Jain Abhishek, Vasnaik Mabel, Singam Amol, Mudiganti V N K Srinivas
Critical Care Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Emergency Medicine, Manipal Hospital, Bengaluru, IND.
Cureus. 2024 Jul 17;16(7):e64734. doi: 10.7759/cureus.64734. eCollection 2024 Jul.
Background Dengue fever poses a significant health burden globally, particularly in tropical and subtropical regions. Early diagnosis and effective management are crucial in reducing morbidity and mortality associated with the disease. Bedside abdominal ultrasound has emerged as a promising tool for assessing dengue patients, providing real-time imaging of abdominal organs, and aiding clinical decision-making. Materials and methods This cross-sectional study was conducted in 55 adult emergency departments of Manipal Hospital, Bengaluru, from March 2017 to March 2018. Adult patients presenting with signs and symptoms suggestive of dengue fever were included. Clinical data, laboratory investigations, and bedside abdominal ultrasound findings were systematically recorded and analyzed using appropriate statistical methods. Results Descriptive statistics revealed characteristic clinical measurements and symptom ratings observed in dengue fever patients. Frequency distributions highlighted common symptoms encountered, while statistical analyses demonstrated significant associations between ultrasonic parameters, disease severity, and outcomes. The study found notable correlations between ultrasonic findings and dengue severity levels, emphasizing the potential of bedside ultrasound as a diagnostic and prognostic tool. Conclusion Bedside abdominal ultrasound shows promise as a valuable adjunctive tool in assessing dengue fever patients. The significant associations between ultrasonic parameters and disease severity suggest its utility in risk stratification and guiding clinical management decisions. Incorporating bedside ultrasound into routine practice may improve patient care and outcomes in dengue fever management. Further research is warranted to validate these findings and explore additional bedside ultrasound applications in dengue fever diagnosis and prognosis.
背景
登革热在全球范围内造成了重大的健康负担,尤其是在热带和亚热带地区。早期诊断和有效管理对于降低与该疾病相关的发病率和死亡率至关重要。床边腹部超声已成为评估登革热患者的一种有前景的工具,可提供腹部器官的实时成像,并有助于临床决策。
材料与方法
本横断面研究于2017年3月至2018年3月在班加罗尔马尼帕尔医院的55个成人急诊科进行。纳入出现登革热症状和体征的成年患者。使用适当的统计方法系统记录和分析临床数据、实验室检查结果及床边腹部超声检查结果。
结果
描述性统计揭示了登革热患者观察到的特征性临床测量值和症状评分。频率分布突出了常见症状,而统计分析表明超声参数、疾病严重程度和结局之间存在显著关联。该研究发现超声检查结果与登革热严重程度水平之间存在显著相关性,强调了床边超声作为诊断和预后工具的潜力。
结论
床边腹部超声有望成为评估登革热患者的一种有价值的辅助工具。超声参数与疾病严重程度之间的显著关联表明其在风险分层和指导临床管理决策方面的效用。将床边超声纳入常规实践可能会改善登革热管理中的患者护理和结局。有必要进行进一步研究以验证这些发现,并探索床边超声在登革热诊断和预后方面的其他应用。