Incidence and Mortality of Acute Lung Injury and the Acute Respiratory Distress Syndrome in Three Australian States
Autor: | ANDREW D. BERSTEN, CYRUS EDIBAM, TAMARA HUNT, JOHN MORAN, THE AUSTRALIAN AND NEW ZEALAND INTENSIVE CARE SOCIETY CLINIC GROUP |
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Rok vydání: | 2002 |
Předmět: |
Male
Pulmonary and Respiratory Medicine ARDS medicine.medical_specialty Lung injury Critical Care and Intensive Care Medicine Tasmania Cause of Death Internal medicine Intensive care South Australia medicine Humans Prospective Studies Intensive care medicine Respiratory Distress Syndrome Respiratory distress business.industry Incidence Mortality rate Incidence (epidemiology) Respiratory disease Western Australia Middle Aged medicine.disease respiratory tract diseases Causality Pneumonia Female business |
Zdroj: | American Journal of Respiratory and Critical Care Medicine. 165:443-448 |
ISSN: | 1535-4970 1073-449X |
DOI: | 10.1164/ajrccm.165.4.2101124 |
Popis: | To determine the incidence and 28-d mortality rate for acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) using the 1994 American-European Consensus Conference definitions, we prospectively screened every admission to all 21 adult intensive care units in the States of South Australia, Western Australia, and Tasmania (total population older than 15 yr of age estimated as 2,941,137), between October 1 and November 30, 1999. A total of 1,977 admissions were screened of which 168 developed ALI and 148 developed ARDS, which represents a first incidence of 34 and 28 cases per 100,000 per annum, respectively. The respective 28-d mortality rates were 32% and 34%. The most common predisposing factors for ALI were nonpulmonary sepsis (31%) and pneumonia (28%). Although the incidences of ALI and ARDS are higher and the mortality rates are lower than those reported from studies in other countries, multicenter international studies are required to exclude methodological differences as the cause for this finding. |
Databáze: | OpenAIRE |
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