Survival of dengue children in a tertiary care centre

Background: Dengue infection is an emerging disease and is a major health problem in our country. The annual incidence is estimated to be 7.5 to 32.5 million and case fatality is around 5%. There are few articles on dengue fever in children but no studies till date on survival of dengue children. OBJECTIVES: To estimate the survival of dengue children admitted to our hospital and analyse its various predictors affecting the survival. Materials and Methods: This is an analytical observational study conducted in department of paediatrics, Veer Surendra Sai Institute of Medical Sciences & Research, Burla, Sambalpur, Odisha from July 2014 to August 2017 after getting approval from institutional ethical committee. Total 76 sero positive dengue cases attending to our OPD/ IPD were taken by simple convenient sampling method categorized according to WHO 2009 criteria after satisfying the predefined inclusion and exclusion criteria various study and outcome variables were analysed using appropriate statistical tests. Each patient in each category were followed up till discharge or death. Results: There was statistically significant difference of median survival time for group-1 (2.000 ±0.193), group-2(4.000 ±0.445) and group-3 (2.000 ± 0.295) as evidenced by Kaplan-meier tarone-ware chi-square 19.888(2), p=0.000. There was a statistically significant difference of mean duration of hospitalisation in days between three groups as evidenced by one-way ANOVA; F = 19.395(2,73), p=0.000. Median survival time of dengue children with vomiting, ascites, abdominal pain or tenderness, hepatomegaly was statistically significant as evidenced by Kaplan meier Tarone ware p value<0.05. Conclusion: Survival of dengue children depends upon the various predictors, which if detected earlier and if monitored regularly, then many children can be survived with decreasing the morbidity and increasing the quality of life