Acute Respiratory Distress Syndrome in Patients Discharged From a Tertiary Hospital in Taiwan: Long-Term Survival and Prognostic Factors

• Autores: Hui-Chuan Chen, Huey-Dong Wu, Hsiang-Wen Liu, Hong-Jer Chang, Ming-Der Lee, Pei-Yu Huang, Ping Kuan Kuo
• Localización: Nursing research: An AJN Company publication, ISSN 0029-6562, Vol. 64, Nº. 5, 2015, págs. 402-408
• Idioma: inglés
• DOI: 10.1097/nnr.0000000000000110
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• Resumen

  • Background: Acute respiratory distress syndrome (ARDS) carries significant morbidity and mortality. No previous studies have investigated the long-term outcomes of ARDS patients in Taiwan.

    Objective: This study aimed to investigate the survival of ARDS patients after discharge from the hospital in Taiwan.

    Methods: Medical records from 150 ARDS patients discharged alive from the intensive care unit from January 2004 to June 2009 were reviewed. Survival of these patients was followed for 5 years, and prognostic factors were identified.

    Results: Cumulative survival rates were 81.4% at 6 months, 79.0% at 1 year, 67.2% at 2 years, and 45.7% at 5 years. Independent prognostic factors influencing both 1- and 5-year survival rates were age, previous lung disease, and disposition after discharge. For 5-year survival, renal disease was also an independent risk factor.

    Discussion: The mortality rate of ARDS survivors after intensive care unit discharge is still high in Taiwan. Three independent risk factors were found to affect the overall survival of these patients.