The medical records of 27 patients with
hantavirus pulmonary syndrome were analyzed according to the need for invasive
mechanical ventilation in relation to the following data up on hospital admission: age, gender,
fever,
cough,
dyspnea, systolic arterial blood pressure, heart rate, levels of
hemoglobin, hematocrit, leukocytes, lymphocytes, platelets,
creatinine and arterial blood
gases. The volume infused during the first 24 hours after admission, the use of inotropic agents, the use of
corticosteroids and the patient outcomes were also evaluated. A favorable outcome was related to systolic blood pressure(3) 100 mmHg, heart rate lower than 100 beats per minute,
creatinine below 1.6 mg/dl, arterial blood
pH(3) 7.35,
bicarbonate higher than 15 mEq/dl, oxygen saturation higher than 84.1%, lower
rehydration volume in the first 24 hours of hospitalization and no use of inotropic agents. Absence of clinical and laboratory signs of circulatory
shock up on admission was associated with a favorable outcome of the patients.