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One-year outcomes and health care utilization in survivors of severe acute respiratory syndrome.
Arch Intern Med. 2007 Jun 25; 167(12):1312-20.AI

Abstract

BACKGROUND

Severe Acute Respiratory Syndrome (SARS) became a global epidemic in 2003. Comprehensive information on 1-year outcomes and health care utilization is lacking. Research conducted during the SARS outbreak may help inform research planning for future public health emergencies. The objective of this study was to evaluate the 1-year outcomes in survivors of SARS and their family caregivers.

METHOD

The study was prospective and observational. We evaluated 117 SARS survivors from Toronto, Ontario. Patients were interviewed and underwent physical examination, pulmonary function testing, chest radiography, a 6-minute-walk test, quality-of-life measures, and self-report of health care utilization. At 1 year, informal caregivers were identified for a survey on caregiver burden.

RESULTS

The enrolled survivors of SARS were young (median age, 42 years), and most were women (67%) and health care workers (65%). At 1 year after hospital discharge, pulmonary function measures were in the normal range, but 18% of patients had a significant reduction in distance walked in 6 minutes. The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) domains were 0.3 to 1.0 SD below normal at 1 year. Of the patients, 17% had not returned to work by 1 year. Fifty-one patients required 668 visits to psychiatry or psychology practitioners. During the SARS epidemic, informal caregivers reported a decline of 1.6 SD below normal on the mental component score of the SF-36.

CONCLUSIONS

Most SARS survivors had good physical recovery from their illness, but some patients and their caregivers reported a significant reduction in mental health 1 year later. Strategies to ameliorate the psychological burden of an epidemic on the patient and family caregiver should be considered as part of future pandemic planning.

Authors+Show Affiliations

Department of Medicine, University Health Network, and Mount Sinai Hospital, Toronto, Ontario, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17592106

Citation

Tansey, Catherine M., et al. "One-year Outcomes and Health Care Utilization in Survivors of Severe Acute Respiratory Syndrome." Archives of Internal Medicine, vol. 167, no. 12, 2007, pp. 1312-20.
Tansey CM, Louie M, Loeb M, et al. One-year outcomes and health care utilization in survivors of severe acute respiratory syndrome. Arch Intern Med. 2007;167(12):1312-20.
Tansey, C. M., Louie, M., Loeb, M., Gold, W. L., Muller, M. P., de Jager, J., Cameron, J. I., Tomlinson, G., Mazzulli, T., Walmsley, S. L., Rachlis, A. R., Mederski, B. D., Silverman, M., Shainhouse, Z., Ephtimios, I. E., Avendano, M., Downey, J., Styra, R., Yamamura, D., ... Herridge, M. S. (2007). One-year outcomes and health care utilization in survivors of severe acute respiratory syndrome. Archives of Internal Medicine, 167(12), 1312-20.
Tansey CM, et al. One-year Outcomes and Health Care Utilization in Survivors of Severe Acute Respiratory Syndrome. Arch Intern Med. 2007 Jun 25;167(12):1312-20. PubMed PMID: 17592106.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - One-year outcomes and health care utilization in survivors of severe acute respiratory syndrome. AU - Tansey,Catherine M, AU - Louie,Marie, AU - Loeb,Mark, AU - Gold,Wayne L, AU - Muller,Matthew P, AU - de Jager,JoAnne, AU - Cameron,Jill I, AU - Tomlinson,George, AU - Mazzulli,Tony, AU - Walmsley,Sharon L, AU - Rachlis,Anita R, AU - Mederski,Barbara D, AU - Silverman,Mike, AU - Shainhouse,Zev, AU - Ephtimios,Issa E, AU - Avendano,Monica, AU - Downey,James, AU - Styra,Rima, AU - Yamamura,Deborah, AU - Gerson,Marvin, AU - Stanbrook,Matthew B, AU - Marras,Theodore K, AU - Phillips,Elizabeth J, AU - Zamel,Noë, AU - Richardson,Susan E, AU - Slutsky,Arthur S, AU - Herridge,Margaret S, PY - 2007/6/27/pubmed PY - 2007/8/19/medline PY - 2007/6/27/entrez SP - 1312 EP - 20 JF - Archives of internal medicine JO - Arch Intern Med VL - 167 IS - 12 N2 - BACKGROUND: Severe Acute Respiratory Syndrome (SARS) became a global epidemic in 2003. Comprehensive information on 1-year outcomes and health care utilization is lacking. Research conducted during the SARS outbreak may help inform research planning for future public health emergencies. The objective of this study was to evaluate the 1-year outcomes in survivors of SARS and their family caregivers. METHOD: The study was prospective and observational. We evaluated 117 SARS survivors from Toronto, Ontario. Patients were interviewed and underwent physical examination, pulmonary function testing, chest radiography, a 6-minute-walk test, quality-of-life measures, and self-report of health care utilization. At 1 year, informal caregivers were identified for a survey on caregiver burden. RESULTS: The enrolled survivors of SARS were young (median age, 42 years), and most were women (67%) and health care workers (65%). At 1 year after hospital discharge, pulmonary function measures were in the normal range, but 18% of patients had a significant reduction in distance walked in 6 minutes. The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) domains were 0.3 to 1.0 SD below normal at 1 year. Of the patients, 17% had not returned to work by 1 year. Fifty-one patients required 668 visits to psychiatry or psychology practitioners. During the SARS epidemic, informal caregivers reported a decline of 1.6 SD below normal on the mental component score of the SF-36. CONCLUSIONS: Most SARS survivors had good physical recovery from their illness, but some patients and their caregivers reported a significant reduction in mental health 1 year later. Strategies to ameliorate the psychological burden of an epidemic on the patient and family caregiver should be considered as part of future pandemic planning. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/17592106/One_year_outcomes_and_health_care_utilization_in_survivors_of_severe_acute_respiratory_syndrome_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/10.1001/archinte.167.12.1312 DB - PRIME DP - Unbound Medicine ER -