{"id":"https://openalex.org/W7224536558","doi":"https://doi.org/10.3389/fcimb.2026.1864621","title":"Shock index and modified shock index at initial clinical assessment in adults with dengue from Oaxaca, Mexico: sex-based differences in a cross-sectional study","display_name":"Shock index and modified shock index at initial clinical assessment in adults with dengue from Oaxaca, Mexico: sex-based differences in a cross-sectional study","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224536558","doi":"https://doi.org/10.3389/fcimb.2026.1864621"},"language":"en","primary_location":{"id":"doi:10.3389/fcimb.2026.1864621","doi":"https://doi.org/10.3389/fcimb.2026.1864621","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcimb.2026.1864621","pdf_url":"https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2026.1864621/pdf","source":{"id":"https://openalex.org/S2506667490","display_name":"Frontiers in Cellular and Infection Microbiology","issn_l":"2235-2988","issn":["2235-2988"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Cellular and Infection Microbiology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2026.1864621/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160133441","display_name":"Maricela Mart\u00ednez Guerra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I9868844","display_name":"Benito Ju\u00e1rez Autonomous University of Oaxaca","ror":"https://ror.org/04mbdq019","country_code":"MX","type":"education","lineage":["https://openalex.org/I9868844"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Maricela Mart\u00ednez Guerra","raw_affiliation_strings":["Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca","institution_ids":["https://openalex.org/I9868844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051860319","display_name":"Mar\u00eda Teresa Hern\u00e1ndez\u2010Huerta","orcid":"https://orcid.org/0000-0003-2182-2540","observed_orcids":["https://orcid.org/0000-0003-2182-2540"]},"institutions":[{"id":"https://openalex.org/I9868844","display_name":"Benito Ju\u00e1rez Autonomous University of Oaxaca","ror":"https://ror.org/04mbdq019","country_code":"MX","type":"education","lineage":["https://openalex.org/I9868844"]}],"countries":["MX"],"is_corresponding":true,"raw_author_name":"Mar\u00eda Teresa Hern\u00e1ndez-Huerta","raw_affiliation_strings":["Centro de Investigaci\u00f3n Facultad de Medicina UNAM-UABJO, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca","SECIHTI, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Investigaci\u00f3n Facultad de Medicina UNAM-UABJO, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca","institution_ids":["https://openalex.org/I9868844"]},{"raw_affiliation_string":"SECIHTI, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca","institution_ids":["https://openalex.org/I9868844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122397888","display_name":"Eduardo Lorenzo Perez-Campos","orcid":"https://orcid.org/0000-0001-6720-7952","observed_orcids":["https://orcid.org/0000-0001-6720-7952"]},"institutions":[{"id":"https://openalex.org/I172137787","display_name":"Instituto Tecnol\u00f3gico de Oaxaca","ror":"https://ror.org/03s3m8k31","country_code":"MX","type":"education","lineage":["https://openalex.org/I1302736544","https://openalex.org/I172137787","https://openalex.org/I4210090124","https://openalex.org/I4405258672"]},{"id":"https://openalex.org/I4210090124","display_name":"Tecnol\u00f3gico Nacional de M\u00e9xico","ror":"https://ror.org/00davry38","country_code":"MX","type":"government","lineage":["https://openalex.org/I1302736544","https://openalex.org/I4210090124","https://openalex.org/I4405258672"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Eduardo P\u00e9rez-Campos","raw_affiliation_strings":["Divisi\u00f3n de Estudios de Posgrado e Investigaci\u00f3n, Tecnol\u00f3gico Nacional de M\u00e9xico/IT Oaxaca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Divisi\u00f3n de Estudios de Posgrado e Investigaci\u00f3n, Tecnol\u00f3gico Nacional de M\u00e9xico/IT Oaxaca","institution_ids":["https://openalex.org/I172137787","https://openalex.org/I4210090124"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160126082","display_name":"Araceli Guerra Mart\u00ednez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I172137787","display_name":"Instituto Tecnol\u00f3gico de Oaxaca","ror":"https://ror.org/03s3m8k31","country_code":"MX","type":"education","lineage":["https://openalex.org/I1302736544","https://openalex.org/I172137787","https://openalex.org/I4210090124","https://openalex.org/I4405258672"]},{"id":"https://openalex.org/I4210090124","display_name":"Tecnol\u00f3gico Nacional de M\u00e9xico","ror":"https://ror.org/00davry38","country_code":"MX","type":"government","lineage":["https://openalex.org/I1302736544","https://openalex.org/I4210090124","https://openalex.org/I4405258672"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Araceli Guerra Mart\u00ednez","raw_affiliation_strings":["Divisi\u00f3n de Estudios de Posgrado e Investigaci\u00f3n, Tecnol\u00f3gico Nacional de M\u00e9xico/IT Oaxaca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Divisi\u00f3n de Estudios de Posgrado e Investigaci\u00f3n, Tecnol\u00f3gico Nacional de M\u00e9xico/IT Oaxaca","institution_ids":["https://openalex.org/I172137787","https://openalex.org/I4210090124"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012649338","display_name":"Jes\u00fas Elizarrar\u00e1s-Rivas","orcid":"https://orcid.org/0000-0003-3416-0267","observed_orcids":["https://orcid.org/0000-0003-3416-0267"]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]},{"id":"https://openalex.org/I9868844","display_name":"Benito Ju\u00e1rez Autonomous University of Oaxaca","ror":"https://ror.org/04mbdq019","country_code":"MX","type":"education","lineage":["https://openalex.org/I9868844"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Jes\u00fas Elizarrar\u00e1s-Rivas","raw_affiliation_strings":["Coordinaci\u00f3n de Investigaci\u00f3n en Salud, Instituto Mexicano del Seguro Social (IMSS) Oaxaca","Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Coordinaci\u00f3n de Investigaci\u00f3n en Salud, Instituto Mexicano del Seguro Social (IMSS) Oaxaca","institution_ids":["https://openalex.org/I164915025"]},{"raw_affiliation_string":"Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca","institution_ids":["https://openalex.org/I9868844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049064874","display_name":"Laura Perez-Campos Mayoral","orcid":"https://orcid.org/0000-0003-4140-4661","observed_orcids":["https://orcid.org/0000-0003-4140-4661"]},"institutions":[{"id":"https://openalex.org/I9868844","display_name":"Benito Ju\u00e1rez Autonomous University of Oaxaca","ror":"https://ror.org/04mbdq019","country_code":"MX","type":"education","lineage":["https://openalex.org/I9868844"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Laura P\u00e9rez-Campos Mayoral","raw_affiliation_strings":["Centro de Investigaci\u00f3n Facultad de Medicina UNAM-UABJO, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Investigaci\u00f3n Facultad de Medicina UNAM-UABJO, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca","institution_ids":["https://openalex.org/I9868844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046268672","display_name":"Efr\u00e9n Emmanuel Jarqu\u00edn Gonz\u00e1lez","orcid":"https://orcid.org/0009-0009-4203-5555","observed_orcids":["https://orcid.org/0009-0009-4203-5555"]},"institutions":[{"id":"https://openalex.org/I4210095685","display_name":"Secretaria de Salud","ror":"https://ror.org/0082wq496","country_code":"MX","type":"government","lineage":["https://openalex.org/I4210095685"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Efr\u00e9n Emmanuel Jarqu\u00edn Gonz\u00e1lez","raw_affiliation_strings":["Direcci\u00f3n General de los Servicios de Salud de Oaxaca, Secretaria de Salud, Servicios de Salud de Oaxaca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Direcci\u00f3n General de los Servicios de Salud de Oaxaca, Secretaria de Salud, Servicios de Salud de Oaxaca","institution_ids":["https://openalex.org/I4210095685"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130663323","display_name":"Hector Alejandro Cabrera-Fuentes","orcid":"https://orcid.org/0000-0002-8502-7098","observed_orcids":["https://orcid.org/0000-0002-8502-7098"]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]},{"id":"https://openalex.org/I4210090124","display_name":"Tecnol\u00f3gico Nacional de M\u00e9xico","ror":"https://ror.org/00davry38","country_code":"MX","type":"government","lineage":["https://openalex.org/I1302736544","https://openalex.org/I4210090124","https://openalex.org/I4405258672"]},{"id":"https://openalex.org/I4210118730","display_name":"Instituto Tecnol\u00f3gico de Tijuana","ror":"https://ror.org/03dga7879","country_code":"MX","type":"education","lineage":["https://openalex.org/I4210118730"]},{"id":"https://openalex.org/I76571253","display_name":"Imam Abdulrahman Bin Faisal University","ror":"https://ror.org/038cy8j79","country_code":"SA","type":"education","lineage":["https://openalex.org/I76571253"]},{"id":"https://openalex.org/I9868844","display_name":"Benito Ju\u00e1rez Autonomous University of Oaxaca","ror":"https://ror.org/04mbdq019","country_code":"MX","type":"education","lineage":["https://openalex.org/I9868844"]}],"countries":["MX","SA"],"is_corresponding":true,"raw_author_name":"H\u00e9ctor Alejandro Cabrera Fuentes","raw_affiliation_strings":["Centro de Investigaci\u00f3n Facultad de Medicina UNAM-UABJO, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca","Divisi\u00f3n de Estudios de Posgrado e Investigaci\u00f3n, Tecnol\u00f3gico Nacional de M\u00e9xico/Instituto Tecnol\u00f3gico de Tijuana","Hospital General de Zona No.1 Dr. Demetrio Mayoral Pardo, Instituto Mexicano del Seguro Social (IMSS)","R&D group, Vice Presidency Scientific Research & Innovation, Imam Abdulrahman bin Faisal University (IAU)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Investigaci\u00f3n Facultad de Medicina UNAM-UABJO, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca","institution_ids":["https://openalex.org/I9868844"]},{"raw_affiliation_string":"Divisi\u00f3n de Estudios de Posgrado e Investigaci\u00f3n, Tecnol\u00f3gico Nacional de M\u00e9xico/Instituto Tecnol\u00f3gico de Tijuana","institution_ids":["https://openalex.org/I4210090124","https://openalex.org/I4210118730"]},{"raw_affiliation_string":"Hospital General de Zona No.1 Dr. Demetrio Mayoral Pardo, Instituto Mexicano del Seguro Social (IMSS)","institution_ids":["https://openalex.org/I164915025"]},{"raw_affiliation_string":"R&D group, Vice Presidency Scientific Research & Innovation, Imam Abdulrahman bin Faisal University (IAU)","institution_ids":["https://openalex.org/I76571253"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5140708397","display_name":"H\u00e9ctor Mart\u00ednez-Ruiz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I9868844","display_name":"Benito Ju\u00e1rez Autonomous University of Oaxaca","ror":"https://ror.org/04mbdq019","country_code":"MX","type":"education","lineage":["https://openalex.org/I9868844"]}],"countries":["MX"],"is_corresponding":true,"raw_author_name":"H\u00e9ctor Mart\u00ednez-Ruiz","raw_affiliation_strings":["Centro de Investigaci\u00f3n Facultad de Medicina UNAM-UABJO, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Investigaci\u00f3n Facultad de Medicina UNAM-UABJO, Facultad de Medicina y Cirug\u00eda, Universidad Aut\u00f3noma \u201cBenito Ju\u00e1rez\u201d de Oaxaca","institution_ids":["https://openalex.org/I9868844"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5051860319","https://openalex.org/A5130663323","https://openalex.org/A5140708397"],"corresponding_institution_ids":["https://openalex.org/I164915025","https://openalex.org/I4210090124","https://openalex.org/I4210118730","https://openalex.org/I76571253","https://openalex.org/I9868844"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89030076,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10166","display_name":"Mosquito-borne diseases and control","score":0.9794999957084656,"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":0.9794999957084656,"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":0.013000000268220901,"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/T11700","display_name":"Hemodynamic Monitoring and Therapy","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/dengue","display_name":"dengue","score":0.9610000252723694},{"id":"https://openalex.org/keywords/shock-index","display_name":"shock index","score":0.9929999709129333},{"id":"https://openalex.org/keywords/modified-shock-index","display_name":"modified shock index","score":0.9990000128746033},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.9610000252723694},{"id":"https://openalex.org/keywords/plasma-leakage","display_name":"plasma leakage","score":0.6460000276565552},{"id":"https://openalex.org/keywords/heart-rate","display_name":"heart rate","score":0.8240000009536743},{"id":"https://openalex.org/keywords/blood-pressure","display_name":"blood pressure","score":0.7170000076293945},{"id":"https://openalex.org/keywords/prognostic-nutritional-index","display_name":"prognostic nutritional index","score":0.8930000066757202},{"id":"https://openalex.org/keywords/neutrophil-to-lymphocyte-ratio","display_name":"neutrophil-to-lymphocyte ratio","score":0.9760000109672546},{"id":"https://openalex.org/keywords/systemic-immune-inflammation-index","display_name":"systemic immune-inflammation index","score":0.9909999966621399},{"id":"https://openalex.org/keywords/adults","display_name":"adults","score":0.4020000100135803},{"id":"https://openalex.org/keywords/oaxaca-mexico","display_name":"Oaxaca, Mexico","score":0.9330000281333923},{"id":"https://openalex.org/keywords/dengue-hemorrhagic-fever","display_name":"dengue hemorrhagic fever","score":0.6169999837875366},{"id":"https://openalex.org/keywords/dengue-shock-syndrome","display_name":"dengue shock syndrome","score":0.8840000033378601},{"id":"https://openalex.org/keywords/prognostic-factors","display_name":"prognostic factors","score":0.6000000238418579}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7886999845504761},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.6729999780654907},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.614300012588501},{"id":"https://openalex.org/C2777953023","wikidata":"https://www.wikidata.org/wiki/Q1073121","display_name":"Heart rate","level":3,"score":0.589900016784668},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.5857999920845032},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.5530999898910522},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5266000032424927},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.44190001487731934},{"id":"https://openalex.org/C31861589","wikidata":"https://www.wikidata.org/wiki/Q618068","display_name":"Cardiac index","level":4,"score":0.4408999979496002},{"id":"https://openalex.org/C533803919","wikidata":"https://www.wikidata.org/wiki/Q30953","display_name":"Dengue fever","level":2,"score":0.4235000014305115},{"id":"https://openalex.org/C2983394010","wikidata":"https://www.wikidata.org/wiki/Q19885330","display_name":"Continuous variable","level":2,"score":0.4162999987602234},{"id":"https://openalex.org/C2776452961","wikidata":"https://www.wikidata.org/wiki/Q1940733","display_name":"Mean arterial pressure","level":4,"score":0.40549999475479126},{"id":"https://openalex.org/C2777382242","wikidata":"https://www.wikidata.org/wiki/Q6017816","display_name":"Index (typography)","level":2,"score":0.3424000144004822},{"id":"https://openalex.org/C2992203999","wikidata":"https://www.wikidata.org/wiki/Q1940733","display_name":"Mean blood pressure","level":4,"score":0.3228999972343445},{"id":"https://openalex.org/C17140001","wikidata":"https://www.wikidata.org/wiki/Q1759415","display_name":"Pulse pressure","level":3,"score":0.3073999881744385},{"id":"https://openalex.org/C117220453","wikidata":"https://www.wikidata.org/wiki/Q5172842","display_name":"Correlation","level":2,"score":0.2524999976158142}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3389/fcimb.2026.1864621","doi":"https://doi.org/10.3389/fcimb.2026.1864621","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcimb.2026.1864621","pdf_url":"https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2026.1864621/pdf","source":{"id":"https://openalex.org/S2506667490","display_name":"Frontiers in Cellular and Infection Microbiology","issn_l":"2235-2988","issn":["2235-2988"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Cellular and Infection Microbiology","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:5b34d2884fa64b80b1c4b9be66c5f298","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/5b34d2884fa64b80b1c4b9be66c5f298","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Cellular and Infection Microbiology, Vol 16 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fcimb.2026.1864621","doi":"https://doi.org/10.3389/fcimb.2026.1864621","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcimb.2026.1864621","pdf_url":"https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2026.1864621/pdf","source":{"id":"https://openalex.org/S2506667490","display_name":"Frontiers in Cellular and Infection Microbiology","issn_l":"2235-2988","issn":["2235-2988"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Cellular and Infection Microbiology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.4074000120162964}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224536558.pdf","grobid_xml":"https://content.openalex.org/works/W7224536558.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W1430642159","https://openalex.org/W1944614931","https://openalex.org/W1977876535","https://openalex.org/W1989253964","https://openalex.org/W2005159361","https://openalex.org/W2049000720","https://openalex.org/W2067090053","https://openalex.org/W2067478301","https://openalex.org/W2098795040","https://openalex.org/W2101880068","https://openalex.org/W2107934474","https://openalex.org/W2144014214","https://openalex.org/W2167622936","https://openalex.org/W2466398923","https://openalex.org/W2529342072","https://openalex.org/W2742280456","https://openalex.org/W2754430781","https://openalex.org/W2807221187","https://openalex.org/W2808694326","https://openalex.org/W2968884332","https://openalex.org/W3025806172","https://openalex.org/W3095418937","https://openalex.org/W3113289696","https://openalex.org/W4220706225","https://openalex.org/W4231015464","https://openalex.org/W4294326487","https://openalex.org/W4387296715","https://openalex.org/W4388998280","https://openalex.org/W4391160355","https://openalex.org/W4400806259","https://openalex.org/W4405993047","https://openalex.org/W4409030883","https://openalex.org/W4412836002","https://openalex.org/W4413292149","https://openalex.org/W4416892324","https://openalex.org/W7164909016"],"related_works":["https://openalex.org/W4413292149","https://openalex.org/W4405622929","https://openalex.org/W7033372804","https://openalex.org/W7034045195","https://openalex.org/W7167338594","https://openalex.org/W3025806172","https://openalex.org/W7096264249","https://openalex.org/W7046986438","https://openalex.org/W2405918841","https://openalex.org/W2810436359"],"abstract_inverted_index":{"Introduction":[0],"Dengue-associated":[1],"plasma":[2],"leakage":[3],"and":[4,17,23,38,46,52,61,88,124,131,148,167,205,233,276],"compensatory":[5],"hemodynamic":[6],"changes":[7],"may":[8],"precede":[9],"overt":[10],"hypotension.":[11],"Evidence":[12],"on":[13],"shock":[14,19],"index":[15,20,208,218],"(SI)":[16],"modified":[18],"(MSI)":[21],"distributions":[22],"sex-based":[24],"differences":[25,243],"in":[26,221,237,240],"adults":[27,71],"with":[28,72,176,245],"dengue":[29,73],"remains":[30],"limited.":[31],"This":[32,65],"study":[33,68],"aimed":[34],"to":[35],"describe":[36],"SI":[37,77,143,158,232],"MSI":[39,89,150,168,179,234],"at":[40],"the":[41,107],"initial":[42],"recorded":[43],"clinical":[44,281],"assessment":[45],"compare":[47],"these":[48,271],"indices":[49],"between":[50,257],"women":[51,130,222,238],"men.":[53,241],"Secondary":[54],"exploratory":[55,275],"analyses":[56],"examined":[57],"clinical,":[58],"laboratory,":[59],"inflammatory,":[60],"immunonutritional":[62],"variables.":[63],"Methods":[64],"cross-sectional":[66],"observational":[67],"included":[69,128],"121":[70],"from":[74],"Oaxaca,":[75],"Mexico.":[76],"was":[78,136,144,151,219],"calculated":[79],"as":[80,90,111],"heart":[81,91,192,247],"rate":[82,92],"divided":[83,93],"by":[84,94,213],"systolic":[85],"blood":[86,195,250],"pressure,":[87],"mean":[95,149,178],"arterial":[96],"pressure.":[97],"Continuous":[98],"variables":[99,114],"were":[100,115,122,235],"compared":[101,116],"using":[102,117],"Welch\u2019s":[103],"unpaired":[104],"t-test":[105],"or":[106,268,283],"Mann\u2013Whitney":[108],"U":[109],"test,":[110],"appropriate;":[112],"categorical":[113],"Fisher\u2019s":[118],"exact":[119],"test.":[120],"Analyses":[121],"descriptive":[123],"exploratory.":[125],"Results":[126],"Participants":[127],"69":[129],"52":[132],"men;":[133],"median":[134,142],"age":[135],"29.0":[137],"years":[138],"(IQR,":[139,146],"21.0\u201345.5).":[140],"Overall":[141],"0.957":[145],"0.801\u20131.137),":[147],"1.257":[152],"\u00b1":[153,170,174],"0.290.":[154],"Women":[155,189],"had":[156,190],"higher":[157,191,236,246],"[1.000":[159],"(0.811\u20131.221)":[160],"versus":[161,172,225],"0.889":[162],"(0.794\u20131.000);":[163],"p":[164,186,228],"=":[165,187,229],"0.0122]":[166],"(1.318":[169],"0.319":[171],"1.176":[173],"0.225),":[175],"a":[177],"difference":[180],"of":[181],"0.142":[182],"(95%":[183],"CI,":[184],"0.044\u20130.240;":[185],"0.0049).":[188],"rate,":[193,248],"whereas":[194,249],"pressure":[196,251],"measurements":[197,252],"did":[198,209,253,261],"not":[199,210,254,262],"differ":[200,211,255],"significantly.":[201],"The":[202,215],"neutrophil-to-lymphocyte":[203],"ratio":[204],"systemic":[206],"immune-inflammation":[207],"significantly":[212,256],"sex.":[214],"prognostic":[216,284],"nutritional":[217],"lower":[220],"[44.05":[223],"(38.43\u201347.30)":[224],"47.60":[226],"(43.14\u201353.25);":[227],"0.0007].":[230],"Discussion":[231],"than":[239],"These":[242],"coincided":[244],"sexes.":[258],"Because":[259],"we":[260],"assess":[263],"disease":[264],"severity,":[265],"diagnostic":[266],"performance,":[267],"longitudinal":[269],"outcomes,":[270],"unadjusted":[272],"findings":[273],"are":[274],"require":[277],"prospective":[278],"validation":[279],"before":[280],"thresholds":[282],"implications":[285],"can":[286],"be":[287],"established.":[288]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-30T00:00:00"}
