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Predictors of survival in patients with influenza pneumonia-related severe acute respiratory distress syndrome treated with prone positioning.


ABSTRACT: BACKGROUND:Patients with influenza complicated with pneumonia are at high risk of rapid progression to acute respiratory distress syndrome (ARDS). Prone positioning with longer duration and lung-protective strategies might reduce the mortality level in ARDS. The aim of this study is to investigate the survival predictors of prone positioning in patients with ARDS caused by influenza pneumonia. METHODS:This retrospective study was conducted by eight tertiary referral centers in Taiwan. From January 1 to March 31 in 2016, all of the patients in intensive care units with virology-proven influenza pneumonia were collected, while all of those patients with ARDS and receiving prone positioning were enrolled. Demographic data, laboratory examinations, management records, ventilator settings and clinical outcomes were collected for analysis. RESULTS:During the study period, 336 patients with severe influenza pneumonia were screened and 263 patients met the diagnosis of ARDS. Totally, 65 patients receiving prone positioning were included for analysis. The 60-day survivors had lower Acute Physiology and Chronic Health Evaluation (APACHE) II score, pneumonia severity index (PSI), creatinine level and lower rate of receiving renal replacement therapy than non-survivors (22.4?±?8.5 vs. 29.2?±?7.4, p?=?0.003; 106.6?±?40.9 vs. 135.3?±?48.6, p?=?0.019; 1.2?±?0.9 mg/dL vs. 3.1?±?3.6 mg/dL, p?=?0.040; and 4% vs. 42%, p?

SUBMITTER: Kao KC 

PROVIDER: S-EPMC6153196 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Predictors of survival in patients with influenza pneumonia-related severe acute respiratory distress syndrome treated with prone positioning.

Kao Kuo-Chin KC   Chang Ko-Wei KW   Chan Ming-Cheng MC   Liang Shinn-Jye SJ   Chien Ying-Chun YC   Hu Han-Chung HC   Chiu Li-Chung LC   Chen Wei-Chih WC   Fang Wen-Feng WF   Chen Yu-Mu YM   Sheu Chau-Chyun CC   Tsai Ming-Ju MJ   Perng Wann-Cherng WC   Peng Chung-Kan CK   Wu Chieh-Liang CL   Wang Hao-Chien HC   Yang Kuang-Yao KY  

Annals of intensive care 20180924 1


<h4>Background</h4>Patients with influenza complicated with pneumonia are at high risk of rapid progression to acute respiratory distress syndrome (ARDS). Prone positioning with longer duration and lung-protective strategies might reduce the mortality level in ARDS. The aim of this study is to investigate the survival predictors of prone positioning in patients with ARDS caused by influenza pneumonia.<h4>Methods</h4>This retrospective study was conducted by eight tertiary referral centers in Tai  ...[more]

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