A Study of Etiology and Outcome of Acute Respiratory Distress Syndrome in a Rural Tertiary Care Center
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: Acute respiratory distress syndrome (ARDS) is one of the major causes for acute respiratory failure characterized by bilateral chest infiltrates and decreased lung compliance. Several etiological factors cause ARDS, both direct and indirect injury to lungs. It has a high mortality rate. This study was a prospective observational study and included 50 patients with a diagnosis of ARDS. This study was undertaken to elucidate the causes and outcome of patients admitted with ARDS in the intensive care unit (ICU) of a tertiary care center. New Berlin criteria were used to classify them as Mild, Moderate and Severe ARDS. Severe ARDS was found in 30%, moderate ARDS in 58% and mild ARDS was seen in 12% of subjects. Pneumonia followed by tropical infections was the major etiological causes. Tropical infections contributed to 26% of ARDS, of which Dengue fever contributed to 12% of ARDS in the subjects and malaria was seen to be causing ARDS in 8% of subjects. Most of the patients (96%) required ventilator support, 52% of them requiring invasive ventilation and 44% requiring non – invasive ventilation. Mortality was 62% in this study. Higher mortality rates were seen in age groups above 40 years and males had slightly higher mortality rates than females. ABG (Arterial blood gas analysis) showed higher PaCO2 (partial pressure of carbon dioxide) and lower PaO2/FiO2 (PaO2-partial pressure of oxygen/ FiO2- fraction of inspired oxygen) were seen in non-survivor group. Tropical infections, especially in rural areas, contribute significantly to ARDS which needs to be stressed up on. These findings may help intensivists in instituting early effective empirical regimens depending on the regional tropical diseases.
Authors and Affiliations
1028 1032, Dr. R. Lakshmi Visruja, Dr. Srinivasa Rao, Dr. Y. J. Visweswara Reddy
Keywords
Related Articles
- EP ID EP475225
- DOI -
- Views 51
- Downloads 0
Study of Dyslipidemia in Elderly Male Population with Benign Prostatic Hyperplasia
Abstract: The aim is to investigate the relationship between serum lipids, serum PSA and Benign Prostatic Hyperplasia (BPH) in elderly male population of Western Rajasthan. The present study was conducted on six hundred...
Glycaemic regulation and metabolic syndrome: A reference to thyroid function state
Abstract: Study on 63 apparently overweight patients reporting medical outdoors for minor complaints were examined for presence of metabolic syndrome. Patients’ euthyroid as per hormone tests were grouped as having relat...
Study of Pulmonary Function Test, Oxidative Stress Marker and Non-enzymatic Antioxidants in Chronic Obstructive Pulmonary Disease
Abstract: Chronic Obstructive Pulmonary Disease (COPD) is a health problem with increasing severity, as exposure to risk factors such as cigarette smoke, pollution is inevitable. Oxidant antioxidant imbalance cause oxida...
A Comparative Study of External DCR versus Endonasal DCR
External dacryocystorhinostomy (DCR) was the choice of surgery in cases of epiphora due to nasolacrimal duct obstruction (NLDO) over a decade. Since 1970,’s Endoscopic endonasal dacryocystorhinostomy gaining popularity d...
A case report of erosive lichen planus of the oral mucosa
Oral lichen planus mostly affects middle-aged females. It is a chronic muco-cutaneous autoimmune disease and factors like psychological stress, systemic conditions or drugs are the possible etiological conditions. Varian...