Pomposo EMA, Monares ZE, Poblano MM, Aguirre SJ, Franco J

Language: Spanish
References: 20
Page: 38-42
PDF size: 93.11 Kb.

ABSTRACT

Introduction: The mortality in acute respiratory distress syndrome depends on age, comorbidity and severity of organ dysfunction. The Model of Acute Lung Injury Mortality in ARDSNet used in the study ARMA, it has been proposed as more specific, simple and predictive of mortality, so it is important to assess in our population if it is applicable in predicting prognosis.
Objective: To evaluate the predictive ability for mortality ARDSNet Model in patients with ARDS.
Methods: 45 records were selected with the diagnosis of ARDS according to the criteria of the American-European Consensus for admission to the Intensive Care Unit during the period 2007-2011. We evaluated age, sex, admission Sequential Organ Failure Assessment, Sequential Organ Failure Assessment on the third day, ARDSNet model, PaO₂/FiO₂, positive and-expirative pressure, tidal volume/kg of peso. The data were analyzed using SPSS V.18.
Results: We studied 45 patients of whom 28 patients were male and 17 female, mean age was 60 ± 17 years. We found that ARDSNet model was the best predictor of early mortality on admission with an area under the curve (ROC curve) of 0.841, CI (95%) 0.71 to 0.96, p = 0.001.
Conclusions: In this study we observed that in patients with ARDS, ARDSNet Model evaluated at admission is a good predictor of mortality.

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