Mortality prognosis factors associated with the acute respiratory failure due to mechanical ventilation
Keywords:
acute respiratory failure, mortality prognosis factors, mechanic ventilation, intensive care units.Abstract
A descriptive investigation, of cases series, in 31 patients admitted in the Intensive Care Unit of "Saturnino Lora Torres" Teaching Clinical-Surgical Provincial Hospital in Santiago de Cuba, was carried out from January, 2014 to same month in 2017, who presented acute respiratory failure, with the aim of describing the mortality prognosis factors for this cause. In the series the male sex, the average age 57 year-old and hypertension prevailed as associated chronic diseases. Most of the patients received mechanic ventilation previous to the diagnosis, in the modality controlled through volume, and in a lower number maneuvers of alveolar incorporation were applied. The moderate respiratory failure of extrapulmonar cause was present in patients with prolonged ventilation, as long as the most frequent complication was the multiple organs dysfunction which was also the main cause of death. Finally, there was no direct relationship between the presence of these mortality factors prognosis and the probability of dying.
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2. Kacmarek RM, Villar J, Sulemanji D, Montiel R, Ferrando C, Blanco J, et al. Open lung approach for the acute respiratory distress syndrome: A Pilot, Randomized Controlled Trial. Crit Care Med. 2016; 44(1): 32-42.
3. Estenssoro E, Dubin A. Síndrome de distrés respiratorio agudo. Medicina. 2016 [citado 14/04/2017]; 76(4): 235-41. Disponible en: https://medicinabuenosaires.com/revistas/vol76-16/n4/235-241-Med76-4-6513-Estenssoro.pdf
4. Cardinal Fernández P, Bajwa EK, Dominguez Calvo A, Menéndez JM, Papazian L, Thompson BT. The Presence of diffuse alveolar damage on open lung biopsy is associated with mortality in patients with acute respiratory distress syndrome: A Systematic Review and Meta-Analysis. Chest. 2016; 149(5): 1155-64.
5. Sharif N, Irfan M, Hussain J, Khan J. Factors associated within 28 days inhospital mortality of patients with acute respiratory distress syndrome. Biomed Res Int. 2013 [citado 14/04/2017]; 2013. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708401/pdf/BMRI2013-564547.pdf
6. Guerin C, Bayle F, Leray V, Debord S, Stoian A, Yonis H, et al. Open lung biopsy in nonresolving ARDS frequently identifies diffuse alveolar damage regardless of the severity stage and may have implications for patient management. Intensive Care Med. 2015; 41(2): 222-30.
7. Amato MB, Meade MO, Slutsky AS, Brochard L, Costa EL, Schoenfeld DA, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015; 372(8): 747-55.
8. Claesson J, Freundlich M, Gunnarsson I, Laake JH, Vandvik PO, Varpula T, et al. Scandinavian clinical practice guideline on mechanical ventilation in adults with the acute respiratory distress syndrome. Acta Anaesthesiol Scand. 2015; 59(3): 286-97.
9. Calderón J, Carvajal C, Giraldo N, Pacheco C, Gómez C, Gallego D, et al. Mortalidad y factores asociados en pacientes con síndrome de dificultad respiratoria agudo (SDRA) en un hospital universitario. Acta Med Colomb. 2015 [citado 14/04/2017]; 40(4). Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-24482015000400007&lng=en&nrm=iso&tlng=es
10. Schouten LR, Veltkamp F, Bos AP, van Woensel JB, Serpa Neto A, Schultz MJ, et al. Incidence and Mortality of Acute Respiratory Distress Syndrome in Children: A Systematic Review and Meta-Analysis. Crit Care Med. 2016; 44(4): 819-29.
11. Brower RG, Lanken PN, MacIntyre N, Matthay MA, Morris A, Ancukiewicz M, et al. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med. 2004; 351(4): 327-36.
12. Taborda L, Barros F, Fonseca V, Irimia M, Carvalho R, Diogo C, et al. Acute respiratory distress syndrome: case series, two years at an intensive care unit. Act Med Port. 2014; 27(2): 211-7.
13. Laffey JG, Bellani G, Pham T, Fan E, Madotto F, Bajwa EK, et al. Potentially modifiable factors contributing to outcome from acute respiratory distress syndrome: the LUNG SAFE study. Intensive Care Med. 2016; 42(12): 1865-76.
14. Pham T, Rubenfeld GD. Fifty years of research in ARDS. The Epidemiology of Acute Respiratory Distress Syndrome. A 50th Birthday Review. Am J Respir Crit Care Med. 2017; 195(7): 860-70.
15. Richard C, Argaud L, Blet A, Boulain T, Contentin L, Dechartres A, et al. Extracorporeal life support for patients with acute respiratory distress syndrome: report of a Consensus Conference. Ann Intensive Care. 2014 [citado 04/05/2017]; 4: 15. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4046033/pdf/2110-5820-4-15.pdf
16. Roca O, Sacanell J, Laborde C, Pérez M, Sabater J, Burgueño MJ, et al. Estudio de cohortes sobre incidencia de SDRA en pacientes ingresados en UCI y factores pronósticos de mortalidad. Med Intensiva. 2006 [citado 04/05/2017]; 30(1): 6-12. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0210-56912006000100002
17. Combes A, Costa MA, Trouillet JL, Baudot J, Mokhtari M, Gibert C, et al. Morbility, mortality, and quality of life. Outcomes of patients requiring mayor or =14 days of mechanical ventilation. Crit. Care Med. 2013; 31(5): 1373-81.
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