Evidence map›Paper›PMID 40708626›Full record

ArticleOpen forum infectious diseases2025

Acute and Postacute Health Care Utilization and Costs After Dengue Infection: A Population-Based Cohort Study.

Jue Tao Lim, Liang En Wee, Wei Zhi Tan, Calvin Chiew, Lalitha Kurupatham, Cuiqin Poh, Nur-Afidah Md Suhaimi, Hui Zi Chua, Lee Ching Ng, Po Ying Chia and 2 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Jue Tao LimNational Centre for Infectious Diseases, Singapore, Singapore.ORCID https://orcid.org/0000-0002-2245-0331
Liang En WeeNational Centre for Infectious Diseases, Singapore, Singapore.
Wei Zhi TanNational Centre for Infectious Diseases, Singapore, Singapore.
Calvin ChiewNational Centre for Infectious Diseases, Singapore, Singapore.ORCID https://orcid.org/0000-0002-8217-7971
Lalitha KurupathamMinistry of Health, Singapore, Singapore.
Cuiqin PohMinistry of Health, Singapore, Singapore.
Nur-Afidah Md SuhaimiMinistry of Health, Singapore, Singapore.
Hui Zi ChuaMinistry of Health, Singapore, Singapore.
Lee Ching NgNational Environment Agency, Singapore, Singapore.
Po Ying ChiaNational Centre for Infectious Diseases, Singapore, Singapore.
David Chien Boon LyeNational Centre for Infectious Diseases, Singapore, Singapore.
Kelvin Bryan TanNational Centre for Infectious Diseases, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Emerging evidence suggests that postacute sequelae may arise following dengue infection. There has been no quantification of the risk and burden of acute and postacute health care utilization and cost due to dengue. Methods: We utilized national notification databases from Singapore to construct cohorts of adults first infected with dengue. We compared 55 870 dengue cases with 3 072 309 population-based controls. We estimate excess risks, rates, and burdens of any all-cause inpatient hospital utilization, length of stay in inpatient settings or number of unique hospital inpatient admissions, any all-cause intensive care unit utilization, length of stay in the intensive care unit (ICU) or number of unique ICU admissions, any all-cause emergency department utilization and total number of unique emergency department visits, and any hospitalization costs incurred and excess total hospitalization costs incurred by contrasting dengue patients with population-based controls 0-30 days and 31-300 days following infection. Results: Dengue patients had elevated risk of emergency department visits, inpatient admissions, and incurring any inpatient costs across the acute and postacute periods. Among patients who had any inpatient admissions, dengue patients were associated with 11.938-fold (95% CI, 10.308-14.179) higher rates of unique inpatient visits, 15.852-fold (95% CI, 11.868-23.861) longer lengths of stay, 1.157-fold (95% CI, 1.123-1.192) higher rates of unique inpatient visits, and 1.339-fold (95% CI, 1.291-1.39) longer lengths of stay in the postacute period. Over the study period, the majority of excess health care costs were estimated to occur in the acute phase (US$21 363 084) compared with the postacute period (US$687 032). Conclusions: There is increased excess risk and rates of health care utilization in the 300 days post-dengue infection when compared with contemporary population-based controls.

Indexed as

health care utilizationlong denguepostacute dengue

Identifiers

PMID40708626
PMCPMC12287693

What OpenQuestion holds

Textmetadata
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.