Transactions of The Royal Society of Tropical Medicine and Hygiene

Autor: Dias, Juarez Pereira, Elkhoury, Mauro da Rosa, Mendes, Wellington da Silva, Waldman, Eliseu Alves, Carmo, Eduardo Hage, Vasconcelos, Pedro Fernando da Costa
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Repositório Institucional da UFBA
Universidade Federal da Bahia (UFBA)
instacron:UFBA
DOI: 10.1016/j.trstmh.2012.01.002
Popis: Texto completo: acesso restrito. p. 298-302 Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-08-12T14:39:51Z No. of bitstreams: 1 Juarez Pereira Dias.pdf: 209327 bytes, checksum: 67f3221808944634d68cae35dfcc3f51 (MD5) Made available in DSpace on 2014-08-12T14:39:51Z (GMT). No. of bitstreams: 1 Juarez Pereira Dias.pdf: 209327 bytes, checksum: 67f3221808944634d68cae35dfcc3f51 (MD5) Previous issue date: 2012 Hantavirus pulmonary syndrome (HPS) was described for the first time in Brazil in 1993 and has occurred endemically throughout the country. This study analysed clinical and laboratory aspects as well as death-related factors for HPS cases in Brazil from 1993 to 2006. The investigation comprised a descriptive and exploratory study of the history of cases as well as an analytical retrospective cohort survey to identify prognostic factors for death due to HPS. A total of 855 Brazilian HPS cases were assessed. The majority of cases occurred during spring (33.5%) and winter (27.6%), mainly among young male adults working in rural areas. The global case fatality rate was 39.3%. The mean interval between the onset of symptoms and hospitalisation was 4 days and that between hospitalisation and death was 1 day. In the multiple regression analysis, adult respiratory distress syndrome and mechanical respiratory support were associated with risk of death; when these two variables were excluded from the model, dyspnoea and haemoconcentration were associated with a higher risk of death.
Databáze: OpenAIRE