UMEM Educational Pearls

  • A recent observational study was published looking at the ICU incidence and outcome of ARDS
  • This international prospective cohort study looked at 459 ICUs and over 29,000 patients
  • Incidence: 10.4% met ARDS criteria
  • Severe ARDS occurred in 23.4%
  • Clinical recognition of mild ARDS was only 51%
  • Less than 2/3rds of patients with ARDS received a TV of 8 mL/kg or less
  • Prone positioning was used in 16% of patients with severe ARDS
  • Recognition of ARDS was associated with higher PEEP, greater use of neuromuscular blockers, and prone positioning
  • Mortality ranged from 35% to 46%
  • Pneumonia was the biggest risk factor for ARDS


2016 Feb 23;315(8):788-800. doi: 10.1001/jama.2016.0291.

Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome in Intensive Care Units in 50 Countries.

Bellani G et al.