Association between Body Mass Index and Laboratory Parameters with Length of Stay in

Pediatric Patients with Dengue Shock Syndrome

Muhammad Gilang Dwi Putra 1 , Rinaldi Lenggana 2 , Dwi Oktari 2 , Hanna Silmi Zahra 1 ,
Aulia Khatib 3 , Muhammad Rizki Fadil 4, Gaby Davenski 5, Reynaldo Rahima Putra 6
1. Emergency Department, Sumedang Regional Hospital, Sumedang , West Java,
Indonesia
2. Pediatric Department, Sumedang Regional Hospital, Sumedang , West Java, Indonesia
3. Emergency Department, Bratanata Hospital, Jambi , Indonesia
4. Emergency Department, Cimacan Regional Hospital, Cianjur, West Java, Indonesia
5. Indonesian Pediatric Society Assistant, Jakarta, Indonesia
6. Emergency Department, Bunda Women and Children Hospital, Jakarta, Indonesia

OBJECTIVE : Dengue Hemorrhagic Fever (DHF) is one of public health problems in Indonesia.
According to WHO criteria, thrombocyte and hematocrit are used to diagnose DHF. Treatment
of DHF may vary based on conditions thus affecting length of stay. The aim of this study is to
identify association between body mass index and laboratory parameters with length of stay in
children with Dengue Shock Syndrome (DSS).

METHOD: This study was a retrospective analytical study. We collected inward paediatric
patients diagnosed with DSS at Sumedang General Hospital from January 1st 2020 to
December 13th 2021 aged 5 months to 17 years old. Inclusion criteria was patients who
performed anthropometric measurement, laboratory tests and were diagnosed with DSS. Data
was analyzed with linear regression correlation using SPSS for Mac.

RESULTS : This study showed boys most likely suffered with dengue shock syndrome (51,1%)
than girls (48,9%). It affected all pediatric patients with various ranges of age (33,3%). Mean of
weight was 26.680+15.813, height 122.870+24.421, body mass index 16.482+5.112,
thrombocyte was 63088.89+116330.216, hematocrits 41.156+6.384 and length of stay in days
was 4.620+5.875. Some patients were categorized as underweight (6,67%), overweight
(4,44%), had short stature (8,88%), suffered undernutrition (13,33%), malnutrition (20%), and
obesity (16,66%). Pleural effusion was found in 17,8% of patients. There was very low positive
correlation between body mass index (BMI) (r=0,004, y=0,005x+4,545, p=0,004), and
thrombocyte level (r=0,013, y=9,357x+3,778, p=0,000) with length of stay among patients
diagnosed as dengue shock syndrome.

CONCLUSION: Pediatric patients with DSS require special attention. This study found
significant correlation between increasing BMI and thrombocyte level with longer duration of
stay. In this case, healthcare providers are needed to be more aware of risk factors to reduce
LOS thus cutting costs among these patients.
Keywords : Dengue shock syndrome, body mass index, laboratory parameter, length of stay