Mohammed Hamish, Vandy Alren O, Stretch Rebecca, Otieno David, Prajapati Mukesh, Calderon Mauricio, Vandi Mohamed
Emerg Infect Dis. 2017 Jan;23(1):66-73. doi: 10.3201/eid2301.160631.
We rapidly assessed the health of Ebola virus disease (EVD) survivors in Kenema, Sierra Leone, by reviewing medical charts of all patients attending the Survivor Clinic of Kenema Government Hospital. Data were abstracted on signs and symptoms at every attendance. As of November 2015, a total of 621 attendances by 115 survivors with laboratory-confirmed EVD were made to the Survivor Clinic. Most (60.9%) survivors were women. Survivors' median age was 28 years (range 0.25-70 years). Survivors attended the clinic a median of 5 times (range 1-21 times) each, and the median time from EVD discharge to attendance was 261 days (range 4-504 days). The most commonly reported signs and symptoms among the 621 attendances were headache (63.1%), fever (61.7%), and myalgia (43.3%). Because health needs of EVD survivors are complex, rapid chart reviews at survivor clinics should be repeated regularly to assess the extent of illness and prioritize service delivery.
我们通过查阅凯内马政府医院幸存者诊所所有就诊患者的病历,快速评估了塞拉利昂凯内马埃博拉病毒病(EVD)幸存者的健康状况。每次就诊时都会提取有关体征和症状的数据。截至2015年11月,115名实验室确诊为埃博拉病毒病的幸存者共到幸存者诊所就诊621次。大多数(60.9%)幸存者为女性。幸存者的年龄中位数为28岁(范围为0.25至70岁)。幸存者每人到诊所就诊的中位数为5次(范围为1至21次),从埃博拉病毒病出院到就诊的中位数时间为261天(范围为4至504天)。在621次就诊中,最常报告的体征和症状为头痛(63.1%)、发热(61.7%)和肌痛(43.3%)。由于埃博拉病毒病幸存者的健康需求复杂,应定期对幸存者诊所的病历进行快速复查,以评估疾病程度并确定服务提供的优先顺序。