A novel approach to classify risk in dengue hemorrhagic fever (DHF) using bioelectrical impedance analysis (BIA)

This paper introduces a novel approach to classify the risk in dengue hemorrhagic fever (DHF) patients using the bioelectrical impedance analysis (BIA) technique. This in vivo technique involves the application of a small average constant current of less than 1 mA at a single frequency of 50 kHz through the human body, and measurement of the body's bioelectrical resistance (R), phase angle (/spl alpha/), body capacitance (BC) and capacitive reactance (X/sub c/) via four surface electrodes. BIA measurements have been conducted on 184 (97 males and 87 females) serological confirmed dengue patients during their hospitalization in University Kebangsaan Malaysia Hospital, Malaysia. The patients included in the study were DHF I-IV according to World Health Organization criteria. Univariate analysis of variance is used for assessing the relationship between gender and group with the bioelectrical tissue conductivity (BETC) parameters. Experimental findings show that BETC, as reflected by reactance, is the key determinant indicator for classifying risk category in the DHF patients. Hence, this novel approach of the BIA technique can provide a rapid, noninvasive, and promising method for classifying and evaluating the risk of the DHF patients.

[1]  N. Ismail,et al.  Modeling of hemoglobin in dengue fever and dengue hemorrhagic fever using bioelectrical impedance. , 2004, Physiological measurement.

[2]  W. Abas,et al.  Assessment of haematocrit status using bioelectrical impedance analysis in dengue patients , 2003 .

[3]  Alan L Rothman,et al.  Assessment of body fluid compartment volumes by multifrequency bioelectrical impedance spectroscopy in children with dengue. , 2002, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[4]  M. Mazariegos,et al.  Bioelectrical Impedance Spectroscopy in Health and Disease: Correspondence between Whole Body and Segmental Bioelectrical Impedance Spectroscopy Indices in Patients with Classical Dengue Fever , 2000, Annals of the New York Academy of Sciences.

[5]  P. Deurenberg,et al.  Hydrational Status Assessed by Bioelectrical Impedance Spectroscopy and Dilution Methods in Patients with Classical Dengue Fever , 2000, Annals of the New York Academy of Sciences.

[6]  D. Tai,et al.  The natural history of dengue illness based on a study of hospitalised patients in Singapore. , 1999, Singapore medical journal.

[7]  D. Brodie,et al.  Body composition measurement: a review of hydrodensitometry, anthropometry, and impedance methods. , 1998, Nutrition.

[8]  M. Ja Application of total body bioimpedance to the critically ill patient. Brazilian Group for Bioimpedance Study. , 1996 .

[9]  J F Sutcliffe,et al.  A review of in vivo experimental methods to determine the composition of the human body. , 1996, Physics in medicine and biology.

[10]  E. Helm,et al.  Bioelectrical impedance analysis as a predictor of survival in patients with human immunodeficiency virus infection. , 1995, Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association.

[11]  K R Westerterp,et al.  Validation of bioelectrical-impedance measurements as a method to estimate body-water compartments. , 1994, The American journal of clinical nutrition.

[12]  M. Elia,et al.  Potential use of bioelectrical impedance of the 'whole body' and of body segments for the assessment of body composition: comparison with densitometry and anthropometry. , 1989, European journal of clinical nutrition.

[13]  D. Schoeller,et al.  Determination of body fluids by the impedance technique , 1989, IEEE Engineering in Medicine and Biology Magazine.

[14]  W. Chumlea,et al.  Bioelectric impedance phase angle and body composition. , 1988, The American journal of clinical nutrition.

[15]  S. Devi,et al.  Detection of specific IgM in dengue infection. , 1987, The Southeast Asian journal of tropical medicine and public health.

[16]  H C Lukaski,et al.  Validation of tetrapolar bioelectrical impedance method to assess human body composition. , 1986, Journal of applied physiology.

[17]  H C Lukaski,et al.  Assessment of fat-free mass using bioelectrical impedance measurements of the human body. , 1985, The American journal of clinical nutrition.

[18]  D. C. Simpson,et al.  Correlation of whole-body impedance with total body water volume. , 1969, Journal of applied physiology.

[19]  M. Boyanov,et al.  Bioelectrical impedance for the assessment of body composition. , 2007 .

[20]  Wan Abu Bakar Wan Abas,et al.  Dengue fever (DF) and dengue haemorrhagic fever (DHF) symptoms analysis from an expert system perspective , 2001, Proceedings. IEEE International Multi Topic Conference, 2001. IEEE INMIC 2001. Technology for the 21st Century..

[21]  Paul B. Colditz,et al.  Biomedical applications of electrical impedance analysis , 1999, ISSPA '99. Proceedings of the Fifth International Symposium on Signal Processing and its Applications (IEEE Cat. No.99EX359).

[22]  M. D. de Guzman,et al.  Prothrombin time and partial thromboplastin time as a predictor of bleeding in patients with dengue hemorrhagic fever. , 1993, The Southeast Asian journal of tropical medicine and public health.

[23]  Baumgartner Rn,et al.  Bioelectric impedance for body composition. , 1990 .

[24]  R. Patterson,et al.  Body fluid determinations using multiple impedance measurements , 1989, IEEE Engineering in Medicine and Biology Magazine.

[25]  E. Chungue,et al.  Intérêt du Titrage des IgM par Technique Immunoenzymatique Pour le Sérodiagnostic et la Surveillance Épidémiologique de la Dengue en Polynésie Française , 1989 .