Table 3 Severity score before and after the blood transfusion
From: Blood transfusion in severe dengue infection: a case series
Patient 1 | Post transfusion | Patient 2 | Post transfusion | Patient 3 | Post transfusion | Patient 4 | Post transfusion | Patient 5 | Post transfusion | Patient 6 | Post transfusion | Patient 7 | Post transfusion | Patient 8 | Post transfusion | Patient 9 | Post transfusion | Patient 10 | Post transfusion | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. General condition | ||||||||||||||||||||
a. Ill look, malaise, headache | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 |
b. Postural dizziness, cold peripheries, venous collapse | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 |
2. Hematological | ||||||||||||||||||||
a. Bleeding (GI, GU, gum bleeding, skin bleeding) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
b. Drop of PCV by 5 without clinical improvement | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
c. Platelet count < 50,000/mcL | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 |
3. Cardiac | ||||||||||||||||||||
a. Heart rate > 100 < 50 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 |
b. Systolic blood pressure < 90 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
c. ECG: diffuse T inversions/ST changes | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 |
d. Low ejection fraction on echo | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
4. Pulmonary | ||||||||||||||||||||
a. Tachypnea RR > 20 cycles/minute | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 1 |
b. SpO2 < 95% | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 1 |
5. Renal | ||||||||||||||||||||
a. Urine output < 0.5 mL/kg for > 6 hours | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 |
b. Rising serum creatinine > 1.5× baseline | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
6. Liver | ||||||||||||||||||||
a. Rising serum bilirubin ×3 times | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 |
b. Transaminases(AST and ALT) > 1000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 |
c. INR > 1.5 or APTT > 1.5 times the control | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
7. Nervous | ||||||||||||||||||||
a. Drowsy/GCS < 14/15 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
b. EEG changes | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0 | 0 | 0 | 0 | N/A | N/A | N/A | N/A |
8. Venous blood gas parameters | ||||||||||||||||||||
a. Lactate > 3 mmol/L | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 |
b. Venous bicarbonate < 15 mmol/L | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 |
Overall score | 10 | 1 | 5 | 0 | 9 | 1 | 4 | 0 | 6 | 1 | 10 | 1 | 12 | 0 | 14 | 2 | 10 | 1 | 10 | 2 |