Document Detail


[Study on the clinicopathological correlation in the secondary acute respiratory distress syndrome].
MedLine Citation:
PMID:  21183249     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study has aimed to study the clinicopathological correlation of patients with secondary acute respiratory distress syndrome (ARDS), specifically having extrapulmonary causes.
SETTING: A 22 beds intensive care unit.
DESIGN: An observational study of case series.
PATIENTS: Seventeen patients whose death was caused by acute respiratory distress syndrome were included.
INTERVENTION: A systematic histopathological study was made of all the pulmonary lobes of patients who died in our ICU with the clinical diagnosis of secondary ARDS, who had undergone an autopsy between 1999 and 2009. The Kappa analysis was used to analyze the grade of correlation between the clinical and the pathological diagnosis.
RESULTS: The autopsy confirmed to cases of false positive in 17 patients with ARDS (11%). The kappa value was 0.77, so that the concordance analysis was considered to be satisfactory.
CONCLUSIONS: The clinical criteria for ARDS correlate well with acute alveolar damage (AAD) in the autopsy study in patients with secondary ARDS, although some false positive cases can be observed.
Authors:
X Sarmiento; J Almirall; J J Guardiola; E Mesalles; L Labarta; J L Mate; M Soler; J Klamburg
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Publication Detail:
Type:  English Abstract; Journal Article     Date:  2010-12-22
Journal Detail:
Title:  Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias     Volume:  35     ISSN:  1578-6749     ISO Abbreviation:  Med Intensiva     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-02-04     Completed Date:  2011-07-19     Revised Date:  2012-01-18    
Medline Journal Info:
Nlm Unique ID:  9207689     Medline TA:  Med Intensiva     Country:  Spain    
Other Details:
Languages:  spa     Pagination:  22-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier España, S.L. y SEMICYUC. All rights reserved.
Affiliation:
Hospital Universitari Germans Trias i Pujol, Barcelona, España. 16155jsm@comb.cat
Vernacular Title:
Estudio sobre la correlación clínico-patológica en el síndrome de distrés respiratorio agudo secundario.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Male
Prospective Studies
Respiratory Distress Syndrome, Adult / etiology,  pathology*

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