Clinical profile of Dengue in Indian Geriatric Population with Dengue Viral Infection

Background and Aim: An epidemic of dengue disease had broken out in West Bengal, India. A wide range of unusual dengue fever presentations were noted during the summer during the outbreak period. Our goal in this study was to determine the key clinical and laboratory factors that predict dengue patients' mortality. Methods: In this prospective cross sectional observational study, 254 individuals with dengue-like fever admitted to a tertiary care hospital were examined, and the source of the fever was thoroughly probed. The ELISA method was used to measure IgM and IgG. Patients with fever from other causes were not allowed to participate in the trial. Every patient had pertinent clinical and laboratory data gathered. Using the proper statistical techniques, the relationship between clinico-laboratory parameters and mortality was investigated. Results: Of the 254 patients, 59.4% (n = 151) were adults and 40.6% (n = 103) were old. Co-morbid disorders linked to DHF included diabetes, hypertension, and IHD; these conditions were statistically significant when compared to the adult group. The elderly cohort had a considerably higher incidence of DHF (30/130, 29.1%) compared to the adult cohort (32/151, 21.2%) (p=0.003). Similarly, SD was more common in older people (30/103, 29.1%) than in younger people (30/151, 19.9%) (p=0.005). Heart rate, systolic blood pressure, diastolic blood pressure, and respiration rate all had nonsignificant p-values (p>0.05) according to a straightforward logistic regression analysis. Conclusion: These findings may enhance knowledge of dengue in older people. DHF, SD, and HAI are more common in elderly dengue patients, who also show atypically. For proper monitoring, early diagnosis is essential. DHF and SD are more common in elderly people, particularly those who already have concomitant conditions.