HUBUNGAN ANTARA LAMA WAKTU PENURUNAN SUHU TUBUH DENGAN INDEKS EFUSI PLEURA PADA ANAK DENGAN DEMAM BERDARAH DENGUE

Abstract

Background: The mortality rate of Dengue Hemorrhagic Fever (DHF) is still so high that an accurate prediction tool is needed for the health providers to be able to give adequate early treatment to prevent the patients from the severe grade of DHF. This study is to prove correlation between the duration time of defervescence with pleural effusion index (PEI) in children with dengue haemorrhagic fever. Methods: An observational analytic study with cross sectional design used the data of dengue patients who were hospitalized in RSDK at December 2010-June 2011. The study involved 28 subjects aged 1 month-14 years. The duration time of defervescence was calculated from the distance between the first day of fever until the body temperature started to down. PEI value data obtained from radiological examinations using RLD plain of chest X-rays. Data analysis used a computer program. Results: There were 10 non DSS, 16 DSS and 2 subjects with unknown grade of DHF. Mean of the defervescence duration time was 6.2 days with overall mean of PEI was 31.27%. Kruskal-Wallis test (α=0.05, CI 95%, power 80%) showed no significant difference (p=0.589) between the mean of the defervescence duration time in children with non DSS and DSS and there was no significant difference (p=0.353) between PEI in children with non DSS and DSS, although PEI in children with DSS was higher than non DSS. Spearman's rho correlation test showed significant correlation between the duration time of defervescence with PEI in children with dengue haemorrhagic fever (p=0.016). Conclusion: The longer the duration time of defervescence in children with DHF, the higher the pleura effusion index is. Keywords: duration time of defervescence, pleural effusion index, DHF 1Undergraduate Student, Medical Faculty of Diponegoro University, Jl. Dr. Sutomo 18 Semarang, Indonesia 2Pediatric Department Staff, Medical Faculty of Diponegoro University, Semarang, Indonesia 3Fisiology Department Staff, Medical Faculty of Diponegoro University,Semarang, Indonesia