Development of dengue infection severity score.

摘要: Objectives. To develop a simple scoring system to predict dengue infection severity based on patient characteristics and routine clinical profiles. Methods. Retrospective data of children with from 3 general hospitals in Thailand were reviewed. Dengue was categorized into levels: (DF), hemorrhagic fever (DHF), shock syndrome (DSS). Coefficients significant predictors disease under ordinal regression analysis transformed item scores. Total scores used classify patients levels. Results. Significant age >6 years, hepatomegaly, hematocrit 40%, systolic pressure 5000 /μL, platelet ≤50000 /μL. The derived total scores, which ranged 0 18, classified DF (scores 11.5, , 6.4%). score correctly their original levels 60.7%. An under-estimation 25.7% an over-estimation 13.5% clinically acceptable. Conclusions. DF, DHF, or DSS, Validation the should be reconfirmed before application practice.