A comparative analysis of the clinical course, ICU stays and final outcome in different etiological situations in patients of ARDS at a tertiary centre located in rural area
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 3
Abstract
Acute respiratory distress syndrome (ARDS) is a devastating clinical disorder that is seen in critically ill patients with a broad range of clinical disorders and is characterized by widespread inflammatory response. During the last two decades the incidence of ARDS has been reported to be as low as 1.5 to 3.5 cases or as high as 75 cases per 100,000 populations per year by various study groups. ARDS is a huge burden on medical facilities the world over as on an average the patients spend 20 days on the ventilator , 22 days in the intensive care unit (ICU), and 32 days in the hospital and there are heavy charges incurred during hospitalization. An overall complication rate of 43% is seen in patients with ARDS. Complications include pneumonia, deep venous thrombosis (DVT), pulmonary embolism (PE), acute renal failure (ARF), and disseminated intravascular coagulopathy (DIC), therefore ARDS patients have longer hospital stays than similarly matched controls, longer ICU stays, and higher hospital charges. The method in this study was an observational study to identify the major etiological factors associated with ARDS, clinical course and final outcome in patient admitted at Sri Aurobindo medical college and PG institute located in rural area near Indore (m.p.). The study was done during 1.5 years duration. A total of 40 patients were included in results the study show that the most common etiology responsible for ARDS is sepsis 42.5%, pulmonary infection 22.5%, Patients had H1N1 infection 20%. No association could be established between survival statuses with etiology. No association could be established between survival statuses with hospital stay. No association could be established between survival statuses with infective organism. Survival status is independent of the organism seen on culture. The mean PEEP value and mean PaO2/FiO2 value for patients who survived were statistically not significant. Keywords: ARDS, Chest infections, Sepsis.
Authors and Affiliations
Dr Vinod PorwalSri Aurvindo Medical College and PG Institute Indore, M. P. , India, Dr. Yogesh Ajnar, Dr Ashwin Porwal, Dr Anand Verma
Keywords
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