Incidence of acute respiratory distress syndrome: A comparison of two definitions

被引:39
作者
Goh, AYT [1 ]
Chan, PWK
Lum, LCS
Roziah, M
机构
[1] Univ Malaya, Ctr Med, Dept Paediat, Paediat Intens Care Unit, Kuala Lumpur 50603, Malaysia
[2] Univ Malaya, Ctr Med, Dept Radiol, Kuala Lumpur 50603, Malaysia
关键词
acute respiratory distress syndrome; lung injury score; American-European consensus conference;
D O I
10.1136/adc.79.3.256
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objectives-To determine the incidence and outcome of acute respiratory distress syndrome (ARDS) in children by comparing two commonly used definitions: the lung injury score and the American-European Consensus Conference definition. The causes and risk for developing ARDS were also studied. Methods-Part prospective and retrospective analysis of 8100 consecutive hospital admissions from 1 June 1995 to 1 April 1997. Results-Twenty one patients fulfilled the criteria for ARDS. Both definitions identified the same group of patients. The incidence was 2.8/1000 hospital admissions or 4.2% of paediatric intensive care unit admissions. The main causes were sepsis and pneumonia. Mortality was 13 of 21. Factors predicting death were a high admission paediatric risk of mortality (PRISM) score (30.38 v 18.75) and the presence of multiple organ dysfunction syndrome (92% v 25%). Conclusion-Both definitions identified similar groups of patients. The incidence in this population was higher than that reported elsewhere, but mortality and cause were similar to those in developed countries. Poor outcome was associated with sepsis, a high admission PRISM scare, and simultaneous occurrence of other organ dysfunction.
引用
收藏
页码:256 / 259
页数:4
相关论文
共 29 条
[1]  
ASHBAUGH DG, 1967, LANCET, V2, P319
[2]   CONTINUOUS POSITIVE-PRESSURE BREATHING (CPPB) IN ADULT RESPIRATORY DISTRESS SYNDROME [J].
ASHBAUGH, DG ;
PETTY, TL ;
BIGELOW, DB ;
HARRIS, TM .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1969, 57 (01) :31-&
[3]   THE AMERICAN-EUROPEAN CONSENSUS CONFERENCE ON ARDS - DEFINITIONS, MECHANISMS, RELEVANT OUTCOMES, AND CLINICAL-TRIAL COORDINATION [J].
BERNARD, GR ;
ARTIGAS, A ;
BRIGHAM, KL ;
CARLET, J ;
FALKE, K ;
HUDSON, L ;
LAMY, M ;
LEGALL, JR ;
MORRIS, A ;
SPRAGG, R ;
COCHIN, B ;
LANKEN, PN ;
LEEPER, KV ;
MARINI, J ;
MURRAY, JF ;
OPPENHEIMER, L ;
PESENTI, A ;
REID, L ;
RINALDO, J ;
VILLAR, J ;
VANASBECK, BS ;
DHAINAUT, JF ;
MANCEBO, J ;
MATTHAY, M ;
MEYRICK, B ;
PAYEN, D ;
PERRET, C ;
FOWLER, AA ;
SCHALLER, MD ;
HUDSON, LD ;
HYERS, T ;
KNAUS, W ;
MATTHAY, R ;
PINSKY, M ;
BONE, RC ;
BOSKEN, C ;
JOHANSON, WG ;
LEWANDOWSKI, K ;
REPINE, J ;
RODRIGUEZROISIN, R ;
ROUSSOS, C ;
ANTONELLI, MA ;
BELOUCIF, S ;
BIHARI, D ;
BURCHARDI, H ;
LEMAIRE, F ;
MONTRAVERS, P ;
PETTY, TL ;
ROBOTHAM, J ;
ZAPOL, W .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1994, 149 (03) :818-824
[4]  
COSTIL J, 1995, PEDIATR PULM, P106
[5]  
*DHEW, 1972, NIH PUBL DHEW, P167
[6]   ADULT RESPIRATORY-DISTRESS SYNDROME IN CHILDREN [J].
EFFMANN, EL ;
MERTEN, DF ;
KIRKS, DR ;
PRATT, PC ;
SPOCK, A .
RADIOLOGY, 1985, 157 (01) :69-74
[7]   Adult respiratory distress syndrome: A systematic overview of incidence and risk factors [J].
Garber, BG ;
Hebert, PC ;
Yelle, JD ;
Hodder, RV ;
McGowan, J .
CRITICAL CARE MEDICINE, 1996, 24 (04) :687-695
[8]  
HOLBROOK PR, 1980, PEDIATR CLIN N AM, V27, P677
[9]   CLINICAL RISKS FOR DEVELOPMENT OF THE ACUTE RESPIRATORY-DISTRESS SYNDROME [J].
HUDSON, LD ;
MILBERG, JA ;
ANARDI, D ;
MAUNDER, RJ .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1995, 151 (02) :293-301
[10]  
JACOBS BK, 1994, CRIT CARE MED, V22, P903