title: Factors related to severe dengue during an epidemic in Vitória, State of Espírito Santo, Brazil, 2011.
abstract: The prognosis of dengue depends on early diagnosis and treatment, which can help prevent severe forms whose characteristics were evaluated here.
  
  
  
  A cross-sectional study was conducted involving dengue cases in Vitória, State of Espírito Santo, Brazil, in 2011.
  
  
  
  Two health regions registered 56.3% of 371 cases of severe dengue. Of these cases, 21.3% presented with dengue hemorrhagic fever. There were associations between dengue hemorrhagic fever with younger ages and a longer time before receiving care.
  
  
  
  There was a greater involvement of dengue hemorrhagic fever in young people. Delay in care, poor urban quality and high endemicity were identified as possible risk factors for dengue severity.
authors.affiliation: Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo. Vitória, ES.
authors.forename: Creuza Rachel
authors.initials: CR
authors.lastname: Vicente
authors.forename: Julia Castanheira
authors.initials: JC
authors.lastname: Lauar
authors.forename: Bruna Silva
authors.initials: BS
authors.lastname: Santos
authors.forename: Victor Marchesi
authors.initials: VM
authors.lastname: Cobe
authors.forename: Crispim
authors.initials: C
authors.lastname: Cerutti
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D058872:Epidemics; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D012307:Risk Factors; D019595:Severe Dengue / Q000453:epidemiology*; D012959:Socioeconomic Factors