{"title":"三级医疗中心急诊科收治的登革热患者使用当地药物:一项观察性研究","authors":"Avichal Rajpal, Ashok Kumar Pannu, Ashish Behera, Navneet Sharma, Mohan Kumar Hanumanthappa","doi":"10.5005/jp-journals-10071-24896","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Dengue viral infection (DVI) affects ~ 400 million people annually, with ~ 100 million cases causing clinical illness. Limited therapeutic options often lead patients to adopt alternative remedies. This study evaluates the prevalence and impact of such remedies on outcomes in patients admitted to a tertiary care emergency department.</p><p><strong>Materials and methods: </strong>A single-center, observational study was conducted from July 2022 to September 2023, including 170 patients aged >12 years with severe DVI or DVI with warning signs, as per the World Health Organization (WHO) criteria. The use of local remedies such as goat's milk, papaya leaves/extract, neem leaves, giloy juice, and alternative medicine was documented. Outcomes, including mortality and hospital stay duration, were compared between remedy users and non-users.</p><p><strong>Results: </strong>The mean age of participants was 36 years, with 60% males and 50% from rural areas. 35.29% used local remedies, with goat's milk (23.52%) and papaya leaves/extract (15.29%) being the most common. The median duration of remedy use was 2 days. Mortality was 6.67% in remedy users and 8.4% in non-users (<i>p</i> = 0.28). The median hospital stay was 4 days for both groups, with no significant outcome differences.</p><p><strong>Conclusion: </strong>One-third of DVI patients used local remedies, with goat's milk being the most prevalent. However, no significant impact on mortality or hospital stay was observed.</p><p><strong>How to cite this article: </strong>Rajpal A, Pannu AK, Behera A, Sharma N, Hanumanthappa MK. Utilization of Local Remedies among Dengue Patients Admitted to the Emergency Department of a Tertiary Care Center: An Observational Study. Indian J Crit Care Med 2025;29(2):148-150.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 2","pages":"148-150"},"PeriodicalIF":1.5000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915447/pdf/","citationCount":"0","resultStr":"{\"title\":\"Utilization of Local Remedies among Dengue Patients Admitted to the Emergency Department of a Tertiary Care Center: An Observational Study.\",\"authors\":\"Avichal Rajpal, Ashok Kumar Pannu, Ashish Behera, Navneet Sharma, Mohan Kumar Hanumanthappa\",\"doi\":\"10.5005/jp-journals-10071-24896\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Dengue viral infection (DVI) affects ~ 400 million people annually, with ~ 100 million cases causing clinical illness. Limited therapeutic options often lead patients to adopt alternative remedies. This study evaluates the prevalence and impact of such remedies on outcomes in patients admitted to a tertiary care emergency department.</p><p><strong>Materials and methods: </strong>A single-center, observational study was conducted from July 2022 to September 2023, including 170 patients aged >12 years with severe DVI or DVI with warning signs, as per the World Health Organization (WHO) criteria. The use of local remedies such as goat's milk, papaya leaves/extract, neem leaves, giloy juice, and alternative medicine was documented. Outcomes, including mortality and hospital stay duration, were compared between remedy users and non-users.</p><p><strong>Results: </strong>The mean age of participants was 36 years, with 60% males and 50% from rural areas. 35.29% used local remedies, with goat's milk (23.52%) and papaya leaves/extract (15.29%) being the most common. The median duration of remedy use was 2 days. Mortality was 6.67% in remedy users and 8.4% in non-users (<i>p</i> = 0.28). The median hospital stay was 4 days for both groups, with no significant outcome differences.</p><p><strong>Conclusion: </strong>One-third of DVI patients used local remedies, with goat's milk being the most prevalent. However, no significant impact on mortality or hospital stay was observed.</p><p><strong>How to cite this article: </strong>Rajpal A, Pannu AK, Behera A, Sharma N, Hanumanthappa MK. Utilization of Local Remedies among Dengue Patients Admitted to the Emergency Department of a Tertiary Care Center: An Observational Study. Indian J Crit Care Med 2025;29(2):148-150.</p>\",\"PeriodicalId\":47664,\"journal\":{\"name\":\"Indian Journal of Critical Care Medicine\",\"volume\":\"29 2\",\"pages\":\"148-150\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915447/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Critical Care Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5005/jp-journals-10071-24896\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/31 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Critical Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10071-24896","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/31 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
背景:登革热病毒感染(DVI)每年影响约4亿人,其中约1亿人导致临床疾病。有限的治疗选择往往导致患者采取替代疗法。本研究评估了三级护理急诊科收治的患者中此类补救措施的流行程度和对结果的影响。材料和方法:根据世界卫生组织(WHO)标准,于2022年7月至2023年9月进行了一项单中心观察性研究,纳入170例年龄在bb0 - 12岁之间的重度DVI或有警告信号的DVI患者。使用当地的补救措施,如羊奶,木瓜叶/提取物,印度楝叶,吉罗伊果汁,和替代药物的记录。结果,包括死亡率和住院时间,在药物使用者和非使用者之间进行比较。结果:参与者平均年龄36岁,男性占60%,农村占50%。35.29%的人使用当地药物,其中羊奶(23.52%)和木瓜叶/提取物(15.29%)最常见。药物使用的中位持续时间为2天。药物使用者死亡率为6.67%,非药物使用者死亡率为8.4% (p = 0.28)。两组患者的中位住院时间均为4天,结果无显著差异。结论:三分之一的DVI患者使用当地药物,羊奶是最普遍的。然而,没有观察到对死亡率或住院时间有显著影响。Rajpal A, Pannu AK, Behera A, Sharma N, Hanumanthappa MK.一项观察性研究:三级医疗中心急诊科收治的登革热患者使用当地药物的情况。中华检验医学杂志,2015;29(2):148-150。
Utilization of Local Remedies among Dengue Patients Admitted to the Emergency Department of a Tertiary Care Center: An Observational Study.
Background: Dengue viral infection (DVI) affects ~ 400 million people annually, with ~ 100 million cases causing clinical illness. Limited therapeutic options often lead patients to adopt alternative remedies. This study evaluates the prevalence and impact of such remedies on outcomes in patients admitted to a tertiary care emergency department.
Materials and methods: A single-center, observational study was conducted from July 2022 to September 2023, including 170 patients aged >12 years with severe DVI or DVI with warning signs, as per the World Health Organization (WHO) criteria. The use of local remedies such as goat's milk, papaya leaves/extract, neem leaves, giloy juice, and alternative medicine was documented. Outcomes, including mortality and hospital stay duration, were compared between remedy users and non-users.
Results: The mean age of participants was 36 years, with 60% males and 50% from rural areas. 35.29% used local remedies, with goat's milk (23.52%) and papaya leaves/extract (15.29%) being the most common. The median duration of remedy use was 2 days. Mortality was 6.67% in remedy users and 8.4% in non-users (p = 0.28). The median hospital stay was 4 days for both groups, with no significant outcome differences.
Conclusion: One-third of DVI patients used local remedies, with goat's milk being the most prevalent. However, no significant impact on mortality or hospital stay was observed.
How to cite this article: Rajpal A, Pannu AK, Behera A, Sharma N, Hanumanthappa MK. Utilization of Local Remedies among Dengue Patients Admitted to the Emergency Department of a Tertiary Care Center: An Observational Study. Indian J Crit Care Med 2025;29(2):148-150.
期刊介绍:
Indian Journal of Critical Care Medicine (ISSN 0972-5229) is specialty periodical published under the auspices of Indian Society of Critical Care Medicine. Journal encourages research, education and dissemination of knowledge in the fields of critical and emergency medicine.