Prognostic factors in the acute respiratory distress syndrome

AbstractDespite improvements in critical care, acute respiratory distress syndrome (ARDS) remains a devastating clinical problem with high rates of morbidity and mortality. A better understanding of the prognostic factors associated with ARDS is crucial for facilitating risk stratification and devel...

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Main Authors: Wei Chen, Lorraine B Ware
Format: Article
Language:English
Published: Wiley 2015-12-01
Series:Clinical and Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s40169-015-0065-2
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author Wei Chen
Lorraine B Ware
author_facet Wei Chen
Lorraine B Ware
author_sort Wei Chen
collection DOAJ
description AbstractDespite improvements in critical care, acute respiratory distress syndrome (ARDS) remains a devastating clinical problem with high rates of morbidity and mortality. A better understanding of the prognostic factors associated with ARDS is crucial for facilitating risk stratification and developing new therapeutic interventions that aim to improve clinical outcomes. In this article, we present an up‐to‐date summary of factors that predict mortality in ARDS in four categories: (1) clinical characteristics; (2) physiological parameters and oxygenation; (3) genetic polymorphisms and biomarkers; and (4) scoring systems. In addition, we discuss how a better understanding of clinical and basic pathogenic mechanisms can help to inform prognostication, decision‐making, risk stratification, treatment selection, and improve study design for clinical trials.
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spelling doaj.art-bc1caba6183f4a3d856b1cce714293592022-12-21T19:19:30ZengWileyClinical and Translational Medicine2001-13262015-12-0141n/an/a10.1186/s40169-015-0065-2Prognostic factors in the acute respiratory distress syndromeWei Chen0Lorraine B Ware1Division of Allergy, Pulmonary, and Critical Care Medicine, Department of MedicineVanderbilt University School of MedicineNashvilleUSADivision of Allergy, Pulmonary, and Critical Care Medicine, Department of MedicineVanderbilt University School of MedicineNashvilleUSAAbstractDespite improvements in critical care, acute respiratory distress syndrome (ARDS) remains a devastating clinical problem with high rates of morbidity and mortality. A better understanding of the prognostic factors associated with ARDS is crucial for facilitating risk stratification and developing new therapeutic interventions that aim to improve clinical outcomes. In this article, we present an up‐to‐date summary of factors that predict mortality in ARDS in four categories: (1) clinical characteristics; (2) physiological parameters and oxygenation; (3) genetic polymorphisms and biomarkers; and (4) scoring systems. In addition, we discuss how a better understanding of clinical and basic pathogenic mechanisms can help to inform prognostication, decision‐making, risk stratification, treatment selection, and improve study design for clinical trials.https://doi.org/10.1186/s40169-015-0065-2Acute respiratory distress syndromePrognostic factorsBiomarkersOxygenationScoring system
spellingShingle Wei Chen
Lorraine B Ware
Prognostic factors in the acute respiratory distress syndrome
Clinical and Translational Medicine
Acute respiratory distress syndrome
Prognostic factors
Biomarkers
Oxygenation
Scoring system
title Prognostic factors in the acute respiratory distress syndrome
title_full Prognostic factors in the acute respiratory distress syndrome
title_fullStr Prognostic factors in the acute respiratory distress syndrome
title_full_unstemmed Prognostic factors in the acute respiratory distress syndrome
title_short Prognostic factors in the acute respiratory distress syndrome
title_sort prognostic factors in the acute respiratory distress syndrome
topic Acute respiratory distress syndrome
Prognostic factors
Biomarkers
Oxygenation
Scoring system
url https://doi.org/10.1186/s40169-015-0065-2
work_keys_str_mv AT weichen prognosticfactorsintheacuterespiratorydistresssyndrome
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