Background: Many biochemical and hematological changes occur in
dengue infection, which is dependent on the clinical disease. The Dengue Score (DS) is a useful tool for anticipating
plasma leakage. The platelet count, hematocrit (Hct), aspartate aminotransferase
(AST) ratio and albumin is used for it.
Aim: To predict a score useful to detect
dengue hemorrhagic fever.
Method: The study was retrospective
observational. It is done in Dengue wards in Ghurki teaching hospital Lahore
and Mayo Hospital Lahore. In the study 100 patients record was taken who were
admitted from August 2021 to November 2021. A proforma was filled. SPSS 23 was
used for statistical analysis of the data.
Results: The mean age was
38.32±13.713. Out of 100 patients 57(57%) were male while 43(43%) were female.
32 were included in dengue score (DS) ≤1, 33 were included in dengue score = 2
and 35 were included in dengue score ≥3. Ascites developed in 6 patients with
DS ≤1, 24 with DS ═2, 31 with DS ≥3.
Pleural effusion developed in 3 with DS ≤1, 20 with DS ═2, 21 with DS ≥3 so It
showed significant association of effusion and ascites with DS = 2 and score
Conclusion: Dengue score can be
calculated by change in hemoconcentration, platelets, serum albumin and AST
ratio so it can be used to
predict plasma leakage which is part of dengue hemorrhagic fever.
Keywords: Dengue Score (DS), Plasma
Leakage, Pleural effusion, Ascites