Epidemiological Profile of Acute Respiratory Distress Syndrome Patients: A Tertiary care Experience

Magazine, Rahul and Rao, Shobitha and Chogtu, Bharti and Ramkumar, Venkateswaran and Shahul, Hameed Aboobackar (2017) Epidemiological Profile of Acute Respiratory Distress Syndrome Patients: A Tertiary care Experience. Lung India, 34 (1). pp. 38-42. ISSN 0970-2113

[img] PDF
Lung India ARDS.pdf - Published Version
Restricted to Registered users only

Download (797kB) | Request a copy

Abstract

Background: Acute respiratory distress syndrome (ARDS) is seen in critically ill patients. Its etiological spectrum in India is expected to be different from that seen in western countries due to the high prevalence of tropical infections.Aim: To study the epidemiological profile of ARDS patients. Setting: A tertiary care hospital in Karnataka, India. Materials and Methods: Retrospective analysis of 150 out of the 169 ARDS patients diagnosed during 2010–2012.Data collected included the clinical features and severity scoring parameters. Results: The mean age of the study population was 42.92 ± 13.91 years. The causes of ARDS included pneumonia (n = 35, 23.3%), scrub typhus (n = 33, 22%), leptospirosis (n = 11, 7.3%), malaria (n = 6, 4%), influenza (H1N1) (n = 10, 6.7%), pulmonary tuberculosis (n = 2, 1.3%), dengue (n = 1, 0.7%), abdominal sepsis (n = 16, 10.7%), skin infection (n = 3, 2%), unknown cause of sepsis (n = 18, 12%), and nonseptic causes (n = 15, 10%). A total of 77 (51.3%) patients survived, 66 (44%) expired, and 7 (4.7%) were discharged against medical advice (AMA). Preexisting comorbidities (46) were present in 13 survivors, 19 nonsurvivors, and four discharged AMA. History of surgery prior to the onset of ARDS was present in one survivor, 13 nonsurvivors, and one discharge AMA. Mean Acute Physiology and Chronic Health Evaluation (APACHE) II, APACHE III, and Sequential Organ Failure Assessment scores in survivors were 9.06 ± 4.3, 49.22 ± 14, and 6.43 ± 2.5 and in nonsurvivors 21.11 ± 7, 86.45 ± 23.5, and 10.6 ± 10, respectively. Conclusion: The most common cause of ARDS in our study was pneumonia, but a large percentage of cases were due to the tropical infections. Preexisting comorbidity,surgery prior to the onset of ARDS, higher severity scores, and organ failure scores were more frequently observed among nonsurvivors than survivors.

Item Type: Article
Uncontrolled Keywords: Acute respiratory distress syndrome; Pneumonia; Tropical infectious diseases
Subjects: Medicine > KMC Manipal > Anaesthesiology
Medicine > KMC Manipal > Pharmacology
Medicine > KMC Manipal > Pulmonary Medicine
Depositing User: KMC Library
Date Deposited: 12 Jan 2017 10:48
Last Modified: 12 Jan 2017 10:48
URI: http://eprints.manipal.edu/id/eprint/148010

Actions (login required)

View Item View Item