The Berlin definition met our needs: not sure

Vincent, Jean‐Louis

doi:10.1007/s00134-016-4319-2

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Patients with grade 1 hypoxemia spent 7 (4-10) days on the ventilator, 7 (4-13) days in ICU and 24 (15-34) days in hospital. Patients with grade 2 hypoxemia spent 9 (7-14) days on the ventilator, 11 (8)(9)(10)(11)(12)(13)(14)(15)(16) days in ICU and 26 (14-37) days in hospital. Patients with grade 3 hypoxemia spent 13 (7-23) days on the ventilator, 17 (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) days in ICU and 32 (17-51) days in hospital (Fig.…”

Section: Pao 2 /Fio 2 Grading Related To Outcomementioning

confidence: 99%

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Is chest imaging relevant in diagnosing acute respiratory distress syndrome in polytrauma patients? A population-based cohort study

Wessem

Leenen

2019

Eur J Trauma Emerg Surg

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Purpose The definition of acute respiratory distress syndrome (ARDS) has often been modified with Berlin criteria being the most recent. ARDS is divided into three categories based on the degree of hypoxemia using PaO 2 /FiO 2 ratio. Radiological findings are standardized with bilateral diffuse pulmonary infiltrates present on chest imaging. This study investigated whether chest imaging is relevant in diagnosing ARDS in polytrauma patients. Methods The 5-year prospective study included consecutive trauma patients admitted to a Level-1 Trauma Center ICU. Demographics, ISS, physiologic parameters, resuscitation parameters, and ARDS data were prospectively collected. Acute hypoxic respiratory failure (AHRF) was categorized as Berlin criteria without bilateral diffuse pulmonary infiltrates on imaging. Data are presented as median (IQR), p < 0.05 was considered significant. Results 267 patients were included. Median age was 45 (26-59) years, 199 (75%) males, ISS was 29 (22-35), 258 (97%) patients had blunt injuries. Thirty-five (13%) patients died. 192 (72%) patients developed AHRF. AHRF patients were older, more often male, had higher ISS, needed more crystalloids and blood products than patients without AHRF. They developed more pulmonary complications, stayed longer on the ventilator, in ICU and in hospital, and died more often. Fifteen (6%) patients developed ARDS. There was no difference in outcome between ARDS and AHRF patients. Conclusions Many patients developed AHRF and only a few ARDS. Patients with similar hypoxemia without bilateral diffuse pulmonary infiltrates had comparable outcome as ARDS patients. Chest imaging did not influence the outcome. Large-scale multicenter validation of ARDS criteria is warranted to investigate whether diffuse bilateral pulmonary infiltrates on chest imaging could be omitted as a mandatory part of the definition of ARDS in polytrauma patients.

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Section: Pao 2 /Fio 2 Grading Related To Outcomementioning

confidence: 99%

“…Additionally, radiological findings were standardized and bilateral diffuse pulmonary infiltrates on chest X-ray or CT scan (without evidence of heart failure) have to be present [4][5][6]. Like previous definitions, the Berlin ARDS criteria also have been criticized, and several authors have questioned its usefulness [7][8][9].…”

Section: Introductionmentioning

confidence: 99%