Acute Respiratory Distress Syndrome
Conditions
Brief summary
The acute respiratory distress syndrome(ARDS)has a high morbidity and mortality in patients admitted to intensive care units(ICUs). It represents a significant public health issue. No large nationwide, multicenters study of ARDS has been conducted in China. The purposes of this study are to analyse: 1)the incidence and outcomes of ARDS in ICU; 2) factors associated the mortality ; and 3) risk factors for development of ARDS .
Detailed description
All patients admitted to the participating ICUs during a 6-month period(from January 1, 2015 to July 1,2015 ) will be screened at ICU admission and daily for the occurrence of ARDS ( AECC criteria) for a maximum of 28 days after ICU admission. Data collection: 1. For all patients, Demographic characteristics, admission category, the patient source intervention during ICU , APACHEII , SOFA score and discharge information will be collected 2. For patients with ARDS, data about ABG , parameters of MV, hemodynamic on day0 to day7 and last day of MV will be collected. 3. For patients without ARDS at ICU admission, data about risk factor for ARDS ,such as LIPS score, parameters of MV , and fluid balance on ICU day0 to day7 will be collected.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
all patients age \>18 yrs admitted to 24 participating ICUs
Exclusion criteria
No patients should be excluded (regardless of age, underlying disease, life expectancy, etc).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of acute respiratory distress syndrome (ARDS) | from ICU admission to 28-day of ICU stay | incidence of ARDS = the number of patients developing ARDS during ICU / the total number of patients admitted to ICU |
Secondary
| Measure | Time frame |
|---|---|
| ICU mortality of patients with ARDS | followed up to 3 months after inclusion or to ICU discharge, whichever occurred first |
| hospital mortality of patients with ARDS | followed up to 3 months after inclusion or to hospital discharge, whichever occurred first |
Countries
China