Incidence and mortality of adult respiratory distress syndrome: A prospective analysis from a large metropolitan hospital
We examined the incidence and mortality of adult respiratory distress syndrome (ARDS) in patients receiving emergency medical care at a large metropolitan medical center. The patients were classified into eight high-risk categories and monitored prospectively until discharge or death. Over a period...
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| Veröffentlicht in: | Critical care medicine 1986-01, Vol.14 (1), p.1-4 |
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| container_title | Critical care medicine |
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| creator | BAUMANN, WILLIAM R JUNG, RALPH C KOSS, MICHAEL BOYLEN, C THOMAS NAVARRO, LETICIA SHARMA, OM P |
| description | We examined the incidence and mortality of adult respiratory distress syndrome (ARDS) in patients receiving emergency medical care at a large metropolitan medical center. The patients were classified into eight high-risk categories and monitored prospectively until discharge or death. Over a period of 12 months, 11,112 such patients entered the emergency room. Of 4926 who were admitted to the hospital acutely ill, 90 (2%) developed ARDS. Thirty-six percent of these survived. ARDS occurred in 25% of patients admitted with acquired immune deficiency syndrome and Pneumocystis carinii pneumonia, and mortality in these patients was 86%. Aspiration pneumonia was the primary cause of ARDS in 37% of the patients, who also had a similar mortality rate (85%). Mortality was also high in patients with multisystem organ failure or with ARDS and disseminated intravascular coagulation. These results indicate that there probably is a relatively low incidence of ARDS among hospital patients admitted with high-risk diagnoses. |
| doi_str_mv | 10.1097/00003246-198601000-00001 |
| format | Article |
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The patients were classified into eight high-risk categories and monitored prospectively until discharge or death. Over a period of 12 months, 11,112 such patients entered the emergency room. Of 4926 who were admitted to the hospital acutely ill, 90 (2%) developed ARDS. Thirty-six percent of these survived. ARDS occurred in 25% of patients admitted with acquired immune deficiency syndrome and Pneumocystis carinii pneumonia, and mortality in these patients was 86%. Aspiration pneumonia was the primary cause of ARDS in 37% of the patients, who also had a similar mortality rate (85%). Mortality was also high in patients with multisystem organ failure or with ARDS and disseminated intravascular coagulation. These results indicate that there probably is a relatively low incidence of ARDS among hospital patients admitted with high-risk diagnoses.</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/00003246-198601000-00001</identifier><identifier>PMID: 3484443</identifier><identifier>CODEN: CCMDC7</identifier><language>eng</language><publisher>Hagerstown, MD: Williams & Wilkins</publisher><subject>Acquired Immunodeficiency Syndrome - complications ; Adult ; Aged ; AIDS/HIV ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; California ; Disseminated Intravascular Coagulation - complications ; Emergency and intensive respiratory care ; Female ; Humans ; Intensive care medicine ; Male ; Medical sciences ; Middle Aged ; Pneumonia, Aspiration - complications ; Pneumonia, Pneumocystis - complications ; Prospective Studies ; Respiratory Distress Syndrome, Adult - epidemiology ; Respiratory Distress Syndrome, Adult - etiology ; Respiratory Distress Syndrome, Adult - mortality</subject><ispartof>Critical care medicine, 1986-01, Vol.14 (1), p.1-4</ispartof><rights>Williams & Wilkins 1986. All Rights Reserved.</rights><rights>1986 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4501-ff2f0b8ef918a63676021ec66c5ca5002b0dfbb884639ccc3b5e9328f8f3e7e23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8529509$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3484443$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BAUMANN, WILLIAM R</creatorcontrib><creatorcontrib>JUNG, RALPH C</creatorcontrib><creatorcontrib>KOSS, MICHAEL</creatorcontrib><creatorcontrib>BOYLEN, C THOMAS</creatorcontrib><creatorcontrib>NAVARRO, LETICIA</creatorcontrib><creatorcontrib>SHARMA, OM P</creatorcontrib><title>Incidence and mortality of adult respiratory distress syndrome: A prospective analysis from a large metropolitan hospital</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><description>We examined the incidence and mortality of adult respiratory distress syndrome (ARDS) in patients receiving emergency medical care at a large metropolitan medical center. The patients were classified into eight high-risk categories and monitored prospectively until discharge or death. Over a period of 12 months, 11,112 such patients entered the emergency room. Of 4926 who were admitted to the hospital acutely ill, 90 (2%) developed ARDS. Thirty-six percent of these survived. ARDS occurred in 25% of patients admitted with acquired immune deficiency syndrome and Pneumocystis carinii pneumonia, and mortality in these patients was 86%. Aspiration pneumonia was the primary cause of ARDS in 37% of the patients, who also had a similar mortality rate (85%). Mortality was also high in patients with multisystem organ failure or with ARDS and disseminated intravascular coagulation. These results indicate that there probably is a relatively low incidence of ARDS among hospital patients admitted with high-risk diagnoses.</description><subject>Acquired Immunodeficiency Syndrome - complications</subject><subject>Adult</subject><subject>Aged</subject><subject>AIDS/HIV</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>California</subject><subject>Disseminated Intravascular Coagulation - complications</subject><subject>Emergency and intensive respiratory care</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pneumonia, Aspiration - complications</subject><subject>Pneumonia, Pneumocystis - complications</subject><subject>Prospective Studies</subject><subject>Respiratory Distress Syndrome, Adult - epidemiology</subject><subject>Respiratory Distress Syndrome, Adult - etiology</subject><subject>Respiratory Distress Syndrome, Adult - mortality</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi1EVZaWn4DkA-IWsOOP2NyqqkClSlzas-U4YzbgxMF2qPLv8bLL3vDFfmeembFfI4Qp-UCJ7j6SuljLZUO1koRW1RxC9AXaUcGqaDV7iXaEaNIwrtkr9DrnHxXgomOX6JJxxTlnO7Tdz24cYHaA7TzgKaZiw1g2HD22wxoKTpCXMdkS04aHMZeqM87bPKQ4wSd8g5cU8wKujL8PPWzY8pixr1lscbDpO-AJSopLrH3tjPeVrodwjS68DRnenPYr9PT57vH2a_Pw7cv97c1D47ggtPG-9aRX4DVVVjLZSdJScFI64awgpO3J4PteKS6Zds6xXoBmrfLKM-igZVfo_bFvveevFXIx05gdhGBniGs2nZSdkOIAqiPo6oNyAm-WNE42bYYSc3Dd_HPdnF3_G6K19O1pxtpPMJwLTzbX_LtT3mZng0-2up7PmBKtFkRXjB-x5xgKpPwzrM-QzB5sKHvzvz9nfwCQeZwS</recordid><startdate>198601</startdate><enddate>198601</enddate><creator>BAUMANN, WILLIAM R</creator><creator>JUNG, RALPH C</creator><creator>KOSS, MICHAEL</creator><creator>BOYLEN, C THOMAS</creator><creator>NAVARRO, LETICIA</creator><creator>SHARMA, OM P</creator><general>Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198601</creationdate><title>Incidence and mortality of adult respiratory distress syndrome: A prospective analysis from a large metropolitan hospital</title><author>BAUMANN, WILLIAM R ; JUNG, RALPH C ; KOSS, MICHAEL ; BOYLEN, C THOMAS ; NAVARRO, LETICIA ; SHARMA, OM P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4501-ff2f0b8ef918a63676021ec66c5ca5002b0dfbb884639ccc3b5e9328f8f3e7e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Acquired Immunodeficiency Syndrome - complications</topic><topic>Adult</topic><topic>Aged</topic><topic>AIDS/HIV</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>California</topic><topic>Disseminated Intravascular Coagulation - complications</topic><topic>Emergency and intensive respiratory care</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumonia, Aspiration - complications</topic><topic>Pneumonia, Pneumocystis - complications</topic><topic>Prospective Studies</topic><topic>Respiratory Distress Syndrome, Adult - epidemiology</topic><topic>Respiratory Distress Syndrome, Adult - etiology</topic><topic>Respiratory Distress Syndrome, Adult - mortality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BAUMANN, WILLIAM R</creatorcontrib><creatorcontrib>JUNG, RALPH C</creatorcontrib><creatorcontrib>KOSS, MICHAEL</creatorcontrib><creatorcontrib>BOYLEN, C THOMAS</creatorcontrib><creatorcontrib>NAVARRO, LETICIA</creatorcontrib><creatorcontrib>SHARMA, OM P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BAUMANN, WILLIAM R</au><au>JUNG, RALPH C</au><au>KOSS, MICHAEL</au><au>BOYLEN, C THOMAS</au><au>NAVARRO, LETICIA</au><au>SHARMA, OM P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and mortality of adult respiratory distress syndrome: A prospective analysis from a large metropolitan hospital</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1986-01</date><risdate>1986</risdate><volume>14</volume><issue>1</issue><spage>1</spage><epage>4</epage><pages>1-4</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>We examined the incidence and mortality of adult respiratory distress syndrome (ARDS) in patients receiving emergency medical care at a large metropolitan medical center. The patients were classified into eight high-risk categories and monitored prospectively until discharge or death. Over a period of 12 months, 11,112 such patients entered the emergency room. Of 4926 who were admitted to the hospital acutely ill, 90 (2%) developed ARDS. Thirty-six percent of these survived. ARDS occurred in 25% of patients admitted with acquired immune deficiency syndrome and Pneumocystis carinii pneumonia, and mortality in these patients was 86%. Aspiration pneumonia was the primary cause of ARDS in 37% of the patients, who also had a similar mortality rate (85%). Mortality was also high in patients with multisystem organ failure or with ARDS and disseminated intravascular coagulation. These results indicate that there probably is a relatively low incidence of ARDS among hospital patients admitted with high-risk diagnoses.</abstract><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>3484443</pmid><doi>10.1097/00003246-198601000-00001</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0090-3493 |
| ispartof | Critical care medicine, 1986-01, Vol.14 (1), p.1-4 |
| issn | 0090-3493 1530-0293 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Acquired Immunodeficiency Syndrome - complications Adult Aged AIDS/HIV Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences California Disseminated Intravascular Coagulation - complications Emergency and intensive respiratory care Female Humans Intensive care medicine Male Medical sciences Middle Aged Pneumonia, Aspiration - complications Pneumonia, Pneumocystis - complications Prospective Studies Respiratory Distress Syndrome, Adult - epidemiology Respiratory Distress Syndrome, Adult - etiology Respiratory Distress Syndrome, Adult - mortality |
| title | Incidence and mortality of adult respiratory distress syndrome: A prospective analysis from a large metropolitan hospital |
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