UMEM Educational Pearls

Title: Trends in ARDS

Category: Critical Care

Keywords: ARDS (PubMed Search)

Posted: 3/1/2016 by Feras Khan, MD
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A recent observational study was published looking at the ICU incidence and outcome of ARDS
This international prospective cohort study looked at 459 ICUs and over 29,000 patients
Incidence: 10.4% met ARDS criteria
Severe ARDS occurred in 23.4%
Clinical recognition of mild ARDS was only 51%
Less than 2/3rds of patients with ARDS received a TV of 8 mL/kg or less
Prone positioning was used in 16% of patients with severe ARDS
Recognition of ARDS was associated with higher PEEP, greater use of neuromuscular blockers, and prone positioning
Mortality ranged from 35% to 46%
Pneumonia was the biggest risk factor for ARDS

2016 Feb 23;315(8):788-800. doi: 10.1001/jama.2016.0291.

Bellani G et al.