Evidence map›Paper›PMID 42531300›Full record

ArticlePLoS neglected tropical diseases2026

Clinical and haematological correlates of severe dengue using 2023 epidemic data: A multicentre tertiary hospital-based analysis from Dhaka, Bangladesh.

M Pear Hossain, Rudbar Mahmood, Farzana Sultana Bari, Afrin Naher Kana, Bibek Ahamed, Munia Afroza Shanta, Sadia Afrin, Musleha Akter, Tahmina Akter Anika, Mehejabin Nurunnahar and 4 more

Abstract readMulticenter Study
In one paragraph

Article in PLoS neglected tropical diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

M Pear HossainWHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Island, Hong Kong Special Administrative Region, Hong Kong, China.
Rudbar MahmoodDepartment of Public health, North South University, Dhaka, Bangladesh.
Farzana Sultana BariDepartment of Food Engineering and Nutrition Science, State University of Bangladesh, Dhaka, Bangladesh.
Afrin Naher KanaDepartment of Statistics, Jahangirnagar University, Dhaka, Bangladesh.
Bibek AhamedDepartment of Statistics, Jahangirnagar University, Dhaka, Bangladesh.
Munia Afroza ShantaDepartment of Statistics, Jahangirnagar University, Dhaka, Bangladesh.
Sadia AfrinDepartment of Statistics, Jahangirnagar University, Dhaka, Bangladesh.
Musleha AkterDepartment of Statistics, Jahangirnagar University, Dhaka, Bangladesh.
Tahmina Akter AnikaDepartment of Statistics, Jahangirnagar University, Dhaka, Bangladesh.
Mehejabin NurunnaharInstitute of Epidemiology, Disease Control and Research, Dhaka, Bangladesh.
Sayeda Jahin TasnimDepartment of statistics, Eden Mohila College, Dhaka, Bangladesh.
Abu Bakkar SiddiqueMaternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Linyan LiDepartment of Data Science, City University of Hong Kong, Hong Kong Special Administrative Region, Kowloon, China.
Sheikh Taslim AliWHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Island, Hong Kong Special Administrative Region, Hong Kong, China.ORCID https://orcid.org/0000-0002-8631-9076

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDengue fever, caused by the dengue virus (DENV), remains a major public health threat in tropical and subtropical regions. Bangladesh recoded its largest dengue outbreak in 2023. Understanding factors associated with dengue severity is essential to improve clinical triage and outcome.

methodsWe conducted a hospital-based study of 466 laboratory-confirmed dengue cases admitted to four tertiary hospitals in Dhaka during the peak epidemic period (September 1 to October 31, 2023). Demographic, clinical, and laboratory data were collected using a semi-structured questionnaire. Cases were categorized based on severity, and multivariable models were used to identify factors associated with severe dengue.

resultsSevere dengue was independently associated with older age (adjusted OR [aOR] 2.381, 95% confidence interval [CI] 2.378-2.385) and higher pulse rate (aOR 1.035, 95% CI 1.034-1.037). After adjustment, higher BMI showed a protective association with severe dengue (aOR 0.094, 95% CI 0.094-0.094,). Higher platelet count (aOR 0.834, 95% CI 0.832-0.835), hematocrit (aOR 0.010, 95% CI 0.010-0.010), white blood cell (WBC) count (aOR 0.594, 95% CI 0.593-0.595), and body temperature (aOR 0.543, 95% CI 0.542-0.544) were also associated with reduced odds of severe outcomes. Delays in seeking care were associated with increased severity (p = 0.007). Symptom-based markers, such as abdominal pain (p < 0.001) and respiratory distress (p = 0.013), were strong predictors of severe dengue.

conclusionsRisk of severe dengue was driven by demographic and clinical features, and was exacerbated by delayed presentation. The observed association involving BMI warrants further study. These findings may support targeted, timely clinical management during outbreaks.

Indexed as

Severe DengueAdolescentAdultBangladeshDengue VirusEpidemicsFemaleHumansMaleMiddle AgedRisk FactorsSeverity of Illness IndexTertiary Care CentersYoung Adult

Identifiers

PMID42531300
PMCPMC13440845

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