Background : Severe dengue infection is the major cause of mortality in children with dengue infection. Early identification and prompt management is helpful in reducing the mortality rate. Predictive scores can be utilized to identify severe dengue early. The present study was conducted to evaluate the prognostic score chart for the prediction of profound shock and recurrent shock in children presenting with DSS. Methods : patients with DSS were enrolled and the predictive score point was applied to predict the development of profound and recurrent shock. The socio demographic data (Age gender), clinical presentation, was recorded. Diagnosis was confirmed with dengue IgM and IgG capture ELISAs and NS. The primary outcome was the development of profound or recurrent shock. The predictive risk and the probability of development of profound and recurrent shock was determined by Appling appropriate statistical methods. Results : Out of 66 patients enrolled ,48 (72.12%) patients developed profound shock. Most of the children had predicted risk of ≤ 10% and 11 to 20% (39.39% each). The mean predicted risk was noted as 16±11. The median predicted risk was 13% and ranged between 1% to 47%. All the children with predicted risk of >21 % developed profound shock. This difference was statistically significant (p<0.001). Conclusion : The prognostic score chart is a good predictor for the development of the profound shock in cases of dengue shock syndrome.