RESUMO

We compared 53 patients with Dengue shock syndrome (DSS) who received preventive transfusions with 53 who did not. Significant differences in the development of pulmonary edema and length of hospitalization (P<.05) and none in hemorrhage (P=.136) were observed. Preventive transfusions did not produce sustained improvements in the coagulation status in DSS.

Assuntos

Transfusão de Sangue/métodos , Necessidades e Demandas de Serviços de Saúde , Dengue Grave/prevenção & controle , Transtornos da Coagulação Sanguínea/complicações , Criança , Feminino , Humanos , Masculino , Avaliação das Necessidades , Dengue Grave/complicações , Trombocitopenia/complicações

RESUMO

The purpose of this study was to identify the early indicators of hemorrhage in severe dengue infections in 114 patients; 24 patients had severe hemorrhage and 92 had no hemorrhage. The platelet counts were not predictive of bleeding. The duration of shock (OR, 2.11; 95% CI, 1.13 to 3.92; P =.019) and low-normal hematocrit at the time of shock (OR, 0.72; 95% CI, 0.55 to 0.95; P =.020) were risk factors of severe hemorrhage.

Assuntos

Dengue/diagnóstico , Dengue Grave/prevenção & controle , Criança , Pré-Escolar , Testes Hematológicos , Humanos , Lactente , Recém-Nascido , Modelos Logísticos , Análise Multivariada , Estudos Prospectivos , Estudos Retrospectivos , Fatores de Risco , Estatísticas não Paramétricas