| Revista: | Revista de investigación clínica |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000454192 |
| ISSN: | 0034-8376 |
| Autores: | Macías, Alejandro E1 Puentes Rosas, Esteban2 Velandia, David3 Morley, David4 Coudeville, Laurent3 Baurin, Nicolas3 |
| Instituciones: | 1Universidad de Guanajuato, Departamento de Medicina, Guanajuato. México 2Sanofi Pasteur, Ciudad de México. México 3Sanofi Pasteur, Lyon, Rhone-Alpes. Francia 4Ariana Pharmaceuticals, París. Francia |
| Año: | 2019 |
| Periodo: | May-Jun |
| Volumen: | 71 |
| Número: | 3 |
| Paginación: | 168-177 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | The incidence of dengue in Mexico has increased in recent decades. It has been suggested that dengue outbreaks may compromise treatment quality in hospitals. Objective The objective of the study was to quantify the burden imposed by dengue on hospital services in Mexico. Methods We analyzed 19.2 million records contained in the database of hospital services of the Mexican Ministry of Health between 2008 and 2014. The number of admissions due to dengue was compared to other potentially preventable hospitalizations. Hospital departments were categorized to reflect dengue-related activity as high dengue activity (HDA), low dengue activity (LDA), or zero dengue activity departments, and the impact of dengue activity on general in-hospital mortality in HDA departments was assessed. Results Dengue was the cause of more hospital admissions than most of the potentially preventable prevalent acute and chronic conditions and other infectious diseases. In HDA departments, dengue patient load was found to be a significant risk factor for overall in-hospital mortality. There was an approximately two-fold higher dengue case-fatality rate in LDA versus HDA departments, irrespective of dengue severity. Conclusions This study confirms that dengue is an important cause of hospitalization in Mexico and highlights the impact of dengue activity not only on dengue case-fatality rate but also on the overall in-hospital mortality |
| Disciplinas: | Medicina |
| Palabras clave: | Salud pública, Virus, Hospitales, Dengue, Carga de enfermedad, México |
| Keyword: | Public health, Virus, Hospitals, Dengue, Disease burden, Mexico |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
