Open AccessThe relationship between pleural effusion index and mortality in children with dengue shock syndrome
Author(s) -
Novrianti Hawarini,
Muhammad Sholeh Kosim,
Muhammad Supriatna,
Yusrina Istanti,
Eddy Sudijanto
Publication year - 2012
Publication title -
paediatrica indonesiana
Language(s) - English
Resource type - Journals
eISSN - 2338-476X
pISSN - 0030-9311
DOI - 10.14238/pi52.4.2012.239-42
Subject(s) - medicine , pleural effusion , dengue fever , pediatric intensive care unit , radiological weapon , shock (circulatory) , medical record , effusion , intensive care unit , pericardial effusion , pediatrics , surgery , pathology
Background Dengue shock syndrome (DSS) mortality rate is stillhigh. The extent of plasma effusion in dengue shock syndromecan be identified in the right lateral decubitus position on chestxray, and quantified by the pleural effusion index (PEl). It isthought that PEl value can be used to predict DSS mortality inchildren. Pleural effusion in DSS patients can cause respiratoryfailure and death.Objective To determine the relationship bet ween PEl andmortality in children \\lith DSS.Methods This crosssectional, retrospective study was held in theDr. Kariadi Hospital, Semarang, Indonesia. Data was taken frommedical records of pediatric intensive care unit (PICU) patientswith DSS from January 2009 to January 2011. DSS diagnosiswas confirmed by clinical and radiological manifestations. PEldiagnosis was established by the presence of fluid in the pleuralcavity on pulmonary radiological examinations. Xrays wereinterpreted by the radiologist on duty at the time. Chi square andlogistic regression tests were used to analyze the data.Results There were 48 subjects with DSS, consisting of 18 males(37.5 %), and 30 females (62.5%). Twentynine subjects (60.4%)survived and 19 (39.6%) died. One patient (2.1 %) had PEl 30% on their xrays. The mortality rateof DSS with PEl 15-30% was 11.8% (95% CI 0.021 to 0.564;P 30% was 65.4 % (95% CI 3,581 to 99,642;P 15% was a risk factor for mortality in childrenwith DSS. [Paediatr lndanes. 2012;52:239-42].