A new perspective to determine the severity of cases with Crimean-Congo hemorrhagic fever.
J Vector Borne Dis
;
2012 Jun; 49(2): 105-110
Artículo
en Inglés
| IMSEAR
| ID: sea-142831
ABSTRACT
Background & objectives:
We have established a severity grading score (SGS) system for predicting the fatality in Crimean-Congo hemorrhagic fever (CCHF) for the first time.Methods:
This SGS has been set up by using several variables which were assumed to be associated with mortality according to the literature and also were considered to have clinical importance.Results:
In all, 237 patients who had symptoms of CCHF for <5 days were included. The patients were grouped into three categories according to the mortality risk by using SGS as follows low or no risk, intermediate and high risk groups. A SGS <5 showed no association with mortality (there were 158 cases in this group and all survived). This group constituted 66.7% of all the patients with CCHF. A SGS 6–10 showed moderate risk of mortality (10%) and seven out of 70 patients in this group died. SGS >11 means high risk for mortality (67%) and six out of 9 patients in this group died (p = 0.001). The sensitivity, specificity, accuracy, positive predictive value, and negative predictive value for >11 points of SGS were 67, 100, 98, 100, and 98%, respectively.Conclusions:
This scoring system may help the clinicians to decide which patient to refer to a tertiary step hospital which may also decrease the cost and improve the functionality of healthcare staff.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Tipo de estudio:
Estudio pronóstico
Idioma:
Inglés
Revista:
J Vector Borne Dis
Asunto de la revista:
Parasitology
/
Tropical Medicine
Año:
2010
Tipo del documento:
Artículo
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