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Subtypes of pediatric acute respiratory distress syndrome have different predictors of mortality.


ABSTRACT: PURPOSE:Acute respiratory distress syndrome (ARDS) is heterogeneous in etiology, which may affect outcomes. Stratification into biologically-defined subtypes may reduce heterogeneity. However, it is unknown whether pediatric ARDS has clinically relevant subtypes. We aimed to determine whether clinical characteristics and predictors of mortality differed between direct and indirect ARDS, and separately between infectious and non-infectious ARDS. METHODS:This was a single center, prospective cohort study of 544 children with ARDS (Berlin) between July 2011 and June 2017, stratified into direct versus indirect ARDS, and separately into infectious versus non-infectious ARDS. Multiple logistic regression was used to test for predictors of mortality in the entire cohort, and separately within subtypes. Effect modification by subtype was assessed using interaction tests. RESULTS:Direct ARDS had lower severity of illness (p?

SUBMITTER: Yehya N 

PROVIDER: S-EPMC6460461 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Subtypes of pediatric acute respiratory distress syndrome have different predictors of mortality.

Yehya Nadir N   Keim Garrett G   Thomas Neal J NJ  

Intensive care medicine 20180703 8


<h4>Purpose</h4>Acute respiratory distress syndrome (ARDS) is heterogeneous in etiology, which may affect outcomes. Stratification into biologically-defined subtypes may reduce heterogeneity. However, it is unknown whether pediatric ARDS has clinically relevant subtypes. We aimed to determine whether clinical characteristics and predictors of mortality differed between direct and indirect ARDS, and separately between infectious and non-infectious ARDS.<h4>Methods</h4>This was a single center, pr  ...[more]

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