Objective: To assess the incidence, severity, and outcomes of pediatric acute respiratory distress syndrome (PARDS) following trauma using Pediatric Acute Lung Injury Consensus Conference criteria Design: Retrospective cohort study Setting: Level 1 pediatric trauma center Patients: Trauma patients ≤17 years admitted to the intensive care unit from 2009-2017 Interventions: None
Measurements and Main Results:We queried electronic health records to identify patients meeting PARDS oxygenation criteria for ≥6 hours and determined whether patients met complete PARDS criteria via chart review. We estimated associations between PARDS and outcome using generalized linear Poisson regression adjusted for age, injury mechanism, Injury Severity Score, and serious brain and chest injuries. Of 2470 critically injured children, 103 (4.2%) met PARDS criteria. Mortality was 34.0% among PARDS patients versus 1.7% among non-PARDS patients (adjusted RR 3.7, 95% CI 2.0-6.9). Mortality was 50.
Objective: To assess the incidence, severity, and outcomes of pediatric acute respiratory distress syndrome (PARDS) following trauma using Pediatric Acute Lung Injury Consensus Conference criteria Design: Retrospective cohort study Setting: Level 1 pediatric trauma center Patients: Trauma patients ≤17 years admitted to the intensive care unit from 2009-2017 Interventions: None
Measurements and Main Results:We queried electronic health records to identify patients meeting PARDS oxygenation criteria for ≥6 hours and determined whether patients met complete PARDS criteria via chart review. We estimated associations between PARDS and outcome using generalized linear Poisson regression adjusted for age, injury mechanism, Injury Severity Score, and serious brain and chest injuries. Of 2470 critically injured children, 103 (4.2%) met PARDS criteria. Mortality was 34.0% among PARDS patients versus 1.7% among non-PARDS patients (adjusted RR 3.7, 95% CI 2.0-6.9). Mortality was 50.
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