Quantitative Evaluation of the Severity of Acute Illness in Adult Patients with Tick-Borne Encephalitis

The aim of the present study was to quantify the severity of acute illness in patients with tick-borne encephalitis and to ascertain this approach by comparing it to standard clinical assessment. We designed scoring system for quantification of the severity of acute illness in patients with tick-bor...

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Bibliographic Details
Published in:BioMed research international Vol. 2014; no. 2014; pp. 1 - 5
Main Authors: Bogovic, Petra, Logar, Mateja, Avsic-Zupanc, Tatjana, Strle, Franc, Lotric-Furlan, Stanka
Format: Journal Article
Language:English
Published: Cairo, Egypt Hindawi Puplishing Corporation 01.01.2014
Hindawi Publishing Corporation
John Wiley & Sons, Inc
Subjects:
Acute Disease
Adolescent
Adult
Aged
Aged, 80 and over
Arachnids
Disease
Encephalitis, Tick-Borne - diagnosis
Encephalitis, Tick-Borne - epidemiology
Encephalitis, Tick-Borne - pathology
Family medical history
Female
Humans
Illnesses
Immunization
Infections
Male
Medical treatment
Meningitis
Middle Aged
Nervous system
Patients
Questionnaires
Severity of Illness Index
Slovenia - epidemiology
Surveys and Questionnaires
Young Adult
Slovenia
ISSN:2314-6133, 2314-6141, 2314-6141
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Summary:The aim of the present study was to quantify the severity of acute illness in patients with tick-borne encephalitis and to ascertain this approach by comparing it to standard clinical assessment. We designed scoring system for quantification of the severity of acute illness in patients with tick-borne encephalitis. Certain number of points was allotted to the presence, intensity, and duration of individual symptoms/signs. According to the obtained score the disease was classified as mild, moderate, and severe. Tick-borne encephalitis was assessed clinically as mild when only signs/symptoms of meningeal involvement were found, moderate in case of monofocal neurological signs and/or mild to moderate signs/symptoms of central nervous system dysfunction, and severe in patients with multifocal neurological signs and/or symptoms of severe dysfunction of central nervous system. By designed scoring system 282 adult patients, 146 males and 136 females, average aged 52.2 ± 15.5 years (range 15–82 years), with confirmed tick-borne encephalitis, were prospectively assessed. In 279/282 (98.9%) patients the severity according to clinical assessment matched with the score ranges for mild, moderate, and severe disease. The proposed approach enables precise and straightforward appraisal of the severity of acute illness and could be useful for comparison of findings within/between study groups.
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Academic Editor: Gerold Stanek
ISSN:2314-6133
2314-6141
2314-6141
DOI:10.1155/2014/841027