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Rationale:
- Informing patients and their families about prognosis, risk factors, and management of possible sequelae will help them prepare
for different eventualities and aid them in decision making.
- Informing eligible patients about the availability of clinical trials will allow them and/or their family members to make
informed decisions about possible participation.
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Evidence:
- Case-fatality rates ranged from 4% to 18% among patients hospitalized during recent outbreaks. Advanced age, encephalitis
with severe muscle weakness, change in the level of consciousness, and history of diabetes and immunosuppression are possible
risk factors for death and poor neurologic outcome (46).
- In a 2002 Canadian series of 64 patients with WNV meningitis, encephalitis, or neuroinvasive syndromes, only 28% of encephalitis
or neuromuscular disease survivors were discharged home without support (29).
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Comments:
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Amy V. Bode, MD, MSPH has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Anthony A. Marfin, MD, MPH has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Carrie Nielsen, PhD, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
James J. Sejvar, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted (c) 2008 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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West Nile Virus Disease
> Patient Education
