Clinical characteristics of acute respiratory distress syndrome survived patients at a tertiary hospital in Jakarta
Abstract: While a good deal of
research on characteristic the different characteristics between surviving and
dying patient with ARDS has been conducted globally, such research is scarce in
developing countries. This study aimed to obtain clinical profile of ARDS
survivors during hospitalization.
Methods: This was a prospective, observational study conducted at a
tertiary hospital in Jakarta from October 2015 to April 2016. Primary data was
collected from ARDS patients based on Berlin Definition admitted to emergency
room, ICU, HCU, ICCU, and all other wards. The patients were followed until
they discharged. We only included survivors on the analysis. Descriptive
analysis was done using SPSS 21.0.
Results: A total of 43 patients were survived during study period. The
majority were below 65 years of age (69.8%) and were male (53.5%). ARDS was
mainly mild in severity (62.8%) and early onset (55.8%). Sepsis was the most
common causes of ARDS (97.7%). Most of the patients had comorbidities (74.4%).
Majority of the patients had APACHE II score <20 (77.3%) with mean 15.6±4.8.
The mean of albumin was 2.9±0.6 and the median of procalcitonin was 3
(0.1-252.3.
Conclusion: The clinical profile of ARDS survivors in our study were
mostly similar with other studies conducted in developed and other developing
countries.
Keywords: ARDS; clinical
profile; survivors
Author: Zulkifli Amin,
Fitriana N. Rahmawati, Chrispian O. Mamudi, Astrid P. Amanda
Journal Code: jpkedokterangg170192