A retrospective study on factors affecting length of stay in Hospital Universiti Sains Malaysia (HUSM) for dengue fever in adults patients : a five years review

INTRODUCTION Dengue fever is caused by dengue virus (DEN), a flaviviridae and transmitted to human by mosquito vector, usually Aedes aegypti. Basic clinical features recorded in adult dengue patients on admission to the emergency room are fever, headache, myalgia, back pain, arthralgia, vomiting...

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Main Author:	Rani, Rahaizah
Format:	Thesis
Language:	English
Published:	2016
Subjects:	RA643-645 Disease (Communicable and noninfectious) and public health
Online Access:	http://eprints.usm.my/43865/1/Dr.%20Rahaizah%20Rani-24%20pages.pdf
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spelling	my-usm-ep.438652019-04-12T05:25:32Z A retrospective study on factors affecting length of stay in Hospital Universiti Sains Malaysia (HUSM) for dengue fever in adults patients : a five years review 2016 Rani, Rahaizah RA643-645 Disease (Communicable and noninfectious) and public health INTRODUCTION Dengue fever is caused by dengue virus (DEN), a flaviviridae and transmitted to human by mosquito vector, usually Aedes aegypti. Basic clinical features recorded in adult dengue patients on admission to the emergency room are fever, headache, myalgia, back pain, arthralgia, vomiting, rashes, lymphocytopenia and thrombocytopenia. Dengue fever is a common presentation in emergency and trauma department in Malaysia and results in large number of hospital admission. However, there is no published data found regarding factors affecting length of stay in dengue fever especially in our country. Therefore this study was done to describe the sociodemographic, clinical profiles, outcome, length of stay and associated factors affecting length of stay. OBJECTIVES 1. To describe the statistic of dengue patients and their demographic characteristics, clinical profiles and its outcome. 2. To determine mean length of stay in dengue patients. 3. To determine the association between clinical profiles of dengue patients with dengue serology 4. To determine the association between socio-demographic characteristics and clinical profiles of dengue patients with length of stay 5. To identify associated factors in demographic characteristics and clinical profile of dengue patients affecting length of stay METHODOLOGY A retrospective cross-sectional study was done from January 2007 to December 2011 on eligible patients suspected or confirmed dengue fever in HUSM. Patients’ medical records were traced from the record office, reviewed and the data were recorded using the data collection form. The socio-demographic characteristics, clinical profiles, outcome, length of stay, factors affecting length of stay and other parameters were analyzed using SPSS version 20.0. RESULTS 1. .The mean age of the patients in this study was 33.95 (6.614) years old. 66.1% of patients were male, and the most common co-morbid diseases was hypertension (9.8%). All patients presented with fever, 95.3% had body ache and 58.8% had IgM positive. The mean length of stay was 3.98 (2.46) days. Symptom of rashes, diastolic blood pressure, shock index and haematocrit level were found to have significant association with dengue serology result. Patients with diabetes mellitus, hyperlipidaemia, symptom of rashes, pulse rate at emergency department, shock index in the ward, ascites and dengue serology result had significant association with length of stay. Patients with co-morbid diabetes mellitus, background of hyperlipidaemia, underlying bronchial asthma, symptom of fever, diastolic blood pressure reading at emergency department, temperature at emergency department and ascites were the significant associated factors affecting length of stay. CONCLUSION We concluded that socio-demographic as well as clinical profiles were the associated factors affecting length of stay in dengue fever. Diabetes mellitus, hyperlipidaemia, bronchial asthma, symptom of fever, diastolic blood pressure at emergency department, temperature at emergency department, and ascites were the significant associated factors affecting length of stay in dengue patients. 2016 Thesis http://eprints.usm.my/43865/ http://eprints.usm.my/43865/1/Dr.%20Rahaizah%20Rani-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RA643-645 Disease (Communicable and noninfectious) and public health
spellingShingle	RA643-645 Disease (Communicable and noninfectious) and public health Rani, Rahaizah A retrospective study on factors affecting length of stay in Hospital Universiti Sains Malaysia (HUSM) for dengue fever in adults patients : a five years review
description	INTRODUCTION Dengue fever is caused by dengue virus (DEN), a flaviviridae and transmitted to human by mosquito vector, usually Aedes aegypti. Basic clinical features recorded in adult dengue patients on admission to the emergency room are fever, headache, myalgia, back pain, arthralgia, vomiting, rashes, lymphocytopenia and thrombocytopenia. Dengue fever is a common presentation in emergency and trauma department in Malaysia and results in large number of hospital admission. However, there is no published data found regarding factors affecting length of stay in dengue fever especially in our country. Therefore this study was done to describe the sociodemographic, clinical profiles, outcome, length of stay and associated factors affecting length of stay. OBJECTIVES 1. To describe the statistic of dengue patients and their demographic characteristics, clinical profiles and its outcome. 2. To determine mean length of stay in dengue patients. 3. To determine the association between clinical profiles of dengue patients with dengue serology 4. To determine the association between socio-demographic characteristics and clinical profiles of dengue patients with length of stay 5. To identify associated factors in demographic characteristics and clinical profile of dengue patients affecting length of stay METHODOLOGY A retrospective cross-sectional study was done from January 2007 to December 2011 on eligible patients suspected or confirmed dengue fever in HUSM. Patients’ medical records were traced from the record office, reviewed and the data were recorded using the data collection form. The socio-demographic characteristics, clinical profiles, outcome, length of stay, factors affecting length of stay and other parameters were analyzed using SPSS version 20.0. RESULTS 1. .The mean age of the patients in this study was 33.95 (6.614) years old. 66.1% of patients were male, and the most common co-morbid diseases was hypertension (9.8%). All patients presented with fever, 95.3% had body ache and 58.8% had IgM positive. The mean length of stay was 3.98 (2.46) days. Symptom of rashes, diastolic blood pressure, shock index and haematocrit level were found to have significant association with dengue serology result. Patients with diabetes mellitus, hyperlipidaemia, symptom of rashes, pulse rate at emergency department, shock index in the ward, ascites and dengue serology result had significant association with length of stay. Patients with co-morbid diabetes mellitus, background of hyperlipidaemia, underlying bronchial asthma, symptom of fever, diastolic blood pressure reading at emergency department, temperature at emergency department and ascites were the significant associated factors affecting length of stay. CONCLUSION We concluded that socio-demographic as well as clinical profiles were the associated factors affecting length of stay in dengue fever. Diabetes mellitus, hyperlipidaemia, bronchial asthma, symptom of fever, diastolic blood pressure at emergency department, temperature at emergency department, and ascites were the significant associated factors affecting length of stay in dengue patients.
format	Thesis
qualification_level	Master's degree
author	Rani, Rahaizah
author_facet	Rani, Rahaizah
author_sort	Rani, Rahaizah
title	A retrospective study on factors affecting length of stay in Hospital Universiti Sains Malaysia (HUSM) for dengue fever in adults patients : a five years review
title_short	A retrospective study on factors affecting length of stay in Hospital Universiti Sains Malaysia (HUSM) for dengue fever in adults patients : a five years review
title_full	A retrospective study on factors affecting length of stay in Hospital Universiti Sains Malaysia (HUSM) for dengue fever in adults patients : a five years review
title_fullStr	A retrospective study on factors affecting length of stay in Hospital Universiti Sains Malaysia (HUSM) for dengue fever in adults patients : a five years review
title_full_unstemmed	A retrospective study on factors affecting length of stay in Hospital Universiti Sains Malaysia (HUSM) for dengue fever in adults patients : a five years review
title_sort	retrospective study on factors affecting length of stay in hospital universiti sains malaysia (husm) for dengue fever in adults patients : a five years review
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2016
url	http://eprints.usm.my/43865/1/Dr.%20Rahaizah%20Rani-24%20pages.pdf
_version_	1747821292519686144

A retrospective study on factors affecting length of stay in Hospital Universiti Sains Malaysia (HUSM) for dengue fever in adults patients : a five years review

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