Study of Clinical Profile and Outcome of Acute Respiratory Distress Syndrome in Intensive Care Unit
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 4
Abstract
Acute respiratory distress syndrome (ARDS) is a clinical syndrome of severe dyspnea of rapid onset, hypoxemia and diffuse pulmonary infiltrates leading to respiratory failure. ARDS is associated with significant morbidity and mortality. A prospective study to evaluate the clinical features, etiology, factors influencing survivors and non survivors, predictors of outcome of patients with ARDS admitted in ICU of tertiary care hospital this study encompassed 100 cases of ARDS admitted to ICU as per AECC guidelines. Patients excluded were with cardiac failure, significant underlying lung disease, and age below 14 years. There were more males 52% than females 48% with a total mortality of 61 %. In the present study the main etiological factor for ARDS was infective 84%. Most common cause being sepsis 45(53%). ARDS due to noninfective cause accounted for 16% of cases. Sepsis with multiorgan failure was seen in 26% with mortality of 61.5%. APACHE II score among survivors was 12.3 ± 5.3 compared to non survivors 18.9 ± 5.7.APACHE III score among survivors was 53.6 ± 14.9 compared to non survivors 94.1 ±19.8. The PaO2/FiO2 at admission was109.9 ± 35.5 for survivors compared to 75.5 ± 36.3 for non survivors. Dengue, Malaria, pneumonia, scrub typhus and undiagnosed fever were the main etiologies. PaO2/ FiO2 ratio, APACHE II and III score at the time of admission were significant predictors of the outcome. Sepsis, acidosis, hypotension, and multiorgan failure were individual predictors of mortality in patients with ARDS.
Authors and Affiliations
Dhananjaya M, Rajendrakumar Parakh
Keywords
Related Articles
- EP ID EP486527
- DOI -
- Views 76
- Downloads 0
Comparative Pilot Study on “Peenisathiri” (Medicated Fumigation Wick) with and Without “Gowri Chinthamani Chenthooram” (Internal) In the Treatment of Kabha Peenisam (Sinusitis)
Abstract: In siddha system of medicine, diseases of nasal origin are 86. Kabha Peenisam is one among them. The signs and symptoms of Kabha peenisam mentioned in Siddha literature Yugi vaithiya chinthamani such as headach...
A Rare Case of Meckel’s Diverticulum in an Incarcerated Direct Inguinal Hernia
Abstract: Littre’s hernia is a rare finding consisting of a Meckel’s diverticulum inside hernia sac. Clinically, it is indistinguishable from a hernia involving small bowel and therefore may be difficult to diagnose pre-...
A short review on Gutkha chewing: A Public Health Issue in Gujarat
Though the adverse effects of gutkha results in compromised oral as well as general health of the individual, it is still being chewed in all states of India, including Gujarat. There is need to increase the awareness in...
Study on Socio-Demographic and Associated Risk Factors for Oesophageal Cancer in Karnataka Institute of Medical Sciences Hospital, Hubli, Karnataka
Over 20 million people living with cancer all over the world today. The number of new cases is expected to increase from 10 million in 2000 to 15 million in 2020. Cancer has now become the 3rd leading cause of death in S...
Clinical and USG Diagnosis versus Histopathological Outcome in Cases of Hysterectomy
Abstract: Hysterectomy is the most commonly performed gynaecological operation throughout the world. Fewer studies have been performed describing the relationship between pre-operative clinical, ultrasonological diagnosi...