ArticleIntensive care medicine2009
The epidemiology of acute respiratory distress syndrome in pediatric intensive care units in China.
Article in Intensive care medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC).Intensive care medicine · 2017Guideline
- Liang-Ge-San, a classic Chinese prescription, stimulates macrophage-secreted exosomal miR-21 to ameliorate lipopolysaccharide-induced acute lung injury through the regulation of PTEN/PI3K/AKT signaling.Journal of natural medicines · 2026Article
- High-frequency oscillatory ventilation for respiratory failure after congenital heart surgery: a retrospective analysis.Anaesthesiology intensive therapy · 2023Article
- Clinical characteristics and outcomes in neonates with perinatal acute respiratory distress syndrome in China: A national, multicentre, cross-sectional study.EClinicalMedicine · 2023Article
- Performance of acute respiratory distress syndrome definitions in a high acuity paediatric intensive care unit.Respiratory research · 2021Article
- The Clinical Characteristics of ARDS in Children With Hematological Neoplasms.Frontiers in pediatrics · 2021Article
- Outcomes of Severe PARDS on High-Frequency Oscillatory Ventilation - A Single Centre Experience.Indian journal of pediatrics · 2020Article
- Article
- Definition and global epidemiology of pediatric acute respiratory distress syndrome.Annals of translational medicine · 2019Review
- Ventilator-induced lung injury in children: a reality?Annals of translational medicine · 2019Review
- Evaluation of systemic inflammatory response syndrome-negative sepsis from a Chinese regional pediatric network.BMC pediatrics · 2019Article
- [Advances in the diagnosis and treatment of pediatric acute respiratory distress syndrome].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018Article
- Comparison of Prevalence and Outcomes of Pediatric Acute Respiratory Distress Syndrome Using Pediatric Acute Lung Injury Consensus Conference Criteria and Berlin Definition.Frontiers in pediatrics · 2018Article
- Developing a Machine Learning System for Identification of Severe Hand, Foot, and Mouth Disease from Electronic Medical Record Data.Scientific reports · 2017Article
- Definition and epidemiology of acute respiratory distress syndrome.Annals of translational medicine · 2017Review
- Respiratory mechanics and lung stress/strain in children with acute respiratory distress syndrome.Annals of intensive care · 2016Article
- Multicenter study on the prognosis associated with respiratory support for children with acute hypoxic respiratory failure.Experimental and therapeutic medicine · 2016Article
- Pulse oximetry vs. PaO2 metrics in mechanically ventilated children: Berlin definition of ARDS and mortality risk.Intensive care medicine · 2015Article
- The use of the Berlin definition for acute respiratory distress syndrome during infancy and early childhood: multicenter evaluation and expert consensus.Intensive care medicine · 2013Article
- High-frequency oscillatory ventilation for cardiac surgery children with severe acute respiratory distress syndrome.Pediatric cardiology · 2013Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the incidence of, predisposing factors for, and the rates and relative risks of mortality from acute respiratory distress syndrome (ARDS) in pediatric patients.
designA prospective study in 12 consecutive months from 2004 to 2005 in 25 pediatric intensive care units (PICUs). PATIENTS AND
settingARDS was diagnosed according to the 1994 American-European Consensus Conference definitions, applied to all severely ill admissions between 1 month and 14 years of age. The PICUs were in major municipalities and provincial cities, and half were university affiliated. MEASUREMENTS AND
resultsFrom a total of 12,018 admissions, 7,269 were severely ill. One hundred and five (1.44%) patients developed ARDS and 64 (61.0%) died, which accounts for 13.2%, of the total ICU death (n = 485, 6.7%) or a nine times relative risk of dying. The median age at onset of ARDS was 24 months and 40% were less than 12 month old. Median time from PICU admission to the onset of ARDS was 16 h, and in 63% <24 h. Pneumonia (55.2%) and sepsis (22.9%) were the major predisposing factors for ARDS. These were respectively 14 and 5 times as high a death rate as those of the severely ill patients without ARDS.
conclusionsARDS has a high mortality in these Chinese PICUs, especially in those with pneumonia and sepsis, and adequate management including lung protective ventilation strategy is required.
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