title: [The incidence and mortality of ARDS at Landspítali - The National University Hospital of Iceland 2004-2008].
abstract: A retrospective study of the incidence, causes, mortality and treatment of patients with ARDS at Landspítali The National University Hospital of Iceland during the five year period 2004-2008 and comparing the results with an earlier study for the period 1988-1997.
  
  
  
  All ICU admissions during the period 2004-2008 were reviewed, selecting patients according to the American-European consensus criteria for ARDS. Data were collected on age, gender, causes, length of stay, ventilator treatment and survival.
  
  
  
  A total of 6413 patients were admitted to the ICUs at Landspítali during the study period and 120 patients were found to have ARDS giving an incidence of 7,9/100.000 inhabitants. Average age was 55 years, 55% were males, length of stay was 13 days and hospital stay 24 days. ICU mortality was 30% and 90 day mortality was 39%.
  
  
  
  The incidence of ARDS seems to have increased some-what during the period 1988-1997. Mortality has decreased significantly probably due to improvements in intensive care treatment, especially ventilator treament with the use of lung protective ventilation, high frequency oscillation, prone position and ECMO.
authors.forename: Thordur Skuli
authors.initials: TS
authors.lastname: Gunnarsson
authors.forename: Kristinn
authors.initials: K
authors.lastname: Sigvaldason
authors.forename: Kristbjörn I
authors.initials: KI
authors.lastname: Reynisson
authors.forename: Alma D
authors.initials: AD
authors.lastname: Möller
mesh_terms: D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D017052:Hospital Mortality; D006785:Hospitals, University / Q000706:statistics & numerical data*; D006801:Humans; D007055:Iceland / Q000453:epidemiology; D015994:Incidence; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D056888:Patient Positioning; D058996:Quality Improvement; D019984:Quality Indicators, Health Care; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000401:mortality* / Q000628:therapy; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome