A Clinical Study of Prognostic Determinants And Outcomes of Acute Respiratory Distress Syndrome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Acute Respiratory Distress Syndrome occur in response to a variety of insults and are characterised by the development of non cardiogenic pulmonary edema, impaired gas exchange and bilateral infiltrates on the chest radiograph. Acute Lung Injury and ARDS are the major causes of acute respiratory failure that are associated with high mortality and morbidity. Present study aims to analyse the prognostic determinants and outcomes of acute respiratory distress syndrome (ARDS).Patients that fulfilled the Berlin definition for ARDS and who were mechanically ventilated for more than a twenty four hour period were selected for the study and were analysed. PaO2/FIO2 is a strong predictor outcome of mortality in ARDS. Clinical scores – SOFA, maxSOFA, SAPS II and LIS had a statistically significant association with mortality and hence are validated methods to predict outcome of ARDS. CRP and Procalcitonin are not significant predictors.
Authors and Affiliations
Dr. Srinivas Chunduri
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