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Updated: Feb 6, 2026
02:54
Protein Modifications: Protein Kinases and Phosphatases
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重篤な急性呼吸器症候群の重篤な患者を対象に
Robert A Fowler1, Stephen E Lapinsky, David Hallett
1Interdepartmental Division of Critical Care Medicine, University of Toronto, Ontario.
JAMA
|July 17, 2003
まとめ
深刻な急性呼吸器症候群 (SARS) は,重症病棟 (ICU) で34%の死亡率で,19%の患者に深刻な影響を与えた. また,SARSは重症治療のリソースを圧迫し,医療従事者の感染を引き起こした.
科学分野:
- クリティカルケア・メディシン
- 感染症 感染症は感染症です.
- エピデミオロジー エピデミオロジー
背景:
- 重症急性呼吸器症候群 (SARS) は,重症呼吸器不全につながる可能性のある新しい感染症です.
- 重症のSARS患者の特徴を理解することは,アウトブレイクの管理に不可欠です.
研究 の 目的:
- SARSに関連する重症疾患を有する患者の疫学的特徴,臨床経過,およびアウトカムを決定する.
- 集中治療室 (ICU) のリソースと医療従事者 (HCWs) に対するSARSの影響を評価する.
主な方法:
- トロント地域のICUに入院したSARS関連の重症患者の38人の成人の症例シリーズを,アウトブレイク開始から2003年4月15日までの期間で遡及的に分析した.
- 最初の7日間ICUで毎日データを収集し,28日間追跡した. 主なアウトカム:28日間の死亡率.
主要な成果:
- 196人のSARS患者のうち,38人 (19%) が重症で,7人 (18%) がHCWであった. 平均年齢は57.4歳でした.
- 29人 (76%) が機械呼吸器を必要とし,このグループでは死亡率が45%でした. 全体的に28日間の死亡率は34%でした.
- 集中治療室でのSARS感染は,病床閉鎖と164人のHCWの隔離につながり,そのうち16人 (10%) がSARSに感染しました.
結論:
- SARS患者では重篤な病気が頻繁に見られ,主に単一臓器呼吸器不全として現れました.
- 機械呼吸によるSARS患者の半分が死亡し,呼吸器の悪化の深刻さを強調した.
- SARSの流行は,地域的な重症治療能力を大幅に圧迫し,医療従事者にリスクをもたらしました.
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