{"id":"https://openalex.org/W7123496551","doi":"https://doi.org/10.7759/cureus.101498","title":"Hyperlactatemia, Coagulopathy, and Hepatic Injury as Prognostic Markers of Mortality in Pediatric Dengue: A Single-Center Retrospective Cohort Study","display_name":"Hyperlactatemia, Coagulopathy, and Hepatic Injury as Prognostic Markers of Mortality in Pediatric Dengue: A Single-Center Retrospective Cohort Study","publication_year":2026,"publication_date":"2026-01-13","ids":{"openalex":"https://openalex.org/W7123496551","doi":"https://doi.org/10.7759/cureus.101498","pmid":"https://pubmed.ncbi.nlm.nih.gov/41694828","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12902893"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.101498","doi":"https://doi.org/10.7759/cureus.101498","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.101498","pdf_url":"https://www.cureus.com/articles/453412-hyperlactatemia-coagulopathy-and-hepatic-injury-as-prognostic-markers-of-mortality-in-pediatric-dengue-a-single-center-retrospective-cohort-study.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/453412-hyperlactatemia-coagulopathy-and-hepatic-injury-as-prognostic-markers-of-mortality-in-pediatric-dengue-a-single-center-retrospective-cohort-study.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110989800","display_name":"Shikha Swaroop","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I164861460","display_name":"Manipal Academy of Higher Education","ror":"https://ror.org/02xzytt36","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460"]},{"id":"https://openalex.org/I4210145015","display_name":"Tata Main Hospital","ror":"https://ror.org/04fj0p555","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210145015"]},{"id":"https://openalex.org/I4387152420","display_name":"Manipal-Tata Medical College, Jamshedpur","ror":"https://ror.org/04qkb5e79","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Shikha Swaroop","raw_affiliation_strings":["Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","institution_ids":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]},{"raw_affiliation_string":"Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND","institution_ids":["https://openalex.org/I4210145015"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123705721","display_name":"Ratan Kumar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I164861460","display_name":"Manipal Academy of Higher Education","ror":"https://ror.org/02xzytt36","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460"]},{"id":"https://openalex.org/I4210145015","display_name":"Tata Main Hospital","ror":"https://ror.org/04fj0p555","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210145015"]},{"id":"https://openalex.org/I4387152420","display_name":"Manipal-Tata Medical College, Jamshedpur","ror":"https://ror.org/04qkb5e79","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Ratan Kumar","raw_affiliation_strings":["Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","institution_ids":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]},{"raw_affiliation_string":"Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND","institution_ids":["https://openalex.org/I4210145015"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123653393","display_name":"Preeti Srivastava","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I164861460","display_name":"Manipal Academy of Higher Education","ror":"https://ror.org/02xzytt36","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460"]},{"id":"https://openalex.org/I4210145015","display_name":"Tata Main Hospital","ror":"https://ror.org/04fj0p555","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210145015"]},{"id":"https://openalex.org/I4387152420","display_name":"Manipal-Tata Medical College, Jamshedpur","ror":"https://ror.org/04qkb5e79","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Preeti Srivastava","raw_affiliation_strings":["Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","institution_ids":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]},{"raw_affiliation_string":"Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND","institution_ids":["https://openalex.org/I4210145015"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101372619","display_name":"Adyasha Mishra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145015","display_name":"Tata Main Hospital","ror":"https://ror.org/04fj0p555","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210145015"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Adyasha Mishra","raw_affiliation_strings":["Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND","institution_ids":["https://openalex.org/I4210145015"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111941004","display_name":"Sanjay Kumar Tanti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I164861460","display_name":"Manipal Academy of Higher Education","ror":"https://ror.org/02xzytt36","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460"]},{"id":"https://openalex.org/I4210145015","display_name":"Tata Main Hospital","ror":"https://ror.org/04fj0p555","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210145015"]},{"id":"https://openalex.org/I4387152420","display_name":"Manipal-Tata Medical College, Jamshedpur","ror":"https://ror.org/04qkb5e79","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Sanjay K Tanti","raw_affiliation_strings":["Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","institution_ids":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]},{"raw_affiliation_string":"Department of Pediatrics, Tata Main Hospital, Jamshedpur, IND","institution_ids":["https://openalex.org/I4210145015"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122933277","display_name":"Bibekananda Mukherjee","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I164861460","display_name":"Manipal Academy of Higher Education","ror":"https://ror.org/02xzytt36","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460"]},{"id":"https://openalex.org/I4387152420","display_name":"Manipal-Tata Medical College, Jamshedpur","ror":"https://ror.org/04qkb5e79","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Bibekananda Mukherjee","raw_affiliation_strings":["Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","institution_ids":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5122948856","display_name":"Rishi Anand","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I164861460","display_name":"Manipal Academy of Higher Education","ror":"https://ror.org/02xzytt36","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460"]},{"id":"https://openalex.org/I4210145015","display_name":"Tata Main Hospital","ror":"https://ror.org/04fj0p555","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210145015"]},{"id":"https://openalex.org/I4387152420","display_name":"Manipal-Tata Medical College, Jamshedpur","ror":"https://ror.org/04qkb5e79","country_code":"IN","type":"education","lineage":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Rishi Anand","raw_affiliation_strings":["Department of Anesthesiology, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","Department of Anesthesiology, Tata Main Hospital, Jamshedpur, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Manipal Tata Medical College, Manipal Academy of Higher Education (MAHE), Jamshedpur, IND","institution_ids":["https://openalex.org/I164861460","https://openalex.org/I4387152420"]},{"raw_affiliation_string":"Department of Anesthesiology, Tata Main Hospital, Jamshedpur, IND","institution_ids":["https://openalex.org/I4210145015"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5122948856"],"corresponding_institution_ids":["https://openalex.org/I164861460","https://openalex.org/I4210145015","https://openalex.org/I4387152420"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.02371618,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"1","first_page":"e101498","last_page":"e101498"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10166","display_name":"Mosquito-borne diseases and control","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10166","display_name":"Mosquito-borne diseases and control","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12047","display_name":"Viral Infections and Vectors","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hyperlactatemia","display_name":"hyperlactatemia","score":0.968999981880188},{"id":"https://openalex.org/keywords/coagulopathy","display_name":"coagulopathy","score":0.8980000019073486},{"id":"https://openalex.org/keywords/liver-injury","display_name":"liver injury","score":0.9120000004768372},{"id":"https://openalex.org/keywords/dengue","display_name":"dengue","score":0.7749999761581421},{"id":"https://openalex.org/keywords/pediatric-dengue","display_name":"pediatric dengue","score":0.8799999952316284},{"id":"https://openalex.org/keywords/mortality-prediction","display_name":"mortality prediction","score":0.8240000009536743},{"id":"https://openalex.org/keywords/prognostic-factors","display_name":"prognostic factors","score":0.9340000152587891},{"id":"https://openalex.org/keywords/lactate","display_name":"lactate","score":0.9259999990463257},{"id":"https://openalex.org/keywords/pt-inr","display_name":"PT-INR","score":0.9449999928474426},{"id":"https://openalex.org/keywords/aspartate-aminotransferase","display_name":"aspartate aminotransferase","score":0.9980000257492065},{"id":"https://openalex.org/keywords/liver-enzymes","display_name":"liver enzymes","score":0.6869999766349792},{"id":"https://openalex.org/keywords/dengue-shock-syndrome","display_name":"dengue shock syndrome","score":0.5910000205039978},{"id":"https://openalex.org/keywords/dengue-hemorrhagic-fever","display_name":"dengue hemorrhagic fever","score":0.7480000257492065},{"id":"https://openalex.org/keywords/pediatric-intensive-care","display_name":"pediatric intensive care","score":0.6110000014305115},{"id":"https://openalex.org/keywords/triage","display_name":"triage","score":0.48100000619888306}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9811000227928162},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7809000015258789},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5403000116348267},{"id":"https://openalex.org/C2992435398","wikidata":"https://www.wikidata.org/wiki/Q6934595","display_name":"Multicenter study","level":3,"score":0.5073999762535095},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.49410000443458557},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.42739999294281006},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3402999937534332},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3384000062942505},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.33410000801086426},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.31290000677108765},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.29989999532699585},{"id":"https://openalex.org/C2776637226","wikidata":"https://www.wikidata.org/wiki/Q6658207","display_name":"Liver injury","level":2,"score":0.296999990940094},{"id":"https://openalex.org/C533803919","wikidata":"https://www.wikidata.org/wiki/Q30953","display_name":"Dengue fever","level":2,"score":0.2937000095844269},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.2872999906539917},{"id":"https://openalex.org/C97931131","wikidata":"https://www.wikidata.org/wiki/Q5282087","display_name":"Discriminative model","level":2,"score":0.28630000352859497},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.27309998869895935},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2563000023365021},{"id":"https://openalex.org/C2777984932","wikidata":"https://www.wikidata.org/wiki/Q7336293","display_name":"Risk of mortality","level":2,"score":0.2540000081062317},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.25360000133514404},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2522999942302704}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.7759/cureus.101498","doi":"https://doi.org/10.7759/cureus.101498","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.101498","pdf_url":"https://www.cureus.com/articles/453412-hyperlactatemia-coagulopathy-and-hepatic-injury-as-prognostic-markers-of-mortality-in-pediatric-dengue-a-single-center-retrospective-cohort-study.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:11709508","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12902893","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:41694828","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41694828","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12902893","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12902893/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.101498","doi":"https://doi.org/10.7759/cureus.101498","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.101498","pdf_url":"https://www.cureus.com/articles/453412-hyperlactatemia-coagulopathy-and-hepatic-injury-as-prognostic-markers-of-mortality-in-pediatric-dengue-a-single-center-retrospective-cohort-study.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7123496551.pdf","grobid_xml":"https://content.openalex.org/works/W7123496551.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W2067193640","https://openalex.org/W2074618952","https://openalex.org/W2098061364","https://openalex.org/W2131222241","https://openalex.org/W2132316389","https://openalex.org/W2142180323","https://openalex.org/W2737963594","https://openalex.org/W2801568022","https://openalex.org/W2969889183","https://openalex.org/W3004427938","https://openalex.org/W3185653170","https://openalex.org/W4385555467","https://openalex.org/W4385652344","https://openalex.org/W4392813296","https://openalex.org/W4395677002","https://openalex.org/W4403903189","https://openalex.org/W4408361583"],"related_works":["https://openalex.org/W3185653170","https://openalex.org/W4225408360","https://openalex.org/W4395677002","https://openalex.org/W4403903189","https://openalex.org/W2755806182","https://openalex.org/W3088555828","https://openalex.org/W4415592503","https://openalex.org/W4414717749","https://openalex.org/W3200036859","https://openalex.org/W2765884028"],"abstract_inverted_index":{"Background:":[0],"Severe":[1],"dengue":[2,43,65,300],"has":[3],"a":[4,54,90],"high":[5],"mortality":[6,18,39,265],"rate,":[7],"especially":[8],"when":[9],"identification":[10],"is":[11],"delayed.":[12],"Objective,":[13],"early":[14],"laboratory":[15,36,104],"discriminators":[16,37],"of":[17,38,59,74],"could":[19],"improve":[20],"triage":[21],"and":[22,44,82,103,111,137,171,230,258,270],"resource":[23],"allocation":[24],"in":[25,266],"pediatric":[26,61,70],"critical":[27,71],"care.":[28],"This":[29],"study":[30,58],"aimed":[31],"to":[32,45,68,86,183],"identify":[33,284],"robust":[34,274],"admission":[35],"among":[40],"children":[41],"with":[42,63,264,268],"evaluate":[46],"their":[47],"individual":[48,189,275],"prognostic":[49],"performance.":[50],"Methodology:":[51],"We":[52],"conducted":[53],"single-center":[55],"retrospective":[56],"observational":[57],"114":[60],"patients":[62,286],"confirmed":[64],"infection":[66],"admitted":[67],"the":[69,87,122,289],"care":[72],"unit":[73,88],"Tata":[75],"Main":[76],"Hospital,":[77],"Jamshedpur,":[78],"between":[79,243],"June":[80],"2023":[81],"December":[83],"2023.":[84],"Admission":[85],"followed":[89],"uniform":[91],"institutional":[92],"protocol":[93],"based":[94],"on":[95],"World":[96],"Health":[97],"Organization":[98],"(WHO)":[99],"guidelines.":[100],"Demographic,":[101],"clinical,":[102],"data":[105],"(including":[106],"lactate":[107,152,192,217,269],"levels,":[108],"coagulation":[109],"profiles,":[110],"liver":[112],"enzymes)":[113],"were":[114,214,241],"extracted":[115],"from":[116],"electronic":[117],"records.":[118],"Statistical":[119],"analyses":[120],"included":[121],"Mann-Whitney":[123],"U":[124],"test":[125,131],"for":[126,132],"continuous":[127],"variables,":[128,134],"Fisher\u2019s":[129],"exact":[130],"categorical":[133],"Spearman\u2019s":[135],"correlation,":[136],"receiver":[138],"operating":[139],"characteristic":[140],"(ROC)":[141],"analysis.":[142],"Results:":[143],"Non-survivors":[144],"(n":[145],"=":[146,180,194,203,208,250],"15,":[147],"13.15%)":[148],"had":[149],"significantly":[150,262],"higher":[151],"(13.6":[153],"vs.":[154,166,176,247],"3.0":[155],"mmol/L,":[156],"P":[157,168,179,252],"<":[158,169,253],"0.001),":[159,170],"prothrombin":[160],"time-international":[161],"normalized":[162],"ratio":[163],"(PT-INR)":[164],"(2.48":[165],"1.25,":[167],"aspartate":[172],"aminotransferase":[173],"(AST)":[174],"(1185.0":[175],"215.4":[177],"U/L,":[178],"0.003)":[181],"compared":[182],"survivors.":[184],"ROC":[185],"analysis":[186],"demonstrated":[187],"strong":[188],"discriminative":[190,276],"ability:":[191],"AUC":[193,202,207],"0.941":[195],"(95%":[196],"confidence":[197],"interval":[198],"(CI):":[199],"0.898-0.984),":[200],"PT-INR":[201,224,271],"0.918":[204],"(0.865-0.971),":[205],"AST":[206,231],"0.743":[209],"(0.602-0.884).":[210],"Data-driven":[211],"Youden":[212],"cutoffs":[213,291],"as":[215],"follows:":[216],"\u22656.6":[218],"mmol/L":[219],"(sensitivity":[220,226,234],"93.3%,":[221],"specificity":[222,228,236],"90.9%),":[223],"\u22651.855":[225],"86.7%,":[227],"89.9%),":[229],"\u2265841.5":[232],"U/L":[233],"73.3%,":[235],"78.8%).":[237],"Strong":[238],"positive":[239],"correlations":[240],"observed":[242],"these":[244],"parameters":[245],"(lactate":[246],"PT-INR:":[248],"\u03c1":[249],"0.585,":[251],"0.001).":[254],"Conclusions:":[255],"Hyperlactatemia,":[256],"coagulopathy,":[257],"hepatocellular":[259],"injury":[260],"are":[261],"correlated":[263],"dengue,":[267],"demonstrating":[272],"particularly":[273],"capabilities.":[277],"These":[278],"readily":[279],"available":[280],"biomarkers":[281],"may":[282],"help":[283],"high\u2011risk":[285],"early,":[287],"but":[288],"proposed":[290],"require":[292],"prospective":[293],"multicenter":[294],"validation":[295],"before":[296],"routine":[297],"integration":[298],"into":[299],"management":[301],"protocols.":[302]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-01-14T00:00:00"}
