机构:[1]Department of Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China大德路总院重症医学科大德路总院重症医学科广东省中医院[2]Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China广东省中医院[3]Department of Cardiology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China
Background: Clinical follow-ups of patients that have recovered from severe acute respiratory syndrome (SARS) have demonstrated radiological, physical, and psychological abnormalities to varying degrees. It is important that follow-ups be carried out to assess the clinical significance and persistence of such abnormalities. Oseltamivir has been widely used to treat viral diseases in clinical settings. Objectives: The aim of this study was to describe the long-term outcomes of patients with SARS and to describe the effects of oseltamivir on SARS, along with variables associated with outcomes. Study design: This study evaluated 67 survivors of severe acute respiratory syndrome treated with or without oseltamivir for 12 years after discharge from the hospital. At each visit, patients underwent physical examinations, pulmonary-function testing, echocardiographic examinations, and quality-of-life evaluations. Results: All survivors were asymptomatic and had normal clinical examinations. Mild pulmonary abnormalities were detected by lung function tests in 7 (10.45%) subjects, including residual ground-glass opacification or fibrosis (n=6) and air trapping (n=1). The need for mechanical ventilation (P=0.02) during the illness was a significant risk factor in predicting pneumonic fibrosis. There were no significant cardio-pulmonary function differences between those survivors treated with or without oseltamivir. Median scores for the physical role domain of the 36-item Short-Form General Health Survey decreased more than scores in the normal population, along with no significant differences between the two groups. Conclusions: After a complete clinical resolution, a considerable proportion of patients affected with SARS recovered. There were no significant differences in cardio-pulmonary function and quality-of-life measures between those treated with or without oseltamivir.
基金:
National Natural Science Foundation of China [81202782]
第一作者机构:[1]Department of Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China[2]Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China
通讯作者:
通讯机构:[1]Department of Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China[2]Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China[*1]Department of Critical Care Medicine, Guangdong Pro-vincial Hospital of Chinese Medicine, Guangzhou, China. Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
推荐引用方式(GB/T 7714):
Guo Liheng,Han Yun,Li Jian,et al.Long-term outcomes in patients with severe acute respiratory syndrome treated with oseltamivir: a 12-year longitudinal study[J].INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE.2019,12(10):12464-12471.
APA:
Guo, Liheng,Han, Yun,Li, Jian,Chen, Quanfu,Ren, Yi...&Zhang, Minzhou.(2019).Long-term outcomes in patients with severe acute respiratory syndrome treated with oseltamivir: a 12-year longitudinal study.INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,12,(10)
MLA:
Guo, Liheng,et al."Long-term outcomes in patients with severe acute respiratory syndrome treated with oseltamivir: a 12-year longitudinal study".INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 12..10(2019):12464-12471