Disseminated intravascular coagulation initial score as a predictor of mortality in children with dengue shock syndrome: A retrospective cohort study

• DOI: 10.1016/j.amsu.2022.103890
• Publication Date: 2022-06-10T17:44:26Z
• Authors: Nurnaningsih; Samlek Elisawyn S...; Desy Rusmawatinin...; Eggi Arguni; Firdian Makrufardi; Intan Fatah Kumara
• Keywords: Prothrombin time

The mortality of dengue shock syndrome (DSS) in children is still high at 12-44%. Assessment DIC initial score using the International Society on Thrombosis and Haemostasis scoring system can help diagnosing treating DIC, while also predicting pediatric patients with DSS.We retrospectively collected data DSS Dr. Sardjito Hospital between January 2017 June 2021 inclusion criteria such as age 1 month to 18 years laboratory parameters taken within first 24 h after workup.Results showed a sample population consisting 20 male subjects (58.8%), aged >5 (76.0%), 21 good nutritional status (61.8%), median length stay 5 days (3-7), saturation 98% (97-99) Glasgow coma scale level consciousness 13. profile levels hematocrit 40.9% (32.9-44.9), thrombocytes 20,500/L (14,000-32,000), prothrombin time 17.8 s (14.9-25.3), fibrinogen 123 mg/dL (106-184) D-dimer 832.5 ng/mL (362-1119). A ≥5 25 (73.5%) resulted 9 (36.0%) 92% survival rate 6 h. 6-h according each parameter 93.8%, 100%, 85.7%, 94.1% ≤50,000 μ/L, <100 mg/dL, >1000 ng/mL, >6 s, respectively.A be used predictor diagnosis.