Incidence, clinical course, and outcome in 217 patients with acute respiratory distress syndrome

Abstract

Acute respiratory distress syndrome was a frequent syndrome in this cohort. Sepsis was its leading cause, and pneumonia was the most common single diagnosis. Mortality was high but similar to most recent series that included serious comorbidities. Independent predictors of death 72 hrs after admission emphasize the importance of both extrapulmonary and pulmonary factors together with preexisting severe illnesses.

The FINNALI study on acute respiratory failure: not the final cut

“…Ninety-day mortality for ARF was 31%, lying within the 31-42% reported in the literature [2][3][4][5]7]; as many as 48.4% of patients had some disability on admission. The figure of 47% mortality for ALI/ARDS falls within the expected 39-60% of epidemiological studies [4,7,10,12,13]. Once more, severity of illness on admission according to SAPS II, chronic heart disease, suspected aspiration and baseline PaO 2 /FIO 2 were independently associated with a worse outcome.…”

“…Once more, severity of illness on admission according to SAPS II, chronic heart disease, suspected aspiration and baseline PaO 2 /FIO 2 were independently associated with a worse outcome. These factors have been repeatedly found [12,14]. Of note, this is another study demonstrating that the subset of patients with the worst PaO 2 /FIO 2 values displays the highest mortality [4,15,16].…”

Clinical outcomes of patients admitted in intensive care units of Nigist Eleni Mohammed Memorial Hospital of Hosanna, Southern Ethiopia

“…Frequently, data on specific predictive criteria for single diseases have been identified (Benoit et al, 2003;Wunsch et al, 2008;Afessa et al, 2002;Arabi et al, 2004). But, little is known on the exact causes of death and the influence of general risk factors that may consistently complicate the course of critically ill patients regardless of the underlying disease (Estenssoro et al, 2002;Khouli et al, 2005Chang et al, 2006. Thus, the aim of the study was to determine clinical outcomes of patients admitted in intensive care units of Nigist Eleni Mohammed Memorial Hospital of Hosanna.…”

The Kigali modification of the berlin definition: a new epidemiological tool for ARDS?

“…In a multicenter, prospective cohort study (7), enrolling 773 patients admitted to 45-ICUs in Brazil over a 2-month period and requiring non invasive or invasive ventilation, ARDS was diagnosed in 31% of the patients according to the Berlin definition. In 4 Argentine ICUs, Estenssoro et al (8) reported an incidence of ARDS of 7.7% of all ICU patients (3,050 adult patients admitted over a 15-month period) according to the AECC criteria. Finally, in a 15-month prospective, observational study, enrolling 7,033 patients in 14 ICUs in Brazil (9), 130 (1.8%) met the Berlin criteria for ARDS.…”