Clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome Características clínicas e laboratoriais associadas com boa evolução clínica na síndrome cardiopulmonar por hantavírus
The medical records of 27 patients with hantavirus pulmonary syndrome were analyzed according to the need for invasive mechanical ventilation in relation to the following data up on hospital admission: age, gender, fever, cough, dyspnea, systolic arterial blood pressure, heart rate, levels of hemogl...
Published in: | Revista da Sociedade Brasileira de Medicina Tropical |
---|---|
Main Authors: | , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Sociedade Brasileira de Medicina Tropical (SBMT)
2006
|
Subjects: | |
Online Access: | https://doi.org/10.1590/S0037-86822006000300001 https://doaj.org/article/b3806b54f5474609886242f41a7fff0f |
id |
ftdoajarticles:oai:doaj.org/article:b3806b54f5474609886242f41a7fff0f |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:b3806b54f5474609886242f41a7fff0f 2023-05-15T15:17:13+02:00 Clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome Características clínicas e laboratoriais associadas com boa evolução clínica na síndrome cardiopulmonar por hantavírus Rodrigo de Carvalho Santana Gelse Mazzoni Campos Luís Tadeu Moraes Figueiredo José Fernando de Castro Figueiredo 2006-06-01T00:00:00Z https://doi.org/10.1590/S0037-86822006000300001 https://doaj.org/article/b3806b54f5474609886242f41a7fff0f EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822006000300001 https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 doi:10.1590/S0037-86822006000300001 0037-8682 1678-9849 https://doaj.org/article/b3806b54f5474609886242f41a7fff0f Revista da Sociedade Brasileira de Medicina Tropical, Vol 39, Iss 3, Pp 237-240 (2006) Síndrome cardiopulmonar por hantavírus Prognóstico Evolução clínica Hantavírus Hantavirus pulmonary syndrome Prognostic Clinical outcome Hantavirus Arctic medicine. Tropical medicine RC955-962 article 2006 ftdoajarticles https://doi.org/10.1590/S0037-86822006000300001 2022-12-30T23:06:00Z The medical records of 27 patients with hantavirus pulmonary syndrome were analyzed according to the need for invasive mechanical ventilation in relation to the following data up on hospital admission: age, gender, fever, cough, dyspnea, systolic arterial blood pressure, heart rate, levels of hemoglobin, hematocrit, leukocytes, lymphocytes, platelets, creatinine and arterial blood gases. The volume infused during the first 24 hours after admission, the use of inotropic agents, the use of corticosteroids and the patient outcomes were also evaluated. A favorable outcome was related to systolic blood pressure³ 100mmHg, heart rate lower than 100 beats per minute, creatinine below 1.6mg/dl, arterial blood pH³ 7.35, bicarbonate higher than 15mEq/dl, oxygen saturation higher than 84.1%, lower rehydration volume in the first 24 hours of hospitalization and no use of inotropic agents. Absence of clinical and laboratory signs of circulatory shock up on admission was associated with a favorable outcome of the patients. Pouco se conhece sobre os fatores determinantes de bom prognóstico na síndrome cardiopulmonar por hantavírus. Foram revisados os prontuários médicos de 27 pacientes com diagnóstico confirmado de síndrome cardiopulmonar por hantavirus com o objetivo de avaliar dados clínicos e laboratoriais eventualmente associados com bom prognóstico dos pacientes. Os seguintes fatores foram associados com evolução clínica favorável quando analisados na admissão hospitalar: pressão arterial sistólica maior ou igual a 100mmHg (p=0,07); freqüência cardíaca abaixo de 100/minuto (p=0,01); níveis de creatinina sérica abaixo de 1,6mg/dl (p=0,03); pH do sangue arterial igual ou maior que 7,35 (p=0,03); bicarbonato sanguíneo igual ou maior que 15mEq/dl (p=0,03); saturação de oxigênio arterial maior que 84% (p=0,02); menor volume infundido (p=0.008) e ausência de indicação de aminas vasoativas (p< 0,001). Dessa forma, ausência de sinais clínicos e laboratoriais de choque circulatório na admissão hospitalar foi associada com bom ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Boa ENVELOPE(15.532,15.532,66.822,66.822) Revista da Sociedade Brasileira de Medicina Tropical 39 3 237 240 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Síndrome cardiopulmonar por hantavírus Prognóstico Evolução clínica Hantavírus Hantavirus pulmonary syndrome Prognostic Clinical outcome Hantavirus Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Síndrome cardiopulmonar por hantavírus Prognóstico Evolução clínica Hantavírus Hantavirus pulmonary syndrome Prognostic Clinical outcome Hantavirus Arctic medicine. Tropical medicine RC955-962 Rodrigo de Carvalho Santana Gelse Mazzoni Campos Luís Tadeu Moraes Figueiredo José Fernando de Castro Figueiredo Clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome Características clínicas e laboratoriais associadas com boa evolução clínica na síndrome cardiopulmonar por hantavírus |
topic_facet |
Síndrome cardiopulmonar por hantavírus Prognóstico Evolução clínica Hantavírus Hantavirus pulmonary syndrome Prognostic Clinical outcome Hantavirus Arctic medicine. Tropical medicine RC955-962 |
description |
The medical records of 27 patients with hantavirus pulmonary syndrome were analyzed according to the need for invasive mechanical ventilation in relation to the following data up on hospital admission: age, gender, fever, cough, dyspnea, systolic arterial blood pressure, heart rate, levels of hemoglobin, hematocrit, leukocytes, lymphocytes, platelets, creatinine and arterial blood gases. The volume infused during the first 24 hours after admission, the use of inotropic agents, the use of corticosteroids and the patient outcomes were also evaluated. A favorable outcome was related to systolic blood pressure³ 100mmHg, heart rate lower than 100 beats per minute, creatinine below 1.6mg/dl, arterial blood pH³ 7.35, bicarbonate higher than 15mEq/dl, oxygen saturation higher than 84.1%, lower rehydration volume in the first 24 hours of hospitalization and no use of inotropic agents. Absence of clinical and laboratory signs of circulatory shock up on admission was associated with a favorable outcome of the patients. Pouco se conhece sobre os fatores determinantes de bom prognóstico na síndrome cardiopulmonar por hantavírus. Foram revisados os prontuários médicos de 27 pacientes com diagnóstico confirmado de síndrome cardiopulmonar por hantavirus com o objetivo de avaliar dados clínicos e laboratoriais eventualmente associados com bom prognóstico dos pacientes. Os seguintes fatores foram associados com evolução clínica favorável quando analisados na admissão hospitalar: pressão arterial sistólica maior ou igual a 100mmHg (p=0,07); freqüência cardíaca abaixo de 100/minuto (p=0,01); níveis de creatinina sérica abaixo de 1,6mg/dl (p=0,03); pH do sangue arterial igual ou maior que 7,35 (p=0,03); bicarbonato sanguíneo igual ou maior que 15mEq/dl (p=0,03); saturação de oxigênio arterial maior que 84% (p=0,02); menor volume infundido (p=0.008) e ausência de indicação de aminas vasoativas (p< 0,001). Dessa forma, ausência de sinais clínicos e laboratoriais de choque circulatório na admissão hospitalar foi associada com bom ... |
format |
Article in Journal/Newspaper |
author |
Rodrigo de Carvalho Santana Gelse Mazzoni Campos Luís Tadeu Moraes Figueiredo José Fernando de Castro Figueiredo |
author_facet |
Rodrigo de Carvalho Santana Gelse Mazzoni Campos Luís Tadeu Moraes Figueiredo José Fernando de Castro Figueiredo |
author_sort |
Rodrigo de Carvalho Santana |
title |
Clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome Características clínicas e laboratoriais associadas com boa evolução clínica na síndrome cardiopulmonar por hantavírus |
title_short |
Clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome Características clínicas e laboratoriais associadas com boa evolução clínica na síndrome cardiopulmonar por hantavírus |
title_full |
Clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome Características clínicas e laboratoriais associadas com boa evolução clínica na síndrome cardiopulmonar por hantavírus |
title_fullStr |
Clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome Características clínicas e laboratoriais associadas com boa evolução clínica na síndrome cardiopulmonar por hantavírus |
title_full_unstemmed |
Clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome Características clínicas e laboratoriais associadas com boa evolução clínica na síndrome cardiopulmonar por hantavírus |
title_sort |
clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome características clínicas e laboratoriais associadas com boa evolução clínica na síndrome cardiopulmonar por hantavírus |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2006 |
url |
https://doi.org/10.1590/S0037-86822006000300001 https://doaj.org/article/b3806b54f5474609886242f41a7fff0f |
long_lat |
ENVELOPE(15.532,15.532,66.822,66.822) |
geographic |
Arctic Boa |
geographic_facet |
Arctic Boa |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 39, Iss 3, Pp 237-240 (2006) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822006000300001 https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 doi:10.1590/S0037-86822006000300001 0037-8682 1678-9849 https://doaj.org/article/b3806b54f5474609886242f41a7fff0f |
op_doi |
https://doi.org/10.1590/S0037-86822006000300001 |
container_title |
Revista da Sociedade Brasileira de Medicina Tropical |
container_volume |
39 |
container_issue |
3 |
container_start_page |
237 |
op_container_end_page |
240 |
_version_ |
1766347485732667392 |