Serveur d'exploration MERS

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Predictive factors for pneumonia development and progression to respiratory failure in MERS-CoV infected patients.

Identifieur interne : 001005 ( PubMed/Corpus ); précédent : 001004; suivant : 001006

Predictive factors for pneumonia development and progression to respiratory failure in MERS-CoV infected patients.

Auteurs : Jae-Hoon Ko ; Ga Eun Park ; Ji Yeon Lee ; Ji Yong Lee ; Sun Young Cho ; Young Eun Ha ; Cheol-In Kang ; Ji-Man Kang ; Yae-Jean Kim ; Hee Jae Huh ; Chang-Seok Ki ; Byeong-Ho Jeong ; Jinkyeong Park ; Chi Ryang Chung ; Doo Ryeon Chung ; Jae-Hoon Song ; Kyong Ran Peck

Source :

RBID : pubmed:27519621

English descriptors

Abstract

After the 2015 Middle East respiratory syndrome (MERS) outbreak in Korea, prediction of pneumonia development and progression to respiratory failure was emphasized in control of MERS outbreak.

DOI: 10.1016/j.jinf.2016.08.005
PubMed: 27519621

Links to Exploration step

pubmed:27519621

Le document en format XML

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<term>Disease Outbreaks</term>
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<front>
<div type="abstract" xml:lang="en">After the 2015 Middle East respiratory syndrome (MERS) outbreak in Korea, prediction of pneumonia development and progression to respiratory failure was emphasized in control of MERS outbreak.</div>
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<DateCompleted>
<Year>2017</Year>
<Month>11</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>04</Month>
<Day>07</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1532-2742</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>73</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2016</Year>
<Month>11</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of infection</Title>
<ISOAbbreviation>J. Infect.</ISOAbbreviation>
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<ArticleTitle>Predictive factors for pneumonia development and progression to respiratory failure in MERS-CoV infected patients.</ArticleTitle>
<Pagination>
<MedlinePgn>468-475</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0163-4453(16)30209-2</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jinf.2016.08.005</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND">After the 2015 Middle East respiratory syndrome (MERS) outbreak in Korea, prediction of pneumonia development and progression to respiratory failure was emphasized in control of MERS outbreak.</AbstractText>
<AbstractText Label="METHODS">MERS-CoV infected patients who were managed in a tertiary care center during the 2015 Korean MERS outbreak were reviewed. To analyze predictive factors for pneumonia development and progression to respiratory failure, we evaluated clinical variables measured within three days from symptom onset.</AbstractText>
<AbstractText Label="RESULTS">A total of 45 patients were included in the study: 13 patients (28.9%) did not develop pneumonia, 19 developed pneumonia without respiratory failure (42.2%), and 13 progressed to respiratory failures (28.9%). The identified predictive factors for pneumonia development included age ≥45 years, fever ≥37.5 °C, thrombocytopenia, lymphopenia, CRP ≥ 2 mg/dL, and a threshold cycle value of PCR less than 28.5. For respiratory failure, the indicators included male, hypertension, low albumin concentration, thrombocytopenia, lymphopenia, and CRP ≥ 4 mg/dL (all P < 0.05). With ≥ two predictive factors for pneumonia development, 100% of patients developed pneumonia. Patients lacking the predictive factors did not progress to respiratory failure.</AbstractText>
<AbstractText Label="CONCLUSION">For successful control of MERS outbreak, MERS-CoV infected patients with ≥ two predictive factors should be intensively managed from the initial presentation.</AbstractText>
<CopyrightInformation>Copyright © 2016 The British Infection Association. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<LastName>Kim</LastName>
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</AffiliationInfo>
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<LastName>Huh</LastName>
<ForeName>Hee Jae</ForeName>
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<Affiliation>Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.</Affiliation>
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</AffiliationInfo>
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<LastName>Jeong</LastName>
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<Affiliation>Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.</Affiliation>
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<LastName>Park</LastName>
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<Affiliation>Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.</Affiliation>
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<LastName>Chung</LastName>
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<Affiliation>Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.</Affiliation>
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