Clinical and laboratory findings related to a favorable evolution of hantavirus pulmonary syndrome.
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 pressure(3) 100 mmHg, heart rate lower than 100 beats per minute, creatinine below 1.6 mg/dl, arterial blood pH(3) 7.35, bicarbonate higher than 15 mEq/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.
Santana
Rodrigo de Carvalho
Rde C
Divisão de Moléstias Infecciosas e Tropicais, Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Av. Bandeirantes 3900, 14049-900 Ribeirão Preto, SP.
Campos
Gelse Mazzoni
GM
Figueiredo
Luís Tadeu Moraes
LT
Figueiredo
José Fernando de Castro
JF
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001639:Bicarbonates / Q000097:blood; D001784:Blood Gas Analysis; D001794:Blood Pressure / Q000502:physiology; D002316:Cardiotonic Agents / Q000627:therapeutic use; D003404:Creatinine / Q000097:blood; D005260:Female; D005440:Fluid Therapy; D018804:Hantavirus Pulmonary Syndrome / Q000097:blood / Q000503:physiopathology / Q000628:therapy; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D011379:Prognosis
D000305:Adrenal Cortex Hormones; D001639:Bicarbonates; D002316:Cardiotonic Agents; D003404:Creatinine