The relationship between pleural effusion index and mortality in children with dengue shock syndrome
Abstract
Background Dengue shock syndrome (DSS) mortality rate is still
high. The extent of plasma effusion in dengue shock syndrome
can be identified in the right lateral decubitus position on chest
xô€ƒray, and quantified by the pleural effusion index (PEl). It is
thought that PEl value can be used to predict DSS mortality in
children. Pleural effusion in DSS patients can cause respiratory
failure and death.
Objective To determine the relationship bet ween PEl and
mortality in children \\lith DSS.
Methods This crossô€ƒsectional, retrospective study was held in the
Dr. Kariadi Hospital, Semarang, Indonesia. Data was taken from
medical records of pediatric intensive care unit (PICU) patients
with DSS from January 2009 to January 2011. DSS diagnosis
was confirmed by clinical and radiological manifestations. PEl
diagnosis was established by the presence of fluid in the pleural
cavity on pulmonary radiological examinations. Xô€ƒrays were
interpreted by the radiologist on duty at the time. Chi square and
logistic 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%). Twentyô€ƒnine subjects (60.4%)
survived and 19 (39.6%) died. One patient (2.1 %) had PEl <6%,
4 (8.3%) had PEl 6-15%, 17 (35.4%) had PEl 15-30%, and
26 (54.2%) had PEl> 30% on their xô€ƒrays. The mortality rate
of DSS with PEl 15-30% was 11.8% (95% CI 0.021 to 0.564;
P<0.005) and PEl >30% was 65.4 % (95% CI 3,581 to 99,642;
P <0.005).
Cone-lution PEl> 15% was a risk factor for mortality in children
with DSS. [Paediatr lndanes. 2012;52:239-42].
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Accepted 2016-08-31
Published 2012-08-31
