Factors Contributing to In-Hospital Mortality in Dengue: Insights from National Surveillance Data in Mexico (2020-2024).
Trop Med Infect Dis
; 9(9)2024 Sep 03.
Article
em En
| MEDLINE
| ID: mdl-39330891
ABSTRACT
This study aimed to identify the factors associated with all-cause in-hospital mortality in laboratory-confirmed dengue cases from 2020 to mid-2024. A nationwide retrospective cohort study was conducted in Mexico and data from 18,436 participants were analyzed. Risk ratios (RRs) and 95% confidence intervals (CIs), estimated using generalized linear regression models, were used to evaluate the factors associated with all-cause in-hospital mortality risk. The overall case-fatality rate was 17.5 per 1000. In the multiple model, compared to dengue virus (DENV) 1 infections, DENV-2 (RR = 1.81, 95% CI 1.15-2.86) and DENV-3 (RR = 1.87, 95% CI 1.19-2.92) were associated with increased mortality risk. Patient characteristics, such as increasing age (RR = 1.02, 95% CI 1.01-1.03), type 2 diabetes mellitus (RR = 2.07, 95% CI 1.45-2.96), and chronic kidney disease (RR = 3.35, 95% CI 2.03-5.51), were also associated with an increased risk of a fatal outcome. We documented the influence of both the virus and individual susceptibility on mortality risk, underscoring the need for a comprehensive public health strategy for dengue.
Texto completo:
1
Base de dados:
MEDLINE
País/Região como assunto:
Mexico
Idioma:
En
Revista:
Trop Med Infect Dis
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
México