Incidence and mortality after acute respiratory failure and acute respiratory distress syndrome in Sweden, Denmark, and Iceland.
To determine the incidence and 90-d mortality of acute respiratory failure (ARF), acute lung injury (ALI), and the acute respiratory distress syndrome (ARDS), we carried out an 8-wk prospective cohort study in Sweden, Denmark, and tceland.
All intensive care unit (ICU) admissions (n=13,346) >= 15 yr of age were assessed between October 6th and November 30th, 1997 in 132 of 150 ICUs with resources to treat patients with intubation and mechanical ventilation (I+MV) >= 24 h. ARF was defined as I+MV >= 24 h. ALI and ARDS were defined using criteria recommended by the American-European Consensus Conference on ARDS.
Calculation to correct the Incidence for unidentified subjects from nonparticipating ICUs was made.
No correction for in-or out-migration from the study area was possible.
The population in the three countries >= 15 yr of age was 11.74 million.
One thousand two hundred thirty-one ARF patients were included, 287 ALI and 221 ARDS patients were identified.
The incidences were for ARF 77.6, for ALI 17.9, and for ARDS 13.5 patients per 100,000/yr.
Ninety-day mortality was 41.0% for ARF, including ALI and ARDS patients, 42.2% for ALI not fulfilling ARDS criteria, and 41.2% for ARDS.
Mots-clés Pascal : Détresse respiratoire, Aigu, Insuffisance respiratoire, Incidence, Complication, Mortalité, Suède, Europe, Danemark, Islande, Iles Atlantiques, Epidémiologie, Homme, Appareil respiratoire pathologie
Mots-clés Pascal anglais : Respiratory distress, Acute, Respiratory failure, Incidence, Complication, Mortality, Sweden, Europe, Denmark, Iceland, Atlantic Ocean Islands, Epidemiology, Human, Respiratory disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0353219
Code Inist : 002B30A01A2. Création : 14/12/1999.