Is chest imaging relevant in diagnosing acute respiratory distress syndrome in polytrauma patients? A population-based cohort study.
Karlijn Julia Patricia van WessemLuke Petrus Hendrikus LeenenPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2019)
Many patients developed AHRF and only a few ARDS. Patients with similar hypoxemia without bilateral diffuse pulmonary infiltrates had comparable outcome as ARDS patients. Chest imaging did not influence the outcome. Large-scale multicenter validation of ARDS criteria is warranted to investigate whether diffuse bilateral pulmonary infiltrates on chest imaging could be omitted as a mandatory part of the definition of ARDS in polytrauma patients.
Keyphrases
- acute respiratory distress syndrome
- end stage renal disease
- ejection fraction
- chronic kidney disease
- newly diagnosed
- extracorporeal membrane oxygenation
- mechanical ventilation
- peritoneal dialysis
- high resolution
- prognostic factors
- intensive care unit
- pulmonary hypertension
- patient reported outcomes
- case report
- high grade