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Assessment of PaO2/...
Assessment of PaO2/FiO(2) for stratification of patients with moderate and severe acute respiratory distress syndrome
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- Villar, Jesus (författare)
- Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain.;Hosp Univ Dr Negrin, Res Unit, Multidisciplinary Organ Dysfunct Evaluat Res Netw, Las Palmas Gran Canaria, Spain.
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- Blanco, Jesus (författare)
- Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain.;Hosp Univ Rio Hortega, Intens Care Unit, Valladolid, Spain.
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- del Campo, Rafael (författare)
- Hosp Gen Ciudad Real, Intens Care Unit, Ciudad Real, Spain.
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- Andaluz-Ojeda, David (författare)
- Univ Valladolid, Hosp Clin, Intens Care Unit, Valladolid, Spain.
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- Diaz-Dominguez, Francisco J. (författare)
- Hosp Univ Gen Leon, Intens Care Unit, Leon, Spain.
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- Muriel, Arturo (författare)
- Hosp Univ Rio Hortega, Intens Care Unit, Valladolid, Spain.
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- Corcoles, Virgilio (författare)
- Complejo Hosp Univ Albacete, Intens Care Unit, Albacete, Spain.
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- Suarez-Sipmann, Fernando (författare)
- Uppsala universitet,Hedenstiernalaboratoriet,Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain.
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- Tarancon, Concepcion (författare)
- Hosp Virgen de la Concha, Intens Care Unit, Zamora, Spain.
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- Gonzalez-Higueras, Elena (författare)
- Hosp Virgen de la Luz, Intens Care Unit, Cuenca, Spain.
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- Lopez, Julia (författare)
- Hosp Univ La Paz, Intens Care Unit, Madrid, Spain.
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- Blanch, Lluis (författare)
- Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain.;Corp Sanitaria Parc Tauli, Crit Care Ctr, Sabadell, Spain.
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- Perez-Mendez, Lina (författare)
- Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain.;Hosp Univ NS Candelaria, Res Unit, Tenerife, Spain.
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- Fernandez, Rosa Lidia (författare)
- Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain.;Hosp Univ Dr Negrin, Res Unit, Multidisciplinary Organ Dysfunct Evaluat Res Netw, Las Palmas Gran Canaria, Spain.
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- Kacmarek, Robert M. (författare)
- Massachusetts Gen Hosp, Dept Resp Care, Boston, MA 02114 USA.;Harvard Univ, Dept Anesthesiol, Boston, MA 02115 USA.
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Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain;Hosp Univ Dr Negrin, Res Unit, Multidisciplinary Organ Dysfunct Evaluat Res Netw, Las Palmas Gran Canaria, Spain. Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain.;Hosp Univ Rio Hortega, Intens Care Unit, Valladolid, Spain. (creator_code:org_t)
- 2015-03-27
- 2015
- Engelska.
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 5:3
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://bmjopen.bmj....
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objectives: A recent update of the definition of acute respiratory distress syndrome (ARDS) proposed an empirical classification based on ratio of arterial partial pressure of oxygen to fraction of inspired oxygen (PaO2/FiO(2)) at ARDS onset. Since the proposal did not mandate PaO2/FiO(2) calculation under standardised ventilator settings (SVS), we hypothesised that a stratification based on baseline PaO2/FiO(2) would not provide accurate assessment of lung injury severity. Design: A prospective, multicentre, observational study. Setting: A network of teaching hospitals. Participants: 478 patients with eligible criteria for moderate (100300). Primary and secondary outcomes: Group severity and hospital mortality. Results: At ARDS onset, 173 patients had a PaO2/FiO(2)<= 100 but only 38.7% met criteria for severe ARDS at 24 h under SVS. When assessed under SVS, 61.3% of patients with severe ARDS were reclassified as moderate, mild and non-ARDS, while lung severity and hospital mortality changed markedly with every PaO2/FiO(2) category (p<0.000001). Our model of risk stratification outperformed the stratification using baseline PaO2/FiO(2) and non-standardised PaO2/FiO(2) at 24 h, when analysed by the predictive receiver operating characteristic (ROC) curve: area under the ROC curve for stratification at baseline was 0.583 (95% CI 0.525 to 0.636), 0.605 (95% CI 0.552 to 0.658) at 24 h without SVS and 0.693 (95% CI 0.645 to 0.742) at 24 h under SVS (p<0.000001). Conclusions: Our findings support the need for patient assessment under SVS at 24 h after ARDS onset to assess disease severity, and have implications for the diagnosis and management of ARDS patients.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
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Villar, Jesus
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Blanco, Jesus
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del Campo, Rafae ...
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Andaluz-Ojeda, D ...
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Diaz-Dominguez, ...
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Muriel, Arturo
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Corcoles, Virgil ...
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Suarez-Sipmann, ...
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Tarancon, Concep ...
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Gonzalez-Higuera ...
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Lopez, Julia
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Blanch, Lluis
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Perez-Mendez, Li ...
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Fernandez, Rosa ...
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Kacmarek, Robert ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Lungmedicin och ...
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BMJ Open
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Uppsala universitet