| The impact of a program for strengthening dengue hemorrhagic fever case management on the clinical outcome of dengue hemorrhagic fever patients. | |
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MedLine Citation:
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PMID: 21073059 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study compared the case fatality ratio (CFR) of dengue shock syndrome (DSS) patients admitted to Buri Ram Hospital, an area with CFR of 0.11, 0.43 and 0.23% in 2002, 2003 and 2004, respectively, to obtain a provincial model for dengue case management using the I. development of a special program for strengthening dengue hemorrhagic fever (DHF) case management (No deaths in DSS patients), II. a retrospective review of the medical records of dengue fever (DF), DHF and DSS patients referred to Buri Ram Hospital. We compared the data during the 3 periods of the implementation of this program. Data was statistically analyzed using chi2 or Fisher's exact test for categorical variables, one-way ANOVA for continuous data with normal distribution and Kruskal-Wallis test for nonparametric variables. The numbers of DF, DHF and DSS cases in Buri Ram were 1332, 1700 and 1630 person, respectively, during 2006-2008. The number of DSS patients increased after implementation of the program: 12.2, 51.2 and 47.22 for 2006, 2007 and 2008, respectively, but the complications of the disease decreased. The CFR during 2006, 2007 and 2008 were 0.15, 0 and 0.06% (p > 0.05). The program for strengthening DHF case management did improve clinical outcomes in dengue patients after the implementation. The CFR in 2008 was only 0.06%, lower than the goal of the Ministry of Public Health (<0.13%). This program is still running, sustaining low CFR in dengue patients. It may be used as a model for other provinces in Thailand that have high dengue deaths. |
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Authors:
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Saengdao Mayurasakorn; Nipar Suttipun |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Southeast Asian journal of tropical medicine and public health Volume: 41 ISSN: 0125-1562 ISO Abbreviation: Southeast Asian J. Trop. Med. Public Health Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-11-15 Completed Date: 2010-12-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0266303 Medline TA: Southeast Asian J Trop Med Public Health Country: Thailand |
Other Details:
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Languages: eng Pagination: 858-63 Citation Subset: IM |
Affiliation:
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Pediatric Department, Buri Ram Hospital, Thailand. jum_mu07@hotmail.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Case Management / standards* Child Critical Pathways Cross-Sectional Studies Dengue Hemorrhagic Fever / mortality*, therapy* Health Priorities* Humans Inpatients Inservice Training Male Medical Audit Outcome Assessment (Health Care)* Practice Guidelines as Topic* Referral and Consultation Retrospective Studies Thailand / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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