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[Incidence, severity and mortality of acute respiratory failure in Denmark].
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2000
Year
Acute Lung InjuryHeart FailureAcute Respiratory FailureArds MortalityPulmonary CareRespiratory Distress Syndrome (Pulmonary Critical Care)Acute CareClinical EpidemiologyPatient SafetyAcute Respiratory Distress SyndromeSepsisRespiratory InfectionPulmonary MedicineMechanical VentilationMedicineAcute MedicinePulmonary DiseaseEmergency Medicine
To determine the incidence, severity and 90-day mortality of acute respiratory failure (ARF), acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) we conducted an eight-week prospective cohort study in 48 Danish ICUs, during which all ICU admissions (n = 6647) > 14 years of age were assessed. ARF was defined as intubation and mechanical ventilation > 24 hrs. ALI and ARDS were defined in accordance with the American-European Consensus Conference criteria. Among the 813 patients included, 552 were diagnosed with ARF, 117 with ALI and 95 with ARDS. The incidences (patients per 100.000/yrs) for ARF were 84.8, for ALI 17.8 and for ARDS 14.6. The 90-day mortality was 46.3% for ARF patients without ALI/ARDS, 47.3% for ALI patients and 46.2% for patients with ARDS. Compared to previously reported figures, the ARDS mortality is in the lower range whereas the incidence is slightly higher. This probably reflects a broader selection of patients when using the consensus criteria to define the ARDS population as opposed to definitions previously used.