Six month radiological and physiological outcomes in severe acute respiratory syndrome (SARS) survivors

Six month radiological and physiological outcomes in severe acute respiratory syndrome (SARS) survivors
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DOI:
10.1136/thx.2004.023762
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发表时间:
2004-10-01
期刊:
影响因子:
10
通讯作者:
Mok, TYW
Mok, TYW
中科院分区:
医学1区
文献类型:
--
作者:
Ng, CK;Chan, JWM;Mok, TYW

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背景资料:SARS幸存者和他们可能的决定因素的长期的生理和放射学结果是undetermined.Methods:SARS幸存者在一个区域医院的后续门诊进行了高分辨率计算机断层扫描(HRCT)的胸部和肺功能测试6个月后入院。的患者的临床和人口统计学数据和生理和放射学outcomes.Results之间的关联进行了检查:57例患者参加了这项研究。43例患者(75.4%)检测到肺功能异常,其中限制性缺陷(n = 16)最常见(28.1%)。43例患者(75.4%)检测到任何程度的放射学异常。只有使用脉冲皮质类固醇与CT异常的存在(P = 0.043,OR 6.65,95%CI 1.06至41.73)。结论:生理和放射学异常仍然存在于相当比例的SARS幸存者在6个月。
Background: The long term physiological and radiological outcomes of SARS survivors and their possible determinants are uncertain.Methods: SARS survivors in a follow up clinic in a regional hospital underwent high resolution computed tomography (HRCT) of the thorax and lung function tests 6 months after admission to hospital. The associations between the clinical and demographic data of the patients and the physiological and radiological outcomes were examined.Results: Fifty seven patients took part in the study. Lung function abnormalities were detected in 43 patients (75.4%), with restrictive defects (n = 16) being most common (28.1%). Radiological abnormalities of any degree were detected in 43 patients ( 75.4%). Only the use of pulse corticosteroids was associated with the presence of CT abnormalities ( p = 0.043, OR 6.65, 95% CI 1.06 to 41.73).Conclusions: Physiological and radiological abnormalities are still present in a considerable proportion of SARS survivors at 6 months.