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Báo cáo khoa học: "Contributions to the epidemiology of acute respiratory failure"
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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Contributions to the epidemiology of acute respiratory failure. | Critical Care August 2003 Vol 7 No 4 Lewandowski Commentary Contributions to the epidemiology of acute respiratory failure Klaus Lewandowski Assistant Medical Director Klinik fur Anasthesiologie und operative Intensivmedizin Charité Campus Virchow-Klinikum Medizinische Fakultat der Humboldt-Universitat zu Berlin Berlin Germany Correspondence Klaus Lewandowski klaus.lewandowski@charite.de Published online 9 July 2003 Critical Care 2003 7 288-290 DOI 10.1186 cc2352 This article is online at http ccforum.com content 7 4 288 2003 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Recently incidence ranges for acute respiratory failure ARF acute lung injury ALI and acute respiratory distress syndrome ARDS in adults were reported and found to be 77.6-88.6 17.9-34.0 and 12.6-28.0 cases 100 000 population per year respectively. Mortality rates of approximately 40 were reported for patients with acute respiratory failure and similar or slightly lower rates for those with ALI and ARDS. Some experts believe that there is a trend toward lower mortality rates in ALI and ARDS but this suggestion has not been scientifically validated. Additional organ failures but not oxygenation indices appear to be crucial with regard to predicting outcome. Finally it has remained uncertain whether there exists seasonal variability with respect to the frequency of various forms of respiratory failure. Keywords acute lung injury acute respiratory distress syndrome acute respiratory failure epidemiology mortality Introduction For the intensivist with an interest in epidemiology the recent report from Flaatten and coworkers 1 published in this issue of Critical Care may serve as a focal point that highlights several interesting features of that special field. These include but are not limited to incidence figures and mortality rates for acute respiratory failure ARF the contribution of additional single organ failures or multiple organ dysfunction syndrome to mortality the .