Details:

Alternative Title:
Emerg Infect Dis
Publisher's site:
http://dx.doi.org/10.3201/eid0909.030362
Personal Author:
Tsui, Ping Tim ; Kwok, Man Leung ; Yuen, Hon ; Lai, Sik To ;
Tsui, Ping Tim ; Kwok, Man Leung ; Yuen, Hon ; Lai, Sik To ; Less -
Description:
Severe acute respiratory syndrome (SARS) poses a major threat to the health of people worldwide. We performed a retrospective case series analysis to assess clinical outcome and identify pretreatment prognostic correlates of SARS, managed under a standardized treatment protocol. We studied 127 male and 196 female patients with a mean age of 41+14 (range 18-83). All patients, except two, received ribavirin and steroid combination therapy. In 115 (36%) patients, the course of disease was limited. Pneumonitis progressed rapidly in the remaining patients. Sixty-seven (21%) patients required intensive care, and 42 (13%) required ventilator support. Advanced age, high admission neutrophil count, and high initial lactate dehydrogenase level were independent correlates of an adverse clinical outcome. SARS-associated coronavirus caused severe illnesses in most patients, despite early treatment with ribavirin and steroid. This study has identified three independent pretreatment prognostic correlates.
Subject:
[+]
Adult
Aged
Aged, 80 And Over
Antiviral Agents
Clinical Outcome
Communicable Diseases, Emerging
Female
Humans
Male
Middle Aged
Pneumonia
Prognosis
Research
Respiration, Artificial
Retrospective Studies
Ribavirin
Severe Acute Respiratory Syndrome
Steroid
Treatment Outcome
Severe Acute Respiratory Syndrome

Source:
Emerg Infect Dis. 9(9):1064-1069.
Document Type:
Journal Article ;
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:b12fea834907f5b81ca869da8524ef75104c19fdd2a3a20cb2666aa26b579446
File Type:

Supporting Files

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