MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TÁI SỐC Ở TRẺ SỐC SỐT XUẤT HUYẾT DENGUE TỪ 2 ĐẾN 16 TUỔI CÓ DƯ CÂN, BÉO PHÌ TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ NĂM 2022-2024

Abstract

Background: Dengue Shock Syndrome in overweight and obese pediatric patients often presents with severe clinical manifestations, a complex course, and a high risk of developing recurrent or prolonged shock. Objective: To investigate the factors associated with recurrent shock in overweight and obese children aged 2 to 16 years with DSS at Can Tho Children's Hospital from 2022 to 2024. Methods: An analytical cross-sectional study was conducted on 90 overweight and obese pediatric patients, aged 2 to 16 years, diagnosed with DSS and admitted to Can Tho Children's Hospital between June 2022 and April 2024. Results: Patients presenting with right upper quadrant abdominal pain, a pulse pressure of ≤10 mmHg, shock onset on or before day 5 of illness, and hepatomegaly had a significantly higher risk of recurrent shock. A rising hematocrit (Hct) after 6 hours of fluid resuscitation, hypoalbuminemia, and coagulopathy were also found to be associated with recurrent shock in this patient group. Conclusion: Early clinical warning signs, such as right upper quadrant abdominal pain and narrow pulse pressure, along with adverse laboratory findings including a non-responsive Hct after fluid resuscitation, hypoalbuminemia, and coagulopathy, are valuable prognostic factors strongly associated with the risk of recurrent shock in overweight and obese pediatric patients with DSS.