The LUNG SAFE: a biased presentation of the prevalence of ARDS!
The recent Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE) challenges current data on the prevalence of acute respiratory distress syndrome (ARDS). The LUNG SAFE investigators claimed that their data demonstrated the predictive validity of the Berlin criteria. Also, the LUNG SAFE showed a disturbingly large gap between scientific evidence and medical practice. All of these statements demand that we question the interpretations of the study's findings.
CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. jesus.villar54@gmail.com.|Multidisciplinary Organ Dysfunction Evaluation Research Network, Research Unit, Hospital Universitario Dr. Negrin, Barranco de la Ballena, s/n-4th floor, South Wing, Las Palmas de Gran Canaria, Spain. jesus.villar54@gmail.com.
Jesús
J
Villar
Department of Intensive Care, Academic Medical Center, Amsterdam, The Netherlands.
Marcus J
MJ
Schultz
Department of Respiratory Care, Massachusetts General Hospital, Boston, MA, USA.|Department of Anesthesiology, Harvard University, Boston, MA, USA.
Robert M
RM
Kacmarek
D006801:Humans; D008168:Lung / Q000503:physiopathology*; D015995:Prevalence; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000453:epidemiology*