ARDS by numbers... almost makes you gasp!


Information about Acute Respiratory Distress Syndrome

A. ARDS presents within 12-24 hours of antecedent event B. ARDS patients intubated within 72 hours in 90% cases C. High mortality rate (ICU: 37%, overall: 42%) D. Predictors of better prognosis

1. Those who survive first 2 weeks have better prognosis

2. Age under 55 years

3. Trauma related ARDS E. Predictors of poor prognosis

1. Elderly (especially over age 70 years)

2. Immunocompromised patients

3. Chronic Liver Disease4. Increased dead space fraction

F. Only 34% of survivors are well enough to be discharged directly home

G. ALI/ARDS leads to approximately 2.2 million days in the ICU Possible Precipitating Causes

Shock
Severe blood loss
Bone fractures - if they cause shock.
Severe infections
Bacterial lung infection
Viral lung infection
Fungal lung infection
Lung trauma
Drowning
Water inhalation
Vomit inhalation
Pneumonia
Sepsis
Poliomyelitis
Blood transfusion adverse reaction (type of Adverse reaction)
Heart bypass surgery adverse reaction (type of Adverse reaction)
Smoke inhalation
Toxic fume inhalation
Circulatory collapse
Sepsis
Asthma
Emphysema
Muscular dystrophy
Pancreatitis
Guillaine-Barre syndrome
Uremia
Myasthenia gravis

According to the NHLBI:
Incidence (annual) of Acute respiratory distress syndrome:
150,000 Americans will be diagnosed with ARDS each year

Incidence extrapolations for the United States of America for Acute respiratory distress syndrome:

150,000 per year12,500 per month2,884 per week410 per day17 per hour
Acute respiratory distress syndrome by country (Extrapolated Statistics)

Country/Region
Extrapolated Incidence
Population Estimated Used

USA
161,942
293,655,405
Canada
17,927
32,507,874
United Kingdom
33,237
60,270,708
France
33,322
60,424,213
Greece
5,871
10,647,529
Germany
45,454
82,424,609
Ireland
2,189
3,969,558
Italy
32,016
58,057,477
Netherlands
8,999
16,318,199
Poland
21,301
38,626,349
Spain
22,213
40,280,780
China
716,276
1,298,847,624
India
587,355
1,065,070,607
Japan
70,220
127,270,708
Philippines
47,559
86,241,697
Bangladesh
77,945
141,340,476
Thailand
35,771
64,865,523
Russia
79,397
143,974,059
Australia
10,981
19,913,144
New Zealand
2,202
3,993,817
Afghanistan
15,725
28,513,677
Egypt
41,976
76,117,421
Israel
3,418
6,199,008
Saudi Arabia
14,225
25,795,938
Turkey
37,992
68,893,918
Mexico
57,882
104,959,594
Puerto Rico
3,418
6,199,008
South Africa
24,512
44,448,470

Population estimates based upon US Census Bureau, Population Estimates, 2004 and US Census Bureau, International Data Base, 2004