title: Incidence and recognition of acute respiratory distress syndrome in a UK intensive care unit.
abstract: The reported incidence of ARDS is highly variable (2.5%-19% of intensive care unit (ICU) patients) and varies depending on study patient population used. We undertook a 6-month, prospective study to determine the incidence and outcome of ARDS in a UK adult University Hospital ICU. 344 patients were admitted during the study period, of these 43 (12.5%) were determined to have ARDS. Patients with ARDS had increased mortality at 28 days and 2 years post-diagnosis, and there was under-recognition of ARDS in both medical records and death certificattion. Our findings have implications for critical care resource planning.
authors.affiliation: Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, UK John V Farman Intensive Care Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Summers
authors.affiliation: Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, UK.
authors.forename: Nanak R
authors.initials: NR
authors.lastname: Singh
authors.affiliation: Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, UK.
authors.forename: Linda
authors.initials: L
authors.lastname: Worpole
authors.affiliation: Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, UK.
authors.forename: Rosalind
authors.initials: R
authors.lastname: Simmonds
authors.affiliation: Department of Radiology, University of Cambridge School of Clinical Medicine, Cambridge, UK.
authors.forename: Judith
authors.initials: J
authors.lastname: Babar
authors.affiliation: Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, UK.
authors.forename: Alison M
authors.initials: AM
authors.lastname: Condliffe
authors.affiliation: John V Farman Intensive Care Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
authors.forename: Kevin E
authors.initials: KE
authors.lastname: Gunning
authors.affiliation: John V Farman Intensive Care Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Johnston
authors.affiliation: Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, UK.
authors.forename: Edwin R
authors.initials: ER
authors.lastname: Chilvers
mesh_terms: D003937:Diagnosis, Differential; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012128:Respiratory Distress Syndrome / Q000175:diagnosis* / Q000453:epidemiology* / Q000401:mortality; D015996:Survival Rate
keywords: ARDS