5例西尼罗河病毒严重感染患者的康复结局：病例系列

Rehabilitation outcomes of 5 patients with severe West Nile virus infection: a case series.

作者信息

Rao Noel, Char David, Gnatz Steve

机构信息

Marianjoy Rehabilitation Hospital, Wheaton, IL, USA.

出版信息

Arch Phys Med Rehabil. 2005 Mar;86(3):449-52. doi: 10.1016/j.apmr.2004.10.019.

DOI:10.1016/j.apmr.2004.10.019

PMID:15759227

Abstract

OBJECTIVE

To report inpatient rehabilitation outcome in severe cases of West Nile virus (WNV) infection.

DESIGN

Retrospective case series.

SETTING

Freestanding rehabilitation hospital.

PARTICIPANTS

Five consecutive patients admitted to an inpatient rehabilitation hospital with proven WNV infection.

PATIENTS

had severe neurologic manifestations and functional deficits.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURE

FIM instrument scores.

RESULTS

On admission, overall FIM scores ranged from 31 to 68, with a mean of 44.40+/-15.85; overall FIM scores ranged from 52 to 90, with a mean of 76.00+/-15.03 at discharge.

CONCLUSIONS

All patients demonstrated significant functional improvement ( P <.001). Length of stay ranged from 10 to 71 days, with a mean of 32 days. Lower functional outcome and higher cost of care were noted in patients and was attributable to severe muscle weakness and axonal neuropathy.

摘要