LEPTOSPIROSIS MIMICKING VASCULITIS ‐ A CASE REPORTстатья из журнала
Аннотация: were adult patients (age ≥18 years) who were admitted and diagnosed with ARDS in a study site during 2015-2017.Data on patients' general and clinical conditions, radiographic findings, ventilator settings, gas exchange, and treatment methods were collected and compared between survivors and non-survivors.Risk factors for mortality were assessed using a logistic regression analysis.Results.Among 126 eligible patients with ARDS, we observed high mortality (57.1%).Of the total patients, 91.3% were transferred from local hospitals with a diagnosis of severe pneumonia and then diagnosed with ARDS at the central hospital.At the time of admission, 53.2% of patients had severe ARDS, 37.3% had moderate ARDS, and 9.5% had mild ARDS.The mean (standard deviation) sequential organ failure assessment (SOFA) score was 9.5 (3.4) in non-survivors and 7.4 (3.4) in survivors (P=0.002).Although there was no significant difference in PaO2/ FiO2 on admission between non-survivors and survivors, that on day 3 after admission was significantly different (P=0.002).A logistic regression revealed that PaO2/FiO2 on day 3 [odds ratio (OR), 1.010; 95% confidence interval (CI), 1.003-1.017],length of stay in a local hospital before admission to the central hospital (OR, 1.122; 95% CI, 1.042-1.210)due to stable condition, and SOFA score on Day 1 (OR, 0.842; 95% CI, 0.708-1.002)were independent factors in patients' survival. Conclusions. Patients with ARDS admitted the central hospital hadResults.CXR-PA showed completely collapsed left lower lobe replaced with bronchiectasis and hyper-expanded left upper lobe.He was
Год издания: 2019
Издательство: Wiley
Источник: Respirology
Ключевые слова: Leptospirosis research and findings, Brucella: diagnosis, epidemiology, treatment
Открытый доступ: bronze
Том: 24
Выпуск: S2
Страницы: 277–278