Severe acute respiratory syndrome and critical care medicine: the Toronto experience.
Identifieur interne : 002957 ( PubMed/Curation ); précédent : 002956; suivant : 002958Severe acute respiratory syndrome and critical care medicine: the Toronto experience.
Auteurs : Christopher M. Booth [Canada] ; Thomas E. StewartSource :
- Critical care medicine [ 0090-3493 ] ; 2005.
Descripteurs français
- KwdFr :
- Canada, Flambées de maladies, Humains, Hôpitaux communautaires, Infection croisée (transmission), Infection croisée (épidémiologie), Planification des mesures d'urgence en cas de catastrophe (organisation et administration), Soins de réanimation (), Soins de réanimation (organisation et administration), Syndrome respiratoire aigu sévère (physiopathologie), Syndrome respiratoire aigu sévère (transmission), Syndrome respiratoire aigu sévère (épidémiologie), Unités de soins intensifs, Virus du SRAS, Études rétrospectives, Évaluation des besoins (organisation et administration).
- MESH :
- organisation et administration : Planification des mesures d'urgence en cas de catastrophe, Soins de réanimation, Évaluation des besoins.
- physiopathologie : Syndrome respiratoire aigu sévère.
- épidémiologie : Infection croisée, Syndrome respiratoire aigu sévère.
- Canada, Flambées de maladies, Humains, Hôpitaux communautaires, Soins de réanimation, Unités de soins intensifs, Virus du SRAS, Études rétrospectives.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Canada, Critical Care (methods), Critical Care (organization & administration), Cross Infection (epidemiology), Cross Infection (transmission), Disaster Planning (organization & administration), Disease Outbreaks, Hospitals, Community, Humans, Intensive Care Units, Needs Assessment (organization & administration), Retrospective Studies, SARS Virus, Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (physiopathology), Severe Acute Respiratory Syndrome (transmission).
- MESH :
- geographic : Canada.
- epidemiology : Cross Infection, Severe Acute Respiratory Syndrome.
- methods : Critical Care.
- organization & administration : Critical Care, Disaster Planning, Needs Assessment.
- physiopathology : Severe Acute Respiratory Syndrome.
- transmission : Cross Infection, Severe Acute Respiratory Syndrome.
- Disease Outbreaks, Hospitals, Community, Humans, Intensive Care Units, Retrospective Studies, SARS Virus.
Abstract
The 2003 global outbreak of severe acute respiratory syndrome (SARS) provided numerous challenges to the delivery of critical care. The Toronto critical care community has learned important lessons from SARS, which will help in preparation for future disease outbreaks.
DOI: 10.1097/01.ccm.0000150954.88817.6
PubMed: 15640680
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The Toronto critical care community has learned important lessons from SARS, which will help in preparation for future disease outbreaks.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15640680</PMID><DateCompleted><Year>2005</Year><Month>02</Month><Day>24</Day></DateCompleted><DateRevised><Year>2019</Year><Month>07</Month><Day>06</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0090-3493</ISSN><JournalIssue CitedMedium="Print"><Volume>33</Volume><Issue>1 Suppl</Issue><PubDate><Year>2005</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Critical care medicine</Title><ISOAbbreviation>Crit. Care Med.</ISOAbbreviation></Journal><ArticleTitle>Severe acute respiratory syndrome and critical care medicine: the Toronto experience.</ArticleTitle><Pagination><MedlinePgn>S53-60</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The 2003 global outbreak of severe acute respiratory syndrome (SARS) provided numerous challenges to the delivery of critical care. The Toronto critical care community has learned important lessons from SARS, which will help in preparation for future disease outbreaks.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The objectives of this study were to review the epidemiology and clinical characteristics of the Toronto SARS outbreak, the challenges SARS provided to the delivery of critical care, and how we would like to be better organized for a similar challenge in the future.</AbstractText><AbstractText Label="FINDINGS" NlmCategory="RESULTS">SARS manifests clinically as atypical pneumonia and ranges in severity from minor nonspecific symptoms to adult respiratory distress syndrome (ARDS). Approximately 20% of patients with SARS will become critically ill and require admission to the intensive care unit. ARDS develops in the majority of these patients. Mortality from ARDS in SARS is high, and outcome is associated with the presence of comorbid disease and the severity of illness at presentation. The influx of critically ill patients and the transmission of SARS to front line workers created a tremendous strain on Toronto's healthcare system. From a critical care perspective, the most important limitation in the response to SARS was the absence of a coordinated leadership and communication infrastructure. Other challenges encountered during SARS include the following: closure of intensive care unit beds and loss of staff through quarantine and illness, implementing novel infection control protocols, educating staff, conducting research to learn about SARS, system planning, and maintaining staff morale during this very difficult period.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Communication and leadership strategies were key components in the critical care response to SARS. Ideally, centers should have systems in place to allow for the rapid expansion and modification of critical care services in the event of a disease outbreak. Other critical care communities should consider their crisis response strategies in advance of similar events.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Booth</LastName><ForeName>Christopher M</ForeName><Initials>CM</Initials><AffiliationInfo><Affiliation>Interdepartmental Division of Critical Care Medicine and the Department of Medicine, Mount Sinai Hospital and University Health Network, University of Toronto, Toronto, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stewart</LastName><ForeName>Thomas E</ForeName><Initials>TE</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Crit Care Med</MedlineTA><NlmUniqueID>0355501</NlmUniqueID><ISSNLinking>0090-3493</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003428" MajorTopicYN="N">Cross Infection</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004189" MajorTopicYN="N">Disaster Planning</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="N">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006764" MajorTopicYN="N">Hospitals, Community</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020380" MajorTopicYN="N">Needs Assessment</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045473" MajorTopicYN="N">SARS Virus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045169" MajorTopicYN="N">Severe Acute Respiratory Syndrome</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>1</Month><Day>11</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>2</Month><Day>25</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>1</Month><Day>11</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15640680</ArticleId><ArticleId IdType="pii">00003246-200501001-00010</ArticleId><ArticleId IdType="doi">10.1097/01.ccm.0000150954.88817.6</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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