Haemoconcentration in diagnosing dengue haemorrhagic fever: evidence from a rural Sri Lankan observational study
A 20% increase in haematocrit was not observed during the critical phase, suggesting that haemoconcentration is unreliable for diagnosing DHF in hospitalised patients. This study recommends revisiting the WHO criterion of a 20% haematocrit increase for diagnosing plasma leakage in dengue patients. It suggests that frequent ultrasound scans may be a more reliable method for early detection of plasma leakage.
Authors
- J. M. R. P. Bandara (ORCID: https://orcid.org/0000-0003-0971-3050)
- Prasanna Weerawansa (ORCID: https://orcid.org/0000-0001-8711-9204)
- Kosala Weerakoon (ORCID: https://orcid.org/0000-0002-4814-6928)
- Chamara Sarathchandra (ORCID: https://orcid.org/0000-0002-7175-258X)
- Anjana Silva (ORCID: https://orcid.org/0000-0002-9968-3707)
- Sisira Hemananda Siribaddana (ORCID: https://orcid.org/0000-0001-5821-2557)
- Hemal Senanayake (ORCID: https://orcid.org/0000-0001-5739-1979)
Institutions
- Rajarata University of Sri Lanka (LK)
Publication Details
- Journal
- Transactions of the Royal Society of Tropical Medicine and Hygiene
- Published
- 2025-04-02
- DOI
- https://doi.org/10.1093/trstmh/traf044
- Primary Topic
- Mosquito-borne diseases and control
- Type
- article
- Field-Weighted Citation Impact
- 0.00