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May 1, 1983Annals of Internal Medicine

Adult Respiratory Distress Syndrome: Risk with Common Predispositions

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Authors

AFAlpha A. FowlerJohns Hopkins University

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Implication

Multicenter survey reveals increased adult respiratory distress syndrome risk in predisposed hospital patients, indicating rapid progression and high mortality.

Key Points

  • To determine the incidence, onset timeline, and mortality rates of adult respiratory distress syndrome among patients presenting with single versus multiple predispositions.
  • Conducted a one-year survey across three hospitals identifying 993 predisposed individuals (936 with a single predisposition and 57 with multiple predispositions) alongside 20 additional cases from other causes (N=88 total syndrome cases).
  • Monitored patients for the development of respiratory distress syndrome, time to intubation and mechanical ventilation, and overall case fatality.
  • The incidence of the syndrome was significantly higher in patients with multiple predispositions compared to those with a single predisposition (24.6 vs. 5.8 per 100 patients, p < 0.0001).
  • Within 72 hours of predisposition onset, 89.5% of patients who developed the syndrome were intubated and placed on mechanical ventilation.
  • Overall mortality was 64.8% (57 of 88 patients died), with 90% of deaths occurring by day 14, showing no age- or sex-specific differences in incidence or mortality.

Cite This Study

Alpha A. Fowler (1983) studied this question.

synapsesocial.com/papers/6a7cbdad0d1c97f421a8b5fahttps://doi.org/10.7326/0003-4819-98-5-593
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