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- Title
Comparison of Intravenous Fluid Regimens in Managing Dengue Patients by Evaluating Hematocrit Levels and Hemodynamic Parameters.
- Authors
Lim Ai Wei; Md Sani, Saiful Safuan; Bujang, Mohamad Adam; Loh Hoong Heng
- Abstract
Aim: The aim of this study was to compare different intravenous fluid regimens in managing dengue patients by evaluating hematocrit levels and hemodynamic parameters. iMethods: This was a single centre retrospective study which included all patients aged ≥ 12 years admitted to the general medical ward of a tertiary hospital with confirmed dengue infection from 1st July 2010 to 31st August 2010. The patients were then classified into Combined or 'Combo', Graded, Bolus and Conventional according to the type of intravenous fluid regimen used. The patient's clinical and laboratory parameters before the start of and after the end of the initial intravenous fluid regimen were evaluated. These parameters were systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MAP), pulse rate (PR) and hematocrit (Hct). Results: A total of 123 patients were included in the study. Graded and combo regimens were given to patients with more number of warning signs (p < 0.001). There were no differences in hemodynamic parameters by regimen (p > 0.05). All non-conventional fluid regimens showed statistically significant improvement in hematocrit levels (p < 0.001). Conclusions: Despite having a common guideline, the decision on the fluid management still varied among physicians.
- Subjects
ARTERIES; BLOOD pressure; DENGUE; FLUID therapy; HEART beat; HEMATOCRIT; HEMODYNAMICS; MEDICAL protocols; DECISION making in clinical medicine; RETROSPECTIVE studies; TERTIARY care; DIAGNOSIS
- Publication
International Medical Journal, 2019, Vol 26, Issue 1, p9
- ISSN
1341-2051
- Publication type
Article