Table 2 Management of ARDS patients meeting ARDS criteria within 48 h of acute hypoxemic respiratory failure onset (n = 2813)
Parameters | ARDS patients with ≥1 risk factor identified (n = 2579) | ARDS patients with no risk factor identified (n = 234) | p valuea |
|---|---|---|---|
Diagnostic procedures | |||
Assessment of LHFP | 1780 (68.4) | 160 (69.4) | >0.99 |
Echocardiography | 1636 (63.4) | 151 (64.5) | 0.79 |
Pulmonary artery catheter | 103 (4.0) | 14 (6.0) | 0.20 |
TTP | 166 (6.4) | 10 (4.3) | 0.24 |
Other methods | 155 (6.0) | 12 (5.1) | 0.69 |
Chest CT scan | 617 (23.9) | 75 (32.1) | <0.01 |
Number of chest CT scan | 0 [0–0] | 0 [0–1] | <0.01 |
Open lung biopsy | 5 (0.2) | 6 (2.6) | <0.01 |
Treatment of ARDS | |||
Neuromuscular blocking agents | |||
In the 1st 72 h of ARDS | 440 (17.1) | 26 (11.1) | 0.02 |
At any time during ICU stay | 517 (20.0) | 33 (14.1) | 0.04 |
Recruitment maneuvers | |||
In the 1st 72 h of ARDS | 446 (17.3) | 30 (12.8) | 0.10 |
At any time during ICU stay | 506 (19.6) | 33 (14.1) | 0.05 |
Prone positioning | |||
In the 1st 72 h of ARDS | 134 (5.2) | 8 (3.4) | 0.30 |
At any time during ICU stay | 190 (7.4) | 11 (4.7) | 0.17 |
ECMO | |||
In the 1st 72 h of ARDS | 60 (2.3) | 6 (2.6) | >0.99 |
At any time during ICU stay | 70 (2.7) | 8 (3.4) | 0.67 |
Inhaled vasodilators | |||
In the 1st 72 h of ARDS | 156 (6.0) | 7 (3.0) | 0.08 |
At any time during ICU stay | 200 (7.9) | 10 (3.8) | 0.02 |
Corticosteroids | |||
In the 1st 72 h of ARDS | 367 (14.2) | 39 (16.7) | 0.36 |
At any time during ICU stay | 467 (18.1) | 41 (17.5) | 0.89 |