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Discapacidad en dengue y su relación con severidad

Keywords: dengue, disability, severity of illness.

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Abstract:

introduction: disability in dengue has been poorly described in the scientific literature. objectives: we described the frequency of disability in dengue and its relationship with dengue severity. materials and methods: a cohort study of patients with 48-96 hours of onset of fever followed at least until the sixth day. we evaluate disability related to activity limitation because of illness (total suspension of usual activities). results: we followed 352 patients with dengue, 324(95.05%) were disabled at anytime of follow-up, 259(73.58%) patients were disabled for at least 4 days or more from the onset. dengue cases were classified as classic in 301 (85.51%) persons and 51 (14.49%) cases as severe dengue (48 dengue haemorrhagic fever and 2 shock syndrome). the median in days of disability was 5(0-10) in classic dengue fever and 7(0-14) in severe cases (p <0.0001). the diagnosis of severe dengue was associated with a disability ≥4 days (rr: 1.92, ci95%: 1.11-3.31). discussion: we found a considerable disability frequency even when dengue is less severe, similar to findings in brazil, puerto rico and thailand. conclusions: the dengue disease cause disability in endemic areas and this is associated with severity. salud uis 2011; 43(1): 49-55.

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