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Updated: Jun 17, 2026

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Risk factors associated with dengue lethality: case-control study, Joinville, Brazil.

Romana Pedott Apel1, Saulo Vicente Rocha2, Dorceli Alves Lemes da Cruz2

  • 1Universidade da Região de Joinville, Departamento de Ciências Biológicas, Joinville, SC, Brasil.

Revista Da Sociedade Brasileira De Medicina Tropical
|April 15, 2026
PubMed
Summary
This summary is machine-generated.

Early intravenous hydration and frequent medical check-ups significantly reduced dengue mortality in Joinville, Brazil. Monitoring patients with warning signs is key to improving outcomes in high-incidence areas.

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Area of Science:

  • * Public Health
  • * Infectious Diseases
  • * Clinical Medicine

Background:

  • * Dengue poses a significant public health threat in Brazil, with Joinville experiencing high incidence rates.
  • * Understanding factors influencing dengue mortality is crucial for targeted interventions in Joinville.

Purpose of the Study:

  • * To identify clinical and demographic factors associated with dengue-related mortality in Joinville, Brazil.
  • * To evaluate the impact of medical consultations and intravenous hydration on dengue patient outcomes.

Main Methods:

  • * Retrospective matched case-control study utilizing the Sistema de Informação de Agravos de Notificação database.
  • * Inclusion of adult dengue patients with warning signs or severe disease treated in Joinville's public health system (2021-2024).
  • * Logistic regression models employed to determine mortality risk factors.

Main Results:

  • * Lower mortality linked to ≥ 2 medical consultations (OR=0.20) and ≥ 1 L intravenous hydration (OR=0.32).
  • * Significant mortality predictors included hypotension (OR=3.06), thrombocytopenia (OR=2.47), and lethargy/irritability (OR=15.59).
  • * Analysis included 116 fatal cases and 336 matched survivors.

Conclusions:

  • * Early intravenous rehydration and consistent clinical evaluations are associated with reduced dengue mortality.
  • * Close patient monitoring, especially for those with warning signs, is vital for improving survival rates in dengue-endemic regions.