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Epidemiology of ARDS. Incidence and Outcome: A Changing Picture

  • Conference paper
Acute Lung Injury

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 30))

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Abstract

The incidence of ARDS remains unclear, but most studies suggest that it is an order of magnitude less than the initial estimates made by the National Institutes of Health (NIH) in the USA [1]. In 1972 NIH estimated that there were 150 000 new cases per year in the USA, roughly an incidence of 60 per 100 000 population per year [2]. It is difficult to study the incidence of ARDS due to changing definitions and unclear accuracy of diagnosis in large population areas, failure to capture complete data and a poor ability to know the true population base or denominator (some patients managed with ARDS within the population area may come from outside; others from the population base may develop the syndrome while outside the geographic area and would fail to be identified).

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References

  • Garber BG, Hebert PC, Yelle JD, Hodder RV, McGowan J (1996) Adult respiratory distress syndrome: A systematic overview of incidence and risk factors. Crit Care Med 24: 687 – 695

    Article  PubMed  CAS  Google Scholar 

  • National Heart and Lung Institute: Task Force on Problems, Research Approaches, Needs: The Lung Program. Washington, DC, Department of Health, Education, and Welfare (1972) Publication No. (NIH) 73–432, pp 165–180

    Google Scholar 

  • Villar J, Slutsky AS (1989) The incidence of the adult respiratory distress syndrome. Am Rev Respir Dis 140: 814 – 816

    PubMed  CAS  Google Scholar 

  • Thomsen GE, Morris AH (1995) Incidence of the adult respiratory distress syndrome in the state of Utah. Am J Respir Crit Care Med 152: 965 – 971

    PubMed  CAS  Google Scholar 

  • Webster NR, Cohen AT, Nunn JF (1988) Adult respiratory distress syndrome —How many cases in the UK? Anaesthesia 43: 923 – 926

    Article  PubMed  CAS  Google Scholar 

  • Lewandowski K, Metz J, Deutschmann C, et al (1995) Incidence, severity and mortality of acute respiratory failure in Berlin, Germany. Am Rev Respir Dis 151: 1121 – 1125

    CAS  Google Scholar 

  • Sloane PJ, Gee MH, Gottlieb JE, et al (1992) A multicenter registry of patients with acute respiratory distress syndrome. Am Rev Respir Dis 2: 419 – 426

    Google Scholar 

  • Pinsky MR (1989) Multiple systems organ failure: Malignant intravascular inflammation. Crit Care Clin 5: 195 – 198

    PubMed  CAS  Google Scholar 

  • Hudson LD (1989) Multiple systems organ failure (MSOF): Lessons learned from the adult respiratory distress syndrome (ARDS). Crit Care Clin 5: 697 – 670

    PubMed  CAS  Google Scholar 

  • Goodman RB, Strieter RM, Martin DP, et al (1996) Inflammatory cytokines in patients with persistence of the acute respiratory distress syndrome. Am J Respir Crit Care Med 154: 602 – 611

    PubMed  CAS  Google Scholar 

  • Hudson LD (1982) Causes of the adult respiratory distress syndrome: Clinical recognition. Clin Chest Med 3: 195 – 212

    PubMed  CAS  Google Scholar 

  • Fowler AA, Hamman RF, Good JT, et al (1983) Adult respiratory distress syndrome: Risk with common predispositions. Ann Intern Med 98: 593 – 597

    PubMed  CAS  Google Scholar 

  • Hudson LD, Milberg JA, Anardi D, Maunder RJ (1995) Clinical risks for development of the acute respiratory distress syndrome. Am J Respir Crit Care Med 151: 293 – 301

    PubMed  CAS  Google Scholar 

  • Fein AM, Lippmann M, Holtzman H, et al (1983) The risk factors, incidence and prognosis of ARDS following septicemia. Chest 83: 40 – 42

    Article  PubMed  CAS  Google Scholar 

  • Kaplan RL, Sahn SA, Petty TL (1979) Incidence and outcome of the respiratory distress syn¬drome in Gram-negative sepsis. Arch Intern Med 139: 867 – 869

    Article  PubMed  CAS  Google Scholar 

  • Pepe PE, Potkin RT, Holtman Reus D, Hudson LD, Carrico CJ (1982) Clinical predictors of the adult respiratory distress syndrome. Am J Surg 144: 124 – 130

    Article  PubMed  CAS  Google Scholar 

  • Bone RC, Balk RA, Cerra FB, et al and the ACCP/SCCM Consensus Conference Committee (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest 101:1644–1655

    Google Scholar 

  • The Veterans Administration Systemic Sepsis Cooperative Study Group (1987) Effect of high-dose glucocorticoid therapy on mortality in patients with clinical signs of systemic sepsis. N Engl J Med 317: 659 – 665

    Article  Google Scholar 

  • Bone RC, Fischer CJ Jr, Clemmer TP, Slotman GJ, Metz CA (1987) Early methylprednisolone treatment for septic syndrome and the adult respiratory distress syndrome (published erratum appears in Chest (1988) 94:448). Chest 92: 1032 – 1036

    Article  PubMed  CAS  Google Scholar 

  • Luce JM, Montgomery AB, Marks JD, Turner J, Metz CA, Murray JF (1988) Ineffectiveness of high-dose methylprednisolone in preventing parenchymal lung injury and improving mortality in patients with septic shock. Am Rev Respir Dis 138: 62 – 68

    PubMed  CAS  Google Scholar 

  • Faist E, Baue AE, Dittmer H, et al (1983) MOF in polytrauma patients. J Trauma 23: 775 – 787

    Article  PubMed  CAS  Google Scholar 

  • Henao FJ, Daes JE, Dennis RJ (1991) Risk factors for multiorgan failure: A case-control study. J Trauma 31: 74 – 80

    Article  PubMed  CAS  Google Scholar 

  • Tran DD, Cuesta MA, van Leeuwen DAM, et al (1993) Risk factors for multiple organ system failure and death in critically injured patients. Surgery 114: 21 – 30

    PubMed  CAS  Google Scholar 

  • Dunham CM, Damiano AM, Wiles CE, et al (1995) Post-traumatic multiple organ dysfunction syndrome: Infection is an uncommon antecedent risk factor. Injury 26: 373 - 378

    Article  PubMed  CAS  Google Scholar 

  • Sauaia A, Moore FA, Moore EE, et al (1994) Early predictors of postinjury MOF. Arch Surg 129: 39 – 45

    PubMed  CAS  Google Scholar 

  • Steinberg KP, Davis DR, Milberg JA, Barton JA, Martin DP, Hudson LD (1995) Prediction of acute respiratory distress syndrome (ARDS) in trauma patients using combined clinical risk factors. Am J Respir Crit Care Med 151: A668 (Abst)

    Google Scholar 

  • Moss M, Bucher B, Moore FA, Moore EE, Parsons PE (1996) The role of chronic alcohol abuse in the development of acute respiratory distress syndrome in adults. JAMA 275: 50 – 54

    Article  PubMed  CAS  Google Scholar 

  • Montgomery AB, Stager MA, Carrico CJ, Hudson LD (1985) Causes of mortality in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 132: 485 – 489

    PubMed  CAS  Google Scholar 

  • Kollef MH, Schuster DP (1995) Medical progress: The acute respiratory distress syndrome. N Engl J Med 332: 27 – 37

    Article  PubMed  CAS  Google Scholar 

  • Steinberg KP, Rubenfeld G, Milberg JA, Hudson LD (1996) ARDS fatality rate by duration of mechanical ventilation. Am J Respir Crit Care Med 153: A590 (Abst)

    Google Scholar 

  • Milberg JA, Davis DA, Steinberg KP, Hudson LD (1995) Improved survival of patients with acute respiratory distress syndrome (ARDS): 1983–1993. JAMA 273: 306 – 309

    Article  PubMed  CAS  Google Scholar 

  • Moss M, Goodman PL, Heinig M, Barkin S, Ackerson L, Parsons PE (1995) Establishing the relative accuracy of three new definitions of the adult respiratory distress syndrome. Crit Care Med 23: 1629 – 1637

    Article  PubMed  CAS  Google Scholar 

  • Wang BM, Steinberg KP, Hudson LD (1996) Causes of mortality in patients with the acute respiratory distress syndrome (ARDS): 1981-1994. Am J Respir Crit Care Med 153: A593 (Abst)

    Google Scholar 

  • Schuster DP (1995) What is ALI? What is ARDS? Chest 107: 1721 – 1726

    Article  PubMed  CAS  Google Scholar 

  • Gattinoni L, Pesenti A, Mascheroni D, et al (1986) Low frequency positive pressure ventilation with extracorporeal C02 removal in severe acute respiratory failure. JAMA 256: 881 – 886

    Article  PubMed  CAS  Google Scholar 

  • Morris AH, Wallace CJ, Menlove RL, et al (1994) Randomized clinical trial of pressure controlled inverse ratio ventilation and extracorporeal C02 removal for adult respiratory distress syndrome. Am J Respir Crit Care Med 149: 295 – 305

    PubMed  CAS  Google Scholar 

  • Elliott CG, Morris AH, Cengiz M (1981) Pulmonary function and exercise gas exchange in survivors of adult respiratory distress syndrome. Am Rev Respir Dis 123: 492 – 495

    PubMed  CAS  Google Scholar 

  • Elliott CG, Rasmusson BY, Crapo RO, Morris AH, Jensen RL (1987) Prediction of pulmonary function abnormalities after adult respiratory distress syndrome (ARDS). Am Rev Respir Dis135: 634 – 638

    Google Scholar 

  • Ghio AJ, Elliott CG, Crapo RO, Berlin SL, Jensen RL (1989) Impairment after adult respiratory distress syndrome: An evaluation based on American Thoracic Society recommendations. Am Rev Respir Dis 139: 1158 – 1162

    PubMed  CAS  Google Scholar 

  • Peters JI, Bell RC, Prihoda TJ, Harris G, Andrews C, Johanson WG (1989) Clinical determinants of abnormalities in pulmonary functions in survivors of the adult respiratory distress syndrome. Am Rev Respir Dis 139: 1163 – 1168

    PubMed  CAS  Google Scholar 

  • McHugh LG, Milberg JA, Whitcomb ME, Schoene RB, Maunder RJ, Hudson LD (1994) Recov¬ery of function in survivors of the acute respiratory distress syndrome. Am J Respir Crit Care Med 150: 90 – 94

    PubMed  CAS  Google Scholar 

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Authors
  1. L. D. Hudson
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  2. K. P. Steinberg
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Editor information

Editors and Affiliations

  1. Pulmonary and Critical Care, St. Paul Ramsey Medical Center, 640 Jackson Street, St. Paul, 55101, MN, USA

    John J. Marini

  2. Anaesthesia and Critical Care, Royal Brompton Hospital, Sydney Street, SW3 6NP, London, UK

    Timothy W. Evans

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© 1998 Springer-Verlag Berlin Heidelberg

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Hudson, L.D., Steinberg, K.P. (1998). Epidemiology of ARDS. Incidence and Outcome: A Changing Picture. In: Marini, J.J., Evans, T.W. (eds) Acute Lung Injury. Update in Intensive Care and Emergency Medicine, vol 30. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60733-2_1

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  • DOI: https://doi.org/10.1007/978-3-642-60733-2_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64532-7

  • Online ISBN: 978-3-642-60733-2

  • eBook Packages: Springer Book Archive

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