Acute lung injury/acute respiratory distress syndrome: a need for education
P. R. health sci. j
;
21(4): 305-308, Dec. 2002.
Article
in English
| LILACS
| ID: lil-356235
RESUMO
OBJECTIVE:
To examine the timeliness of the diagnosis of patients with ALI/ARDS at the San Juan VA Medical Intensive Care Unit. We were also interested in determining the incidence and the overall 28-day mortality for ARDS during the study period.METHODS:
Retrospective record review of all admissions to the San Juan Veterans Affairs Medical ICU during a two-year period (1997-1998).RESULTS:
During the study period, 587 patients were admitted to the medical ICU. All had APACHE II scoring performed during their first 24 hours of admission. Twenty-three patients were found to have an A-a gradient of 350 or less. However, two patients were later identified as having radiographic changes compatible with Congestive Heart Failure and were excluded from the study. The incidence of ALI/ARDS was found to be 3.6 per cent at our institution. Of the 21 patients with ARDS, in only 4 the diagnosis of ARDS was documented on their charts.CONCLUSION:
Our findings suggest that education in the recognition of ARDS should be aggressively done. In order to implement the recently published successful strategies in the mechanical ventilation of patients with ARDS, it should be first recognized. Our patients need it.
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Index:
LILACS (Americas)
Main subject:
Respiratory Distress Syndrome
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
P. R. health sci. j
Journal subject:
Medicine
Year:
2002
Type:
Article
Affiliation country:
Puerto Rico
Institution/Affiliation country:
San Juan Veterans Affairs Medical Center/PR
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