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ARDS in patients with thermal injury
1Division of Respiratory Medicine, Mt. Sinai Hospital, University of Toronto, Ontario, Canada.
Intensive Care Medicine
|February 2, 2000
Summary
Adult respiratory distress syndrome (ARDS) is common in burn patients requiring mechanical ventilation, with a delayed onset. Age is a significant risk factor for developing ARDS in this population.
Area of Science:
- Critical Care Medicine
- Pulmonology
- Trauma Surgery
Background:
- Adult respiratory distress syndrome (ARDS) is a severe form of lung injury.
- Burn patients requiring mechanical ventilation are at high risk for ARDS.
- Understanding ARDS onset and risk factors in burn populations is crucial for timely intervention.
Purpose of the Study:
- To determine the time to onset of ARDS in mechanically ventilated burn patients.
- To identify burn-related risk factors, demographics, incidence, and mortality associated with ARDS.
- To analyze age as a predisposing factor for ARDS in this cohort.
Main Methods:
- Retrospective chart review of adult burn patients requiring mechanical ventilation.
- ARDS diagnosis based on American-European Consensus Conference and Lung Injury Severity Score criteria.
- Data collected on demographics, injury characteristics, and clinical outcomes.
Main Results:
- 126 of 469 admissions (26.9%) received mechanical ventilation.
- ARDS incidence was 53.6% (AEC) and 45.2% (LISS).
- Mean ARDS onset was 6.9 days (AEC) and 8.2 days (LISS); age was an independent risk factor (p=0.03).
Conclusions:
- ARDS is prevalent in adult burn patients requiring mechanical ventilation.
- ARDS onset in burn patients is delayed compared to other critical care populations.
- Advanced age is a significant predisposing factor for ARDS development in burn survivors.