title: [Prognosis and its affecting factors in children with acute respiratory distress syndrome].
abstract: OBJECTIVE
  To study the prognosis and the factors affecting the prognosis in children with acute respiratory distress syndrome (ARDS).
  
  
  METHODS
  Seventy-eight children with ARDS were enrolled. The states of their survival within 30 days were followed-up.
  
  
  RESULTS
  Of the 78 children with ARDS, 51 cases demised, 27 cases survived, with a 30-days survival rate of 35%. The average survival time was 14.4 days (median: 8 days). The peak of death appeared within 3 days after ARDS. There were significant differences in aspects of age, primary disease, percentage of neonatal hyaline membrane disease, pediatric critical illness score (PCIS), duration of mechanical ventilation, oxygenation index (PaO(2)/FiO(2)), white blood cell count and number of involved organs between the died and survived children (P<0.05 or 0.01). The Cox multiple factors analysis showed that the age (HR 3.924~3.938), primary disease (HR=1.817) and PCIS (HR=0.469) were the risk factors of death.
  
  
  CONCLUSIONS
  The peak of death usually appears within 3 days after ARDS. Age, primary disease and PCIS are the independent factors of prognosis in children with ARDS.
authors.affiliation: Department of Pediatrics, Changyuan People's Hospital, Changyuan, Henan 453400, China. niuzhimin0@126.com
authors.forename: Zhi-Min
authors.initials: ZM
authors.lastname: Niu
authors.forename: Yan-Hong
authors.initials: YH
authors.lastname: Li
authors.forename: Shun-Jie
authors.initials: SJ
authors.lastname: Jiang
authors.forename: Xiang-Ying
authors.initials: XY
authors.lastname: Mao
authors.forename: Yu-Jie
authors.initials: YJ
authors.lastname: Li
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D015999:Multivariate Analysis; D011379:Prognosis; D012128:Respiratory Distress Syndrome / Q000401:mortality*; D015996:Survival Rate