National incidence rates for Acute Respiratory Distress Syndrome (ARDS) and ARDS cause-specific factors in the United States (2006-2014)

Journal of Critical Care
Efe EworukeLydia I Gilbert McClain

Abstract

To estimate the incidence of Acute Respiratory Distress Syndrome (ARDS) and ARDS-related mortality rates. We identified patients with a risk factor for ARDS in the National Inpatient Sample (NIS) (2006-2014). Using survey-weighted descriptive statistics we estimated annual and overall proportions of ARDS cases. From over 69 million discharges, 1,151,969 ARDS discharges and 969,567 ARDS discharges with a risk factor were identified. Sepsis (46.8%), pneumonia (44.9%) and shock (44.4%) were the most common ARDS risk factor. Pancreatitis (3.4%), pulmonary contusion (1.4%) and drowning (0.2%) were the least frequently reported. Incidence rates increased from 180.7 (2006) to 220.8 (2011) and again from 182.8 (2012) to 193.4 (2014). Incidence for pneumonia, shock and sepsis-associated ARDS increased steadily, while transfusion and trauma-associated ARDS declined. Trends for gastric aspiration and pancreatitis-related ARDS remained unchanged. Shock, sepsis and transfusion-associated ARDS had higher mortality rates compared to other factors. Except for transfusion and trauma-associated ARDS, mortality rates for other factors declined. Although increasing incidence for ARDS was observed, mortality rates declined for most risk factors. Mo...Continue Reading

Citations

Jun 19, 2019·Journal of Intensive Care Medicine·Shawn KakuWare G Kuschner
Oct 1, 2019·Therapeutic Advances in Respiratory Disease·Jianfeng ZhangJiefeng Luo
Sep 23, 2020·International Journal of Molecular Sciences·Nathan HaywoodVictor E Laubach
Dec 29, 2020·Anaesthesia Critical Care & Pain Medicine·Laurent PapazianLaurent Boyer
Feb 4, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Birte WeberLiudmila Leppik
Nov 19, 2020·Intensive Care Medicine·Michael A MatthayCarolyn S Calfee
Nov 2, 2019·The Journal of Surgical Research·Mackenzie C MorrisMichael D Goodman
Jul 2, 2021·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Titilope OlanipekunGloria Westney
Jul 4, 2021·Intensive Care Medicine·Gianni TognoniAntonio Pesenti
Aug 17, 2021·Pathology Oncology Research : POR·Ning XuJianguo Li
Oct 23, 2020·Biomedical Journal·Shun-Chin YangTsong-Long Hwang

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