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Published: 2023-03-31
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DOI: https://doi.org/10.52852/tcncyh.v164i3.1434
Issue
Vol. 164 No. 3 (2023)
Section
Các bài báo
How to Cite
Chính, L. Q. ., & Quỳnh, P. T. . (2023). 8. Factors relating to mortality in patients with acute respiratory distress syndrome due to pneumonia. Journal of Medical Research, 164(3), 61-72. https://doi.org/10.52852/tcncyh.v164i3.1434

8. Factors relating to mortality in patients with acute respiratory distress syndrome due to pneumonia

Luong Quoc Chinh, Pham Thi Quynh

Main Article Content

Abstract

This retrospective cross-sectional observational study aimed to evaluate factors associated with intensive care unit (ICU) mortality in patients with acute respiratory distress syndrome due to pneumonia at Bach Mai Hospital between August 2018 and August 2022. Of 105 patients, 66.7% (70/105) were men, and the median age was 62.0 (Q1 - Q2: 48.5 - 72.5) years. On admission, most patients had moderate (35.2%; 37/105) and severe (54.3%; 57/105) hypoxemia according to the Berlin criteria, and respiratory viruses (31.7%; 26/82) were the most common pathogens of pneumonia. The all-cause ICU mortality rate was 69.5% (73/105). Multivariable logistic regression analysis shows that endotracheal intubation in lower-level hospitals or on the way to a central hospital (adjusted odds ratio/AOR: 0.156; 95%CI: 0.029 - 0.841; p < 0.001) and septic shock (AOR: 15.882; 95%CI: 2.426 - 103.992; p = 0.004) were independently associated with ICU mortality in patients with ARDS due to pneumonia.

Article Details

Keywords

Acute Respiratory Distress Syndrome, Berlin criteria, Endotracheal intubation, Mechanical ventilation, Pneumonia, Septic shock

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