Faktor risiko kematian akibat dengue di rumah sakit Sardjito Yogyakarta

https://doi.org/10.22146/bkm.26801

Ruri Trisasri(1*), Eggi Arguni(2), Riris Andono Ahmad(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(2) Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Gadjah Mada
(3) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Risk factors of death due to dengue hemorrhagic fever in a tertiary public teaching hospital of Yogyakarta

Purpose

We examined risk factors of dengue hemorrhagic fever death in Dr. Sardjito Hospital.

Method

We conducted a case control study from patient medical records and interviews with parents.

Results

We found 29 deaths and 58 patients who survived. The probability of death among obese children was 6 times higher than non obese children and the probability of death in children with prolonged shock was 12 times higher than children without prolonged shock. Other variables were family occupation, family income, residential zones, transportation, treatment financing, accuracy of diagnosis in previous health facilities, and fluid resuscitation before being referred had no significant relationship with dengue mortality.

Conclusion

Obesity and prolonged shock were risk factors of dengue hemorrhagic fever death in children. Improved education to parents about high risk of shock syndrome among patients is needed especially for obese children. Further studies related to social determinants in dengue hemorrhagic fever death are also necessary.


Keywords


risk factors; dengue hemorrhagic fever death; prolonged shock; obesity



References

  1. World Health Organization. Handbook for clinical management of dengue. Handbook for clinical management of dengue. 2012.
  2. Centers for Disease Control and Prevention. Dengue.
  3. World Health Organization Region Office for South-East Asia. Dengue Fever and Dengue Haemorrhagic Fever. 2016.
  4. World Health Organization Region Office for South-East Asia. Comprehensive Guidelines for Prevention and Control of Dengue and Dengue Haemorrhagic Fever Revised and expanded. 2014.
  5. Kementerian Kesehatan. Profil Kesehatan Indonesia 2015. Jakarta.
  6. Dinas Kesehatan Provinsi Daerah Istimewa Yogyakarta. Profil Kesehatan Provinsi Daerah Istimewa Provinsi Yogyakarta Tahun 2015. Yogyakarta.
  7. Kementerian Kesehatan. Profil Kesehatan Indonesia 2013. Jakarta.
  8. Kementerian Kesehatan. Profil Kesehatan Indonesia 2014. Jakarta.
  9. Dinas Kesehatan Provinsi Yogyakarta. Data Penderita dan Kematian Penyakit Demam Berdarah Dengue Provinsi Daerah Istimewa Yogyakarta Tahun 2015. Yogyakarta.
  10. Arauz MJ, Ridde V, Hernández LM, Charris Y, Carabali M, Villar LÁ. Developing a social autopsy tool for dengue mortality: a pilot study. PloS one. 2015 Feb 6;10(2):e0117455.
  11. Dahlan SM. Statistik untuk Kedokteran dan Kesehatan: deskriptif, Bivariat, dan Multivariat, dan Dilengkapi Aplikasi dengan Menggunakan SPSS, edisi 5. Penerbit Salemba Medika, Jakarta. 2012:47-50.
  12. Buntubatu S, Arguni E, Indrawanti R, Laksono IS, Prawirohartono EP. Status Nutrisi sebagai Faktor Risiko Sindrom Syok Dengue. Sari Pediatri. 2017 Jan 22;18(3):226-32.
  13. Pichainarong N, Mongkalangoon N, Kalayanarooj S, Chaveepojnkamjorn W. Relationship between body size and severity of dengue hemorrhagic fever among children aged 0-14 years. Southeast Asian journal of tropical medicine and public health. 2006 Mar 1;37(2):283.
  14. Elmy S, Arhana BN, Suandi IK, Sidiartha IG. Obesitas sebagai faktor risiko sindrom syok dengue. Sari Pediatri. 2016 Nov 23;11(4):238-43.
  15. Hediyanto D, Arguni E. Faktor prognosis kematian dengue shock syndrome yang disertai sepsis bakterial pada anak (Doctoral dissertation, Universitas Gadjah Mada). 2016.
  16. Bunnag T, Kalayanarooj S. Dengue shock syndrome at the emergency room of Queen Sirikit National Institute of Child Health, Bangkok, Thailand. Journal of the Medical Association of Thailand= Chotmaihet thangphaet. 2011 Aug;94:S57-63.
  17. Kamath SR, Ranjit S. Clinical features, complications and atypical manifestations of children with severe forms of dengue hemorrhagic fever in South India. The indian journal of pediatrics. 2006 Oct 1;73(10):889-95.
  18. Darwis D. Kegawatan Demam Berdarah Dengue pada Anak. Sari Pediatri. 2016 Dec 6;4(4):156-62.
  19. Pakaya R, Lazuardi L, Nirwati H. Spatial analysis and environmental factors affecting Dengue Hemorrhagic Fever (DBD) in Limboto Sub-district, Gorontalo. Berita Kedokteran Masyarakat. 2017. 33(3).



DOI: https://doi.org/10.22146/bkm.26801

Article Metrics

Abstract views : 1259 | views : 640

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:


Web
Analytics Visitor Counter