SARS survivors fail to recover by 1 year, say researchers
Identifieur interne : 000B75 ( Pmc/Corpus ); précédent : 000B74; suivant : 000B76SARS survivors fail to recover by 1 year, say researchers
Auteurs : Kathryn SeniorSource :
- The Lancet. Infectious Diseases [ 1473-3099 ] ; 2007.
Url:
DOI: 10.1016/S1473-3099(07)70175-5
PubMed: NONE
PubMed Central: 7129917
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PMC:7129917Le document en format XML
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<permissions><copyright-statement>© 2007 Centers for Disease Control and Prevention, Atlanta, GA, USA</copyright-statement>
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<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
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<p id="para20"><ext-link ext-link-type="doi" xlink:href="10.1001/archinte.167.12.1312">Canadian severe acute respiratory syndrome</ext-link>
(SARS) survivors were still having health problems 1 year after their acute illness, according to researchers at the University of Toronto, Canada.</p>
<p id="para30">The SARS epidemic in Canada killed 43 people in the Toronto area, including three health-care workers, between March and August, 2003. 208 people had acute illness but survived, and 117 of them took part in a 1-year follow-up study. According to the study, pulmonary function results were in the normal range for all patients, but 18 patients walked a substantially shorter distance in 6 min (more than 50 metres less than expected) compared with age and sex-matched controls.</p>
<p id="para40">“SARS patients who had been critically ill had similar physical sequelae to survivors of non-epidemic acute respiratory distress syndrome but had worse psychosocial outcomes: 17% of patients had not returned to work and 51 of the 117 had made multiple visits to psychiatry or psychology practitioners”, explained lead author Margaret Herridge.</p>
<p id="para50">Siew Eng Chua (University of Hong Kong, Hong Kong, China) noted that SARS survivors in Asia have experienced similar problems and recommends that “recognition and management of psychosocial sequelae of infectious diseases should be a vital long-term imperative”.</p>
<p id="para60">In <ext-link ext-link-type="doi" xlink:href="10.1378/chest.128.4.2247">a related study</ext-link>
, David S C Hui (The Chinese University of Hong Kong, Shatin, Hong Kong) identified significant continuing psychological problems in 55 Hong Kong survivors at 24 months, compared with the general population, even though their lung function was normal. “The results from Canada are therefore not surprising; the long period of isolation and extreme uncertainty during the initial serious SARS illness created enormous psychological stress”, he said. Chua agreed: “1 year after SARS exposure in Hong Kong, 30% of our recovered patients had moderate depression, 40·7% had moderate anxiety, and most had persistently raised stress levels compared with controls”, she said.</p>
<p id="para70">“The fact that Canadian and Asian studies both reveal psychological sequelae of an epidemic infectious disease, despite the different cultural contexts, shows how robust a finding this is”, commented Herridge. “In the future, it will be important to prevent the social isolation that has caused so much suffering”, she added.</p>
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