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Published on: October 24, 2020
Acute Respiratory Distress Syndrome in Patients Discharged From a Tertiary Hospital in Taiwan: Long-Term Survival and
Hui-Chuan Chen1, Huey-Dong Wu, Hsiang-Wen Liu
1Hui-Chuan Chen, RRT, is Registered Respiratory Therapist; and Huey-Dong Wu, MD, is Doctor of Medicine, Department of Integrated Diagno-Therapeutics, National Taiwan University Hospital, Taipei City, R.O.C. Hsiang-Wen Liu, MD, is Chief Resident, Department of Internal Medicine, National Taiwan University, Taipei City, R.O.C. Hong-Jer Chang, PhD, is Assistant Professor; and Ming-Der Lee, PhD, is Assistant Professor, Graduate Institute of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei City, R.O.C. Pei-Yu Huang, RRT, is Registered Respiratory Therapist, Department of Integrated Diagno-Therapeutics National Taiwan University Hospital, Taipei City, R.O.C. Ping-Hung Kuo, MD, is Doctor of Medicine, Department of Internal Medicine, National Taiwan University, Taipei City, R.O.C.
Background:
Acute respiratory distress syndrome (ARDS) carries significant morbidity and mortality. No previous studies have investigated the long-term outcomes of ARDS patients in Taiwan.
Objective:
This study aimed to investigate the survival of ARDS patients after discharge from the hospital in Taiwan.
Methods:
Medical records from 150 ARDS patients discharged alive from the intensive care unit from January 2004 to June 2009 were reviewed. Survival of these patients was followed for 5 years, and prognostic factors were identified.
Results:
Cumulative survival rates were 81.4% at 6 months, 79.0% at 1 year, 67.2% at 2 years, and 45.7% at 5 years. Independent prognostic factors influencing both 1- and 5-year survival rates were age, previous lung disease, and disposition after discharge. For 5-year survival, renal disease was also an independent risk factor.
Discussion:
The mortality rate of ARDS survivors after intensive care unit discharge is still high in Taiwan. Three independent risk factors were found to affect the overall survival of these patients.
