TY - JOUR
T1 - Factors affecting the outcomes in patients with acute respiratory distress syndrome in a tertiary care setting
AU - Rashid, Muhammed
AU - Ramakrishnan, Manasvini
AU - Muthu, Deepa Sudalai
AU - Chandran, Viji Pulikkel
AU - Thunga, Girish
AU - Kunhikatta, Vijayanarayana
AU - Shanbhag, Vishal
AU - Acharya, Raviraja V.
AU - Nair, Sreedharan
N1 - Funding Information:
Muhammed Rashid would like to acknowledge DST-INSPIRE Fellowship, Department of Science and Technology, Government of India, New Delhi, India [DST/INSPIRE Fellowship/2019/IF190205] for awarding the fellowship for his doctoral studies (Ph.D). The authors would like to thank the Manipal Academy of Higher Education (MAHE), Manipal College of Pharmaceutical Sciences (MCOPS), Kasturba Medical College (KMC), Manipal and Department of Pharmacy Practice for the library facilities and the best possible completion of this work.
Funding Information:
Muhammed Rashid would like to acknowledge DST-INSPIRE Fellowship, Department of Science and Technology, Government of India, New Delhi, India [ DST/INSPIRE Fellowship/2019/ IF190205 ] for awarding the fellowship for his doctoral studies (Ph.D). The authors would like to thank the Manipal Academy of Higher Education (MAHE), Manipal College of Pharmaceutical Sciences (MCOPS), Kasturba Medical College (KMC), Manipal and Department of Pharmacy Practice for the library facilities and the best possible completion of this work.
Publisher Copyright:
© 2022 The Authors
PY - 2022/1/1
Y1 - 2022/1/1
N2 - Purpose: The clinical profile and factors affecting outcomes in acute respiratory distress syndrome (ARDS) from adequately sample-sized Indian studies are still lacking. We aimed to investigate the clinical profile, treatment pattern, outcomes; and to assess factors affecting non-recovery in ARDS patients. Patients and methods: A retrospective observational study was conducted among adult ARDS patients admitted during five year period (January 2014–December 2018) in a South Indian tertiary care setting. The relevant data were collected from the medical records to the data collection form. The univariate and multivariate logistic regression analyses were conducted to identify the predictors of outcomes using SPSS v20. Results: A total of 857 participants including 496 males and 361 females with a mean age of 46.86 ± 15.81 years were included in this study. Fever (70.9%), crepitation (58.3%), breathlessness (56.9%), and cough (45%) were the major clinical presentation. Hypertension (25.2%), kidney disease (23.8%), and diabetes (22.3%) were the major comorbidities; and sepsis (37.6%), pneumonia (33.3%), and septic shock (27.5%) were the major etiological factors observed. Antibiotics and steroids were administered to 97.9% and 52.3% of the population, respectively. The recovery rate was 47.49%. The patients with scrub typhus, dengue, pancreatitis, and oxygen supplementation had significantly lower mortality. The factors such as advanced age, sepsis, septic shock, liver diseases, and ventilation requirements were observed to be the independent predictors of non-recovery in ARDS patients. Conclusion: A comparable recovery rate was observed in our population. Advanced age, sepsis, septic shock, liver diseases, and ventilation requirements were the independent predictors of non-recovery.
AB - Purpose: The clinical profile and factors affecting outcomes in acute respiratory distress syndrome (ARDS) from adequately sample-sized Indian studies are still lacking. We aimed to investigate the clinical profile, treatment pattern, outcomes; and to assess factors affecting non-recovery in ARDS patients. Patients and methods: A retrospective observational study was conducted among adult ARDS patients admitted during five year period (January 2014–December 2018) in a South Indian tertiary care setting. The relevant data were collected from the medical records to the data collection form. The univariate and multivariate logistic regression analyses were conducted to identify the predictors of outcomes using SPSS v20. Results: A total of 857 participants including 496 males and 361 females with a mean age of 46.86 ± 15.81 years were included in this study. Fever (70.9%), crepitation (58.3%), breathlessness (56.9%), and cough (45%) were the major clinical presentation. Hypertension (25.2%), kidney disease (23.8%), and diabetes (22.3%) were the major comorbidities; and sepsis (37.6%), pneumonia (33.3%), and septic shock (27.5%) were the major etiological factors observed. Antibiotics and steroids were administered to 97.9% and 52.3% of the population, respectively. The recovery rate was 47.49%. The patients with scrub typhus, dengue, pancreatitis, and oxygen supplementation had significantly lower mortality. The factors such as advanced age, sepsis, septic shock, liver diseases, and ventilation requirements were observed to be the independent predictors of non-recovery in ARDS patients. Conclusion: A comparable recovery rate was observed in our population. Advanced age, sepsis, septic shock, liver diseases, and ventilation requirements were the independent predictors of non-recovery.
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U2 - 10.1016/j.cegh.2022.100972
DO - 10.1016/j.cegh.2022.100972
M3 - Article
AN - SCOPUS:85123860261
SN - 2213-3984
VL - 13
JO - Clinical Epidemiology and Global Health
JF - Clinical Epidemiology and Global Health
M1 - 100972
ER -
