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Fig 1.

Study participants.

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Fig 2.

(A) Hypothesized pathways for developing dengue, DHF, or DSS and structural equation models predicting (B) dengue, (C) DHF, and (D) DSS. (B) The model fits were RMSEA = 0.057 and CFI = 0.979. (C) The model fits were RMSEA = 0.000 and CFI = 1.000. (D) The model fits were RMSEA = 0.095 and CFI = 0.937. Arrows indicate hypothetically significant positive or negative associations in (A). Solid and dotted arrows indicate significant positive and negative associations, respectively, in (B), (C), and (D). Unstandardized (= B) and standardized (= β) coefficients are shown next to the arrows. Correlations were omitted from the diagram. Unit: age, y; AST, U/mL; ALT, U/mL; WBC, cells/mm3; Lymphocytes, %; Albumin, g/dL; Hematocrit, %; Platelets, cells/mm3; Tourniquet test, petechiae/in2. AST, ALT, WBC, hematocrit, platelets, and tourniquet test were ln-transformed. Thickness of arrows was determined by standardized coefficients. *P value <0.05, **P value <0.01, ***P value <0.001.

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Table 1.

Characteristics of study participants (n = 257).

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Table 2.

Total effect of predictors at fever day -3 in developing dengue, DHF, and DSS based on SEMs.

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Fig 3.

ROC curves for external validation employing fever days: (A) dengue, (B) DHF, and (C) DSS. n = 878 (nfever day -3 = 143, nfever day -2 = 366, nfever day -1 = 590, and nfever day 0 = 617).

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Fig 4.

ROC curves for external validation employing study days: (A) dengue, (B) DHF, and (C) DSS. n = 896 (nstudy day 1 = 880, nstudy day 2 = 579, and nstudy day 3 = 318).

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Fig 5.

ROC curves for external validation employing illness days: (A) dengue, (B) DHF, and (C) DSS. n = 885 (nillness day 2 = 267, nillness day 3 = 481, nillness day 4 = 572, and nillness day 5 = 377).

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