Brátt andnauðarheilkenni (ards) á gjörgæsludeildum á Íslandi 1988-1997

• Main Authors: Kristinn Sigvaldason, Katrín Þormar, Jón Bragi Bergmann, Kristbjörn Reynisson, Helga Magnúsdóttir, Þorsteinn Svörf­uður Stefánsson, Steinn Jónsson
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2007
• Subjects: Gjörgæsla; Lífslíkur; Dánarmein; LBL12; Fræðigreinar; Female; Hospital Mortality; Humans; Iceland/epidemiology; Incidence; Intensive Care Units; Male; Oxygen; Positive-Pressure Respiration; Pulmonary Wedge Pressure; Respiration; Artificial; Respiratory Distress Syndrome; Adult; Retrospective Studies; Iceland; Smella
• Online Access: http://hdl.handle.net/2336/7567

Neðst á síðunni er hægt er að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open OBJECTIVE: A retrospective analysis of the epidemiology and intensive care treatment of ARDS in Iceland during the 10 year period, 1988-1997 with observation of trends within the period. MATERIAL AND METHODS: All ICU admissions in Iceland 1988-1997 were reviewed according to the American-European consensus conference criteria on ARDS to select patients with the diagnosis of ARDS i.e. bilateral pulmonary infiltrates, PaO(2)/FiO(2) <200 and excluding patients with signs of heart failure or a pulmonary capillary wedge pressure (PCWP) >18 mmHg. Data were collected on age, gender, length of stay, ventilator treatment and ventilatory modes, causes of ARDS and mortality. RESULTS: A total of 220 patients with severe respiratory failure were found and 155 of them were diagnosed as having ARDS or an annual incidence of 15.5 cases/year or 5.9 cases/100.000/year. If reference population >15 years of age is used for calculation the incidence is 7.8 cases/100.000/year. Hospital mortality was 40%, mean length of ICU stay was 21 days, mean hospital length of stay 39 days. The incidence of ARDS increased during the period with a tendency to lower mortality rates. Mortality was significantly lower when pressure controlled ventilation was used, compared to volume controlled ventilation. CONCLUSION: The incidence of ARDS in a well defined population of Iceland is lower than recent studies in USA and Europe have shown or 5.9 cases/100.00/year but is increasing. The mortality is 40% and shows a slight downward trend, which may be due to the use of lung protective ventilation. Tilgangur: Að kanna nýgengi, orsakir, dánarhlutfall og öndunarvélarmeðferð sjúklinga með brátt and­nauðarheilkenni (BAH) á gjörgæsludeildum á Íslandi á 10 ára tímabili. Efniviður og aðferðir: Farið var yfir allar inn­lagn­ir á gjörgæsludeildir á Íslandi 1988-1997 og sjúk­lingar með alvarlega öndunarbilun skoðaðir sérstaklega. Safnað var upplýsingum um ...