a minimal, yet highly predictive biomarker set, aiming to support clinical decision-making and patient triage. A total of 48 inflammatory mediators were quantified from plasma samples collected at admission from confirmed dengue patients, classified as either dengue without warning signs (DF) or dengue with warning signs/severe dengue (DWS/SD). A random forest approach was applied to identify the most predictive biomarkers associated with disease severity requiring hospitalization, based on admission-time variables. Among the 48 immune mediators, 43 were differentially expressed in dengue patients versus healthy controls, and 26 showed significant differences between DF and DWS/SD cases. Lymphocyte counts negatively correlated with IL-1RA, while liver enzymes showed positive correlations with HGF and SCGF-beta; platelet counts also negatively correlated with these markers. Key severity-associated markers included HGF, TNF-beta, MIP-1-beta, and SCGF-beta. A model incorporating these markers and fever duration achieved nearly 80% accuracy in distinguishing DWS/SD from DF cases, independent of clinical examination. The findings suggest that targeted cytokine profiling may guide early hospitalization decisions and ease healthcare burdens in dengue-endemic regions.

Indexed as

BiomarkersDengueHospitalizationAdolescentAdultCytokinesFemaleHumansMachine LearningMaleMiddle AgedRisk AssessmentSevere DengueSeverity of Illness IndexYoung AdultBiomarkersCytokinesbiomarkersclinical severitydengueinflammatory mediatorsrandom forest

Identifiers

PMID40704559
PMCPMC12288109

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.