title: Adult respiratory distress syndrome: outcome in a community hospital.
abstract: BACKGROUND
  Published reports indicate that survival rates of patients with adult respiratory distress syndrome have not improved dramatically since the first report of the condition in 1967. However, changes in ventilator strategies and improved critical care management may result in better survival rates in patients with well-defined, severe adult respiratory distress syndrome.
  
  
  OBJECTIVE
  To report the outcomes of patients with adult respiratory distress syndrome treated in a community hospital and compare these findings with those in previously published reports.
  
  
  METHODS
  A retrospective study design was used. All patients diagnosed with adult respiratory distress syndrome (N = 47) over a 2-year period were studied.
  
  
  RESULTS
  For the study patients, the survival rate was 64%; 29% died from respiratory failure alone. Analysis demonstrated that advanced age was not associated with mortality. Pressure-control ventilation was used for 31 patients and there was no significant difference in the presence of barotrauma in the pressure-control mode vs volume ventilation.
  
  
  CONCLUSIONS
  This survival rate exceeds most recently reported rates and thus supports the idea that improvement in treatment of adult respiratory distress syndrome is occurring.
authors.affiliation: Sharp Memorial Hospital, Pulmonary Department, San Diego, CA 92123-2788.
authors.forename: D
authors.initials: D
authors.lastname: Willms
authors.forename: M
authors.initials: M
authors.lastname: Nield
authors.forename: I
authors.initials: I
authors.lastname: Gocka
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D003422:Critical Care; D005260:Female; D006745:Hospital Bed Capacity, 300 to 499; D017052:Hospital Mortality; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D011175:Positive-Pressure Respiration / Q000009:adverse effects / Q000379:methods; D012128:Respiratory Distress Syndrome / Q000401:mortality* / Q000628:therapy*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D015996:Survival Rate; D016896:Treatment Outcome