A cluster of patients with severe acute respiratory syndrome in a chest ward in southern Taiwan

Wang, Yi Hsi; Lin, An Shen; Chao, Tung Ying; Lu, Sheng; Liu, Jien Wei; Chen, Shun Sheng; Lin, Meng C.

doi:10.1007/s00134-004-2311-8

Cited by 32 publications

(29 citation statements)

References 10 publications

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“…Based on the BNHI policy requiring quality of care for PMV patients, the total numbers of PMV patients has not increased, but the total population of Taiwan increased. 18 Our study also showed a significant decrease in the prevalence of PMV in older patients (ie, PMV patients age 75 years or older decreased from 74% in 2004 to 68% in 2007, but the number of comorbidities also increased from 2004 to 2007 during the same period). Duration of ventilation is reportedly associated with cause of ICU admission, age, and treatment location.…”

Section: Discussionsupporting

confidence: 65%

“…The 2000 BNHI policy for PMV patients apparently decreased the stay of PMV patients. 18 The decrease in stay was larger in regional hospitals and district hospitals, as compared to medical centers, and most patients had initiated mechanical ventilation in the ICUs of short-term acute care medical centers. Patients with underlying chronic cardiorespiratory illnesses tended to remain ventilator-dependent and tended to transition from acute illness status to chronic or critical illness status.…”

Section: Discussionmentioning

confidence: 99%

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Trend Analysis of Hospital Resource Utilization for Prolonged Mechanical Ventilation Patients in Taiwan: A Population-Based Study

et al. 2013

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BACKGROUND:The aging Taiwan population is expected to require vast medical resources, including prolonged mechanical ventilation (PMV). This study determined the trends in hospital resource utilization and associated factors in PMV patients in Taiwan . During the study period, stay significantly decreased, from 35.12 days to 31.61 days, whereas hospital treatment costs significantly increased, from $7,933.17 to $8,257.52 (P < .001). Considerably decreased stay and increased hospital treatment costs were significantly associated with age, number of comorbidities, hospital level, hospital volume, and patient referral source (P < .001). CONCLUSIONS: These population-based data demonstrated a decrease in the prevalence of PMV, especially for older patients, and that stay decreased; however, hospital treatment costs increased. Moreover, healthcare providers and patients should recognize that attributes of both the patient and the hospital may affect hospital resource utilization. Additionally, these analytical results should be applicable to similar populations in other countries.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Trend Analysis of Hospital Resource Utilization for Prolonged Mechanical Ventilation Patients in Taiwan: A Population-Based Study

et al. 2013

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“…However, few articles were written describing the clinical characteristics and management of SARS patients in Taiwan. [4][5][6][7][8] This study delineates clinical features, laboratory data, chest radiography, management and outcomes for patients with probable SARS at a SARS center in Taipei, and determines factors associated with respiratory failure and subsequent intubation in such patients.…”

Section: Study Populationmentioning

confidence: 99%

Clinical Characteristics, Management and Prognostic Factors in Patients with Probable Severe Acute Respiratory Syndrome (SARS) in a SARS Center in Taiwan

Liu

Huang

Lai

et al. 2005

Journal of the Chinese Medical Association

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“…Among these SARS patients, 16 were previously healthy hospital workers, 1 of which died during hospitalization [5]. The remaining 15 patients survived SARS and all were eligible for enrolment in this study.…”

Section: Methodsmentioning

confidence: 99%

“…This outbreak occurred in the chest wards where 44 subjects had contracted the disease, including 16 previously healthy medical personnel [5]. Recovered hospital workers resumed regular daily activities without significant symptoms after hospital discharge.…”

Section: Introductionmentioning

confidence: 99%

Exercise Capacity and Pulmonary Function in Hospital Workers Recovered from Severe Acute Respiratory Syndrome

Hsieh

Wang

et al. 2006

Respiration

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Background: Persistent impaired pulmonary function and functional capacity are common among survivors of severe acute respiratory syndrome (SARS). Whether the impairment was caused by SARS or pre-existing physical condition remains unclear. Objective: This study investigated the influence of SARS on exercise capacity and pulmonary function of previously healthy medical staff.Methods: Pulmonary function tests, including spirometry and carbon monoxide diffusing capacity (DLCO), as well as symptom-limited cardiopulmonary exercise testing (CPET) with an incremental protocol using an electronically braked cycle ergometer, were performed by 13 previously healthy hospital workers 14 months after SARS recovery. Other 14 age- and sex-matched healthy medical workers completed CPET simultaneously, and exercise capacities of these two groups were compared. Results: Most values of spirometry performed were within normal range. Only one showed mildly restrictive abnormality with decreased forced expiratory volume in 1 s (72.2% predicted) and forced vital capacity (68.1% predicted). Eight subjects had decreased DLCO levels (mean 79.37 ± 7.73%), and low exercise capacity was noted in 9 subjects. Discordance in impairment of the measured DLCO and exercise capacity was revealed by comparison. Besides, there was no significant difference in results of CPET between subjects recovered from SARS and those never infected. Conclusions: Minor pulmonary function defects as well as decreased exercise capacity were detected in previously healthy medical staff after recovering from SARS. No significant correlation between exercise capacity and pulmonary function was found.

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A cluster of patients with severe acute respiratory syndrome in a chest ward in southern Taiwan

Abstract: Old age, high white blood cell counts, high peak grade fever, and close or prolonged contact with a SARS patient increase the risk of intubation in previous healthy SARS patients.

Cited by 32 publications

References 10 publications

Trend Analysis of Hospital Resource Utilization for Prolonged Mechanical Ventilation Patients in Taiwan: A Population-Based Study

Trend Analysis of Hospital Resource Utilization for Prolonged Mechanical Ventilation Patients in Taiwan: A Population-Based Study

Clinical Characteristics, Management and Prognostic Factors in Patients with Probable Severe Acute Respiratory Syndrome (SARS) in a SARS Center in Taiwan

Exercise Capacity and Pulmonary Function in Hospital Workers Recovered from Severe Acute Respiratory Syndrome

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