Performance of acute respiratory distress syndrome definitions in a high acuity paediatric intensive care unit

Autor: Michelle Rudolph, Jefta van Dijk, Pauline de Jager, Sandra K. Dijkstra, Johannes G. M. Burgerhof, Robert G. T. Blokpoel, Martin C. J. Kneyber
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Respiratory Research, Vol 22, Iss 1, Pp 1-12 (2021)
Druh dokumentu: article
ISSN: 1465-993X
DOI: 10.1186/s12931-021-01848-z
Popis: Abstract Background For years, paediatric critical care practitioners used the adult American European Consensus Conference (AECC) and revised Berlin Definition (BD) for acute respiratory distress syndrome (ARDS) to study the epidemiology of paediatric ARDS (PARDS). In 2015, the paediatric specific definition, Paediatric Acute Lung Injury Consensus Conference (PALICC) was developed. The use of non-invasive metrics of oxygenation to stratify disease severity were introduced in this definition, although this potentially may lead to a confounding effect of disease severity since it is more common to place indwelling arterial lines in sicker patients. We tested the hypothesis that PALICC outperforms AECC/BD in our high acuity PICU, which employs a liberal use of indwelling arterial lines and high-frequency oscillatory ventilation (HFOV). Methods We retrospectively collected data from children
Databáze: Directory of Open Access Journals
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