Acute respiratory distress syndrome in a community hospital ICU

Abstract

These data show that for ARDS, at least, mortality outcome can be comparable in a community ICU to a tertiary referral institution. The pattern of disease in an urban Australian community hospital is different to that often reported from tertiary centres. The incidence of ARDS in an Australian urban community is comparable to the reported incidence in North America and Western Europe.

Acute respiratory distress syndrome in trauma patients: ICU mortality and prediction factors

“…The mortality in our series was not related to the timing of the ARDS appearance and this was not different from that reported by Croce et al [27]. The only therapeutic measure that was related to the prognosis was the initial resuscitation, as reported by other researchers [26].…”

“…We found that mortality was not predicted by age, however this may be because we had young patients with a mean age of 36 years. Significant differences could have been expected had the patients been older and less homogeneous [22,25,26]. The mortality in our series was not related to the timing of the ARDS appearance and this was not different from that reported by Croce et al [27].…”

Incidence and short-term outcome of acute lung injury in mechanically ventilated children

“…One of the most frequently studied indices is the Pa,O 2 / FI,O 2 , although contradictory results concerning its ability to predict outcome have been reported in adult AHRF/ARDS [2,[27][28][29][30][31][32][33][34][35]. Some authors have argued that the ratio may not be predictive at inclusion, but after 24 or 48 h [30,31].…”

Definition and epidemiology of acute respiratory distress syndrome

“…ARDS mortality decreased over the years probably also thanks to the improved therapeutic management of the ventilatory settings (60,63,(100)(101)(102). In the early 90s, Nolan and colleagues reported a hospital mortality of 59% in moderate and severe ARDS in a population based study conducted in Australia (87). BrunBuisson et al described similar findings in the late 90s, in a hospitalization based study conducted in 78 ICUs in Europe, with a proportion of 57.9% even including mild ARDS (83).…”