medigraphic.com

2000, Number 6

Med Crit 2000; 14 (6)

The gender as risk factor of death in patients with acute respiratory distress syndrome

González VSA, Cerón DUW, Sierra UA

Language: Spanish
References: 15
Page: 197-202
PDF size: 128.10 Kb.


ABSTRACT

Objective: To evaluate the relationship between gender and vital prognosis in patients with ARDS.
Design: Retrospective cohort study.
Setting: Medical/surgical ICU of a private affiliated-university hospital, Mexico City.
Patients: Twenty six patients (18 men, eight women) with ARDS.
Interventions: None.
Results: The mortality rate was 72% and 14% in men and women, respectively (IC 95%). Other factors associated to the mortality rate was the presence of multiple organ failure.
Conclusion: Gender and multiple organ failure are related with the mortality rate of patients with ARDS.


REFERENCES

  1. Gordon R, Artigas A, Brigam K et al. The American-European consensus conference on ARDS. Am J Respir Crit Care Med 1994; 149: 8189-8204.

  2. Marshall JC, Cook DJ, Christov NV et al. Multiple organ dysfunction score: A reliable descriptor of a complex clinical outcome. Crit Care Med 1995; 23: 1638-1652.

  3. Murray JF, Matthay MA, Luce JM et al. An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 1998; 138: 720.

  4. Luce JM. Acute lung injury and the acute respiratory distress syndrome. Crit Care Med 1998; 26: 369-376.

  5. Brandstetter RD, Sharma KC, Kailash C et al. Adult respiratory distress syndrome: A disorder in need of improved outcome. Heart Lung 1997; 26: 3-14.

  6. Cryer HG, Leong KA et al. Multiple organ failure: by the time you predict it it’s already there. J Trauma 1999; 46: 597-604.

  7. Montgomery AB, Stager MA, Carrico CJ et al. Causes of mortality in patients with adult respiratory distress syndrome. Am Rev Respir Dis 1985; 132: 485-89.

  8. Suchyta, MR, Clemmer DO et al. Increased mortality of older patients with acute respiratory distress syndrome. Chest 1997; 111: 1334-1339.

  9. Yu M, Burchell S, Hasaniya NW et al. Relationship of mortality to increasing oxygen delivery in patients > or = 50 year of age; a prospective, randomized trial. Crit Care Med 1998; 26: 1011-9.

  10. Bell RC, Coalson JJ, Smith JD et al. Multiple organ system failure and infection in the adult respiratory distress syndrome. Ann intern Med 1983; 99: 293-829.

  11. Hyers T. Prediction of survival and mortality in patients with adult respiratory distress syndrome. New Hor 1993; 1: 466–470.

  12. Monchi M, Bellenfant F, Cariou A et al. Early predictive factors of survival in the acute respiratory distress syndrome. A multivariable analysis. Am J Resp Crit Care Med 1998; 158: 1076-81.

  13. Preventza O, Schoreder DR, Decker PA et al. Incidence of acute respiratory distress syndrome (ARDS) in Olmsted county. Crit Care Med 1999; 27(Supplement) 1999: A126.

  14. Masclans EJ, Burgueno CM, Bermejo FB et al. Acute respiratory distress syndrome: incidence and course in a Spanish ICU. Rev Clin Esp 1998; 198: 278-83.

  15. Perry KG, Martin RW, Blake PG et al. Maternal mortality associated with adult respiratory distress syndrome. South Med J 1998; 91: 441-4.




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