Clinical profile of dengue in the elderly using surveillance data from two epidemics
Population aging and mobility have increased the exposure of elderly individuals to dengue. This study evaluated the clinical features of dengue in the elderly during the epidemic (2008 and 2012) and interepidemic (2009 and 2010) periods. This cross-sectional study was based on dengue surveillance d...
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| Published in | Revista da Sociedade Brasileira de Medicina Tropical Vol. 55; p. e0290 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English Portuguese |
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Brazil
Sociedade Brasileira de Medicina Tropical - SBMT
01.01.2022
Sociedade Brasileira de Medicina Tropical (SBMT) |
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| Abstract | Population aging and mobility have increased the exposure of elderly individuals to dengue. This study evaluated the clinical features of dengue in the elderly during the epidemic (2008 and 2012) and interepidemic (2009 and 2010) periods.
This cross-sectional study was based on dengue surveillance data from Rio de Janeiro, Brazil: 2008 (n=31,210), 2009‒2010 (n=2,884), and 2012 (n=30,773). The analysis was stratified by age group (<60 and ≥60 years).
Case-fatality rates were higher in the elderly. In 2008, elderly individuals were found to be more prone to hematuria and thrombocytopenia.
These results can improve the understanding of dengue in elderly individuals who live in or travel to tropical regions. |
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| AbstractList | ABSTRACT Background: Population aging and mobility have increased the exposure of elderly individuals to dengue. This study evaluated the clinical features of dengue in the elderly during the epidemic (2008 and 2012) and interepidemic (2009 and 2010) periods. Methods: This cross-sectional study was based on dengue surveillance data from Rio de Janeiro, Brazil: 2008 (n=31,210), 2009‒2010 (n=2,884), and 2012 (n=30,773). The analysis was stratified by age group (<60 and ≥60 years). Results: Case-fatality rates were higher in the elderly. In 2008, elderly individuals were found to be more prone to hematuria and thrombocytopenia. Conclusions: These results can improve the understanding of dengue in elderly individuals who live in or travel to tropical regions. Population aging and mobility have increased the exposure of elderly individuals to dengue. This study evaluated the clinical features of dengue in the elderly during the epidemic (2008 and 2012) and interepidemic (2009 and 2010) periods. This cross-sectional study was based on dengue surveillance data from Rio de Janeiro, Brazil: 2008 (n=31,210), 2009‒2010 (n=2,884), and 2012 (n=30,773). The analysis was stratified by age group (<60 and ≥60 years). Case-fatality rates were higher in the elderly. In 2008, elderly individuals were found to be more prone to hematuria and thrombocytopenia. These results can improve the understanding of dengue in elderly individuals who live in or travel to tropical regions. BACKGROUNDPopulation aging and mobility have increased the exposure of elderly individuals to dengue. This study evaluated the clinical features of dengue in the elderly during the epidemic (2008 and 2012) and interepidemic (2009 and 2010) periods. METHODSThis cross-sectional study was based on dengue surveillance data from Rio de Janeiro, Brazil: 2008 (n=31,210), 2009‒2010 (n=2,884), and 2012 (n=30,773). The analysis was stratified by age group (<60 and ≥60 years). RESULTSCase-fatality rates were higher in the elderly. In 2008, elderly individuals were found to be more prone to hematuria and thrombocytopenia. CONCLUSIONSThese results can improve the understanding of dengue in elderly individuals who live in or travel to tropical regions. |
| Author | Kohn, Fernanda Passos, Sonia Regina Lambert Souza, Taís Suane de Hökerberg, Yara Hahr Marques |
| AuthorAffiliation | 1 Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Epidemiologia Clínica, Rio de Janeiro, RJ, Brasil 2 Universidade Estácio de Sá, Faculdade de Medicina, Rio de Janeiro, RJ, Brasil 3 Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Programa de Pós-Graduação em Epidemiologia em Saúde Pública, Rio de Janeiro, RJ, Brasil |
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| Author_xml | – sequence: 1 givenname: Yara Hahr Marques orcidid: 0000-0001-7140-7172 surname: Hökerberg fullname: Hökerberg, Yara Hahr Marques organization: Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Programa de Pós-Graduação em Epidemiologia em Saúde Pública, Rio de Janeiro, RJ, Brasil – sequence: 2 givenname: Fernanda orcidid: 0000-0002-5673-7883 surname: Kohn fullname: Kohn, Fernanda organization: Universidade Estácio de Sá, Faculdade de Medicina, Rio de Janeiro, RJ, Brasil – sequence: 3 givenname: Taís Suane de orcidid: 0000-0001-6609-8889 surname: Souza fullname: Souza, Taís Suane de organization: Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Programa de Pós-Graduação em Epidemiologia em Saúde Pública, Rio de Janeiro, RJ, Brasil – sequence: 4 givenname: Sonia Regina Lambert orcidid: 0000-0001-9947-2291 surname: Passos fullname: Passos, Sonia Regina Lambert organization: Universidade Estácio de Sá, Faculdade de Medicina, Rio de Janeiro, RJ, Brasil |
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| Cites_doi | 10.1097/MD.0000000000007878 10.1089/vim.2013.0123 10.1590/S0036-46652010000300010 10.1590/S1020-49892006001100007 10.1371/journal.pmed.1001885 |
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| Keywords | Disease attributes Public health surveillance Elderly Dengue |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Authors’ contribution: YHMH, FK and TS: Conception and design of the study, data extraction and statistical analysis; YHMH, FK, TS and SRLP: interpretation of the results; YHMH and FK draft the first version of the manuscript; YHMH, SRLP, FK and TS: critical revision of the manuscript and take responsibility for the final approval of the manuscript. Conflict of Interest: The authors have no conflicts of interest related to this study |
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publication-title: Rev Panam Salud Publica contributor: fullname: Halstead, SB – year: 1997 publication-title: Dengue haemorragic fever: diagnosis, treatment, prevention and control – volume: 52 start-page: 163−7 issue: 3 year: 2010 end-page: 163−7 article-title: Dengue in an elderly patient publication-title: Rev Inst Med Trop Sao Paulo contributor: fullname: Gorzoni, ML; Massaia, IFDS; Pires, SL – volume: 27 start-page: 151−9 issue: 4 year: 2014 end-page: 151−9 article-title: Differential induction of cytokines by human neonatal, adult, and elderly monocyte/macrophages infected with dengue virus publication-title: Viral Immunol contributor: fullname: Valero, N; Mosquera, J; Levy, A; Anez, G; Marcucci, R; Alvarez-Mon, M |
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| Title | Clinical profile of dengue in the elderly using surveillance data from two epidemics |
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