Long-term bone and lung consequences associated with hospital-acquired severe acute respiratory syndrome: a 15-year follow-up from a prospective cohort study
Identifieur interne : 000503 ( 2020/Analysis ); précédent : 000502; suivant : 000504Long-term bone and lung consequences associated with hospital-acquired severe acute respiratory syndrome: a 15-year follow-up from a prospective cohort study
Auteurs : Peixun Zhang [République populaire de Chine] ; Jia Li [République populaire de Chine] ; Huixin Liu [République populaire de Chine] ; Na Han [République populaire de Chine] ; Jiabao Ju [République populaire de Chine] ; Yuhui Kou [République populaire de Chine] ; Lei Chen [République populaire de Chine] ; Mengxi Jiang [République populaire de Chine] ; Feng Pan [République populaire de Chine] ; Yali Zheng [République populaire de Chine] ; Zhancheng Gao [République populaire de Chine] ; Baoguo Jiang [République populaire de Chine]Source :
- Bone Research [ 2095-4700 ] ; 2020.
Abstract
The most severe sequelae after rehabilitation from SARS are femoral head necrosis and pulmonary fibrosis. We performed a 15-year follow-up on the lung and bone conditions of SARS patients. We evaluated the recovery from lung damage and femoral head necrosis in an observational cohort study of SARS patients using pulmonary CT scans, hip joint MRI examinations, pulmonary function tests and hip joint function questionnaires. Eighty medical staff contracted SARS in 2003. Two patients died of SARS, and 78 were enrolled in this study from August 2003 to March 2018. Seventy-one patients completed the 15-year follow-up. The percentage of pulmonary lesions on CT scans diminished from 2003 (9.40 ± 7.83)% to 2004 (3.20 ± 4.78)% (
Url:
DOI: 10.1038/s41413-020-0084-5
PubMed: 32128276
PubMed Central: 7018717
Affiliations:
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Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Li, Jia" sort="Li, Jia" uniqKey="Li J" first="Jia" last="Li">Jia Li</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Respiratory Medicine,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Huixin" sort="Liu, Huixin" uniqKey="Liu H" first="Huixin" last="Liu">Huixin Liu</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Clinical Epidemiology and Biostatistics,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Han, Na" sort="Han, Na" uniqKey="Han N" first="Na" last="Han">Na Han</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Central Laboratory,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Ju, Jiabao" sort="Ju, Jiabao" uniqKey="Ju J" first="Jiabao" last="Ju">Jiabao Ju</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Education,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Kou, Yuhui" sort="Kou, Yuhui" uniqKey="Kou Y" first="Yuhui" last="Kou">Yuhui Kou</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Orthopedics and Trauma,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Lei" sort="Chen, Lei" uniqKey="Chen L" first="Lei" last="Chen">Lei Chen</name><affiliation wicri:level="1"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Radiology,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Jiang, Mengxi" sort="Jiang, Mengxi" uniqKey="Jiang M" first="Mengxi" last="Jiang">Mengxi Jiang</name><affiliation wicri:level="1"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Radiology,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Pan, Feng" sort="Pan, Feng" uniqKey="Pan F" first="Feng" last="Pan">Feng Pan</name><affiliation wicri:level="1"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Radiology,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Zheng, Yali" sort="Zheng, Yali" uniqKey="Zheng Y" first="Yali" last="Zheng">Yali Zheng</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Respiratory Medicine,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Gao, Zhancheng" sort="Gao, Zhancheng" uniqKey="Gao Z" first="Zhancheng" last="Gao">Zhancheng Gao</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Respiratory Medicine,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Jiang, Baoguo" sort="Jiang, Baoguo" uniqKey="Jiang B" first="Baoguo" last="Jiang">Baoguo Jiang</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0632 4559</institution-id><institution-id institution-id-type="GRID">grid.411634.5</institution-id><institution>Department of Orthopedics and Trauma,</institution><institution>Peking University People’s Hospital,</institution></institution-wrap>Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author></analytic><series><title level="j">Bone Research</title><idno type="ISSN">2095-4700</idno><idno type="eISSN">2095-6231</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="Par1">The most severe sequelae after rehabilitation from SARS are femoral head necrosis and pulmonary fibrosis. We performed a 15-year follow-up on the lung and bone conditions of SARS patients. We evaluated the recovery from lung damage and femoral head necrosis in an observational cohort study of SARS patients using pulmonary CT scans, hip joint MRI examinations, pulmonary function tests and hip joint function questionnaires. Eighty medical staff contracted SARS in 2003. Two patients died of SARS, and 78 were enrolled in this study from August 2003 to March 2018. Seventy-one patients completed the 15-year follow-up. The percentage of pulmonary lesions on CT scans diminished from 2003 (9.40 ± 7.83)% to 2004 (3.20 ± 4.78)% (<italic>P</italic> < 0.001) and remained stable thereafter until 2018 (4.60 ± 6.37)%. Between 2006 and 2018, the proportion of patients with interstitial changes who had improved pulmonary function was lower than that of patients without lesions, as demonstrated by the one-second ratio (FEV<sub>1</sub>/FVC%, <italic>t</italic> = 2.21, <italic>P</italic> = 0.04) and mid-flow of maximum expiration (FEF<sub>25%–75%</sub>, <italic>t</italic> = 2.76, <italic>P</italic> = 0.01). The volume of femoral head necrosis decreased significantly from 2003 (38.83 ± 21.01)% to 2005 (30.38 ± 20.23)% (<italic>P</italic> = 0.000 2), then declined slowly from 2005 to 2013 (28.99 ± 20.59)% and plateaued until 2018 (25.52 ± 15.51)%. Pulmonary interstitial damage and functional decline caused by SARS mostly recovered, with a greater extent of recovery within 2 years after rehabilitation. Femoral head necrosis induced by large doses of steroid pulse therapy in SARS patients was not progressive and was partially reversible.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Poon, Ll" uniqKey="Poon L">LL Poon</name></author><author><name sortKey="Guan, Y" uniqKey="Guan Y">Y Guan</name></author><author><name sortKey="Nicholls, Jm" uniqKey="Nicholls J">JM Nicholls</name></author><author><name sortKey="Yuen, Ky" uniqKey="Yuen K">KY Yuen</name></author><author><name sortKey="Peiris, Js" uniqKey="Peiris J">JS Peiris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhong, Ns" uniqKey="Zhong N">NS Zhong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, N" uniqKey="Lee N">N Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Peiris, Js" uniqKey="Peiris J">JS 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uniqKey="Li Z">ZR Li</name></author><author><name sortKey="Wei, Hy" uniqKey="Wei H">HY Wei</name></author><author><name sortKey="Liu, Zh" uniqKey="Liu Z">ZH Liu</name></author><author><name sortKey="Hernigou, P" uniqKey="Hernigou P">P Hernigou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mankin, Hj" uniqKey="Mankin H">HJ Mankin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ohzono, K" uniqKey="Ohzono K">K Ohzono</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shimizu, K" uniqKey="Shimizu K">K Shimizu</name></author><author><name sortKey="Moriya, H" uniqKey="Moriya H">H Moriya</name></author><author><name sortKey="Akita, T" uniqKey="Akita T">T Akita</name></author><author><name sortKey="Sakamoto, M" uniqKey="Sakamoto M">M Sakamoto</name></author><author><name sortKey="Suguro, T" uniqKey="Suguro T">T 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last="Jiang">Baoguo Jiang</name><name sortKey="Jiang, Mengxi" sort="Jiang, Mengxi" uniqKey="Jiang M" first="Mengxi" last="Jiang">Mengxi Jiang</name><name sortKey="Ju, Jiabao" sort="Ju, Jiabao" uniqKey="Ju J" first="Jiabao" last="Ju">Jiabao Ju</name><name sortKey="Kou, Yuhui" sort="Kou, Yuhui" uniqKey="Kou Y" first="Yuhui" last="Kou">Yuhui Kou</name><name sortKey="Li, Jia" sort="Li, Jia" uniqKey="Li J" first="Jia" last="Li">Jia Li</name><name sortKey="Liu, Huixin" sort="Liu, Huixin" uniqKey="Liu H" first="Huixin" last="Liu">Huixin Liu</name><name sortKey="Pan, Feng" sort="Pan, Feng" uniqKey="Pan F" first="Feng" last="Pan">Feng Pan</name><name sortKey="Zheng, Yali" sort="Zheng, Yali" uniqKey="Zheng Y" first="Yali" last="Zheng">Yali Zheng</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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