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Presentation and outcome of Middle East respiratory syndrome in Saudi intensive care unit patients.

Identifieur interne : 001129 ( PubMed/Curation ); précédent : 001128; suivant : 001130

Presentation and outcome of Middle East respiratory syndrome in Saudi intensive care unit patients.

Source :

Critical care (London, England) [ 1466-609X ] ; 2016.

RBID : pubmed:27153800

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Arabie saoudite, Coronavirus du syndrome respiratoire du Moyen-Orient (pathogénicité), Femelle, Humains, Infections à coronavirus (), Infections à coronavirus (diagnostic), Infections à coronavirus (mortalité), Mâle, Sujet âgé, Unités de soins intensifs, Ventilation artificielle (mortalité), Études de cohortes, Études rétrospectives.
MESH :
- diagnostic : Infections à coronavirus.
- mortalité : Infections à coronavirus, Ventilation artificielle.
- pathogénicité : Coronavirus du syndrome respiratoire du Moyen-Orient.
- Adulte, Adulte d'âge moyen, Arabie saoudite, Femelle, Humains, Infections à coronavirus, Mâle, Sujet âgé, Unités de soins intensifs, Études de cohortes, Études rétrospectives.

English descriptors

KwdEn :
- Adult, Aged, Cohort Studies, Coronavirus Infections (diagnosis), Coronavirus Infections (mortality), Coronavirus Infections (therapy), Female, Humans, Intensive Care Units, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus (pathogenicity), Respiration, Artificial (mortality), Retrospective Studies, Saudi Arabia.
MESH :
- diagnosis : Coronavirus Infections.
- mortality : Coronavirus Infections, Respiration, Artificial.
- pathogenicity : Middle East Respiratory Syndrome Coronavirus.
- therapy : Coronavirus Infections.
- Adult, Aged, Cohort Studies, Female, Humans, Intensive Care Units, Male, Middle Aged, Retrospective Studies, Saudi Arabia.

Abstract

Middle East respiratory syndrome coronavirus infection is associated with high mortality rates but limited clinical data have been reported. We describe the clinical features and outcomes of patients admitted to an intensive care unit (ICU) with Middle East respiratory syndrome coronavirus (MERS-CoV) infection.

DOI: 10.1186/s13054-016-1303-8
PubMed: 27153800

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<term>Coronavirus Infections (mortality)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Intensive Care Units</term>
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<term>Middle Aged</term>
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<term>Infections à coronavirus ()</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (mortalité)</term>
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<term>Sujet âgé</term>
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<term>Ventilation artificielle (mortalité)</term>
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<term>Ventilation artificielle</term>
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<term>Retrospective Studies</term>
<term>Saudi Arabia</term>
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<term>Adulte d'âge moyen</term>
<term>Arabie saoudite</term>
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<term>Humains</term>
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<front><div type="abstract" xml:lang="en">Middle East respiratory syndrome coronavirus infection is associated with high mortality rates but limited clinical data have been reported. We describe the clinical features and outcomes of patients admitted to an intensive care unit (ICU) with Middle East respiratory syndrome coronavirus (MERS-CoV) infection.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27153800</PMID>
<DateCompleted><Year>2017</Year>
<Month>01</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>11</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1466-609X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>20</Volume>
<Issue>1</Issue>
<PubDate><Year>2016</Year>
<Month>May</Month>
<Day>07</Day>
</PubDate>
</JournalIssue>
<Title>Critical care (London, England)</Title>
<ISOAbbreviation>Crit Care</ISOAbbreviation>
</Journal>
<ArticleTitle>Presentation and outcome of Middle East respiratory syndrome in Saudi intensive care unit patients.</ArticleTitle>
<Pagination><MedlinePgn>123</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1186/s13054-016-1303-8</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Middle East respiratory syndrome coronavirus infection is associated with high mortality rates but limited clinical data have been reported. We describe the clinical features and outcomes of patients admitted to an intensive care unit (ICU) with Middle East respiratory syndrome coronavirus (MERS-CoV) infection.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective analysis of data from all adult (>18 years old) patients admitted to our 20-bed mixed ICU with Middle East respiratory syndrome coronavirus infection between October 1, 2012 and May 31, 2014. Diagnosis was confirmed in all patients using real-time reverse transcription polymerase chain reaction on respiratory samples.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">During the observation period, 31 patients were admitted with MERS-CoV infection (mean age 59 ± 20 years, 22 [71 %] males). Cough and tachypnea were reported in all patients; 22 (77.4 %) patients had bilateral pulmonary infiltrates. Invasive mechanical ventilation was applied in 27 (87.1 %) and vasopressor therapy in 25 (80.6 %) patients during the intensive care unit stay. Twenty-three (74.2 %) patients died in the ICU. Nonsurvivors were older, had greater APACHE II and SOFA scores on admission, and were more likely to have received invasive mechanical ventilation and vasopressor therapy. After adjustment for the severity of illness and the degree of organ dysfunction, the need for vasopressors was an independent risk factor for death in the ICU (odds ratio = 18.33, 95 % confidence interval: 1.11-302.1, P = 0.04).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">MERS-CoV infection requiring admission to the ICU is associated with high morbidity and mortality. The need for vasopressor therapy is the main risk factor for death in these patients.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Almekhlafi</LastName>
<ForeName>Ghaleb A</ForeName>
<Initials>GA</Initials>
<AffiliationInfo><Affiliation>Department of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia. gmekhlafi@yahoo.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Albarrak</LastName>
<ForeName>Mohammed M</ForeName>
<Initials>MM</Initials>
<AffiliationInfo><Affiliation>Intensive Care Unit, Prince Sultan Cardiac Center, Riyadh, 11159, Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mandourah</LastName>
<ForeName>Yasser</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hassan</LastName>
<ForeName>Sahar</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Alwan</LastName>
<ForeName>Abid</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Abudayah</LastName>
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Presentation and outcome of Middle East respiratory syndrome in Saudi intensive care unit patients.

Presentation and outcome of Middle East respiratory syndrome in Saudi intensive care unit patients.

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