Etiology and Outcomes of ARDS in a Rural-Urban Fringe Hospital of South India
Objectives. Etiology and outcomes of acute lung injury in tropical countries may be different from those of western nations. We describe the etiology and outcomes of illnesses causing acute lung injury in a rural populace. Study Design. A prospective observational study. Setting. Medical ICU of a te...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/181593 |
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| author | Tarun George Stalin Viswanathan Ali Hasan Faiz Karnam Georgi Abraham |
| author_facet | Tarun George Stalin Viswanathan Ali Hasan Faiz Karnam Georgi Abraham |
| author_sort | Tarun George |
| collection | DOAJ |
| description | Objectives. Etiology and outcomes of acute lung injury in tropical countries may be different from those of western nations. We describe the etiology and outcomes of illnesses causing acute lung injury in a rural populace. Study Design. A prospective observational study. Setting. Medical ICU of a teaching hospital in a rural-urban fringe location. Patients. Patients ≥13 years, admitted between December 2011 and May 2013, satisfying AECC criteria for ALI/ARDS. Results. Study had 61 patients; 46 had acute lung injury at admission. Scrub typhus was the commonest cause (7/61) and tropical infections contributed to 26% of total cases. Increasing ARDS severity was associated with older age, higher FiO2 and APACHE/SOFA scores, and longer duration of ventilation. Nonsurvivors were generally older, had shorter duration of illness, a nontropical infection, and higher total WBC counts, required longer duration of ventilation, and had other organ dysfunction and higher mean APACHE scores. The mortality rate of ARDS was 36.6% (22/61) in our study. Conclusion. Tropical infections form a major etiological component of acute lung injury in a developing country like India. Etiology and outcomes of ARDS may vary depending upon the geographic location and seasonal illnesses. |
| format | Article |
| id | doaj-art-963b38e13e8c41ba939d3fcd1a6f1db8 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-963b38e13e8c41ba939d3fcd1a6f1db82025-02-03T05:50:27ZengWileyCritical Care Research and Practice2090-13052090-13132014-01-01201410.1155/2014/181593181593Etiology and Outcomes of ARDS in a Rural-Urban Fringe Hospital of South IndiaTarun George0Stalin Viswanathan1Ali Hasan Faiz Karnam2Georgi Abraham3Department of Internal Medicine, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry 6050014, IndiaDepartment of General Medicine, Indira Gandhi Medical College & RI, Kadirkamam, Pondicherry 605009, IndiaDepartment of Internal Medicine, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry 6050014, IndiaDepartment of Internal Medicine, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry 6050014, IndiaObjectives. Etiology and outcomes of acute lung injury in tropical countries may be different from those of western nations. We describe the etiology and outcomes of illnesses causing acute lung injury in a rural populace. Study Design. A prospective observational study. Setting. Medical ICU of a teaching hospital in a rural-urban fringe location. Patients. Patients ≥13 years, admitted between December 2011 and May 2013, satisfying AECC criteria for ALI/ARDS. Results. Study had 61 patients; 46 had acute lung injury at admission. Scrub typhus was the commonest cause (7/61) and tropical infections contributed to 26% of total cases. Increasing ARDS severity was associated with older age, higher FiO2 and APACHE/SOFA scores, and longer duration of ventilation. Nonsurvivors were generally older, had shorter duration of illness, a nontropical infection, and higher total WBC counts, required longer duration of ventilation, and had other organ dysfunction and higher mean APACHE scores. The mortality rate of ARDS was 36.6% (22/61) in our study. Conclusion. Tropical infections form a major etiological component of acute lung injury in a developing country like India. Etiology and outcomes of ARDS may vary depending upon the geographic location and seasonal illnesses.http://dx.doi.org/10.1155/2014/181593 |
| spellingShingle | Tarun George Stalin Viswanathan Ali Hasan Faiz Karnam Georgi Abraham Etiology and Outcomes of ARDS in a Rural-Urban Fringe Hospital of South India Critical Care Research and Practice |
| title | Etiology and Outcomes of ARDS in a Rural-Urban Fringe Hospital of South India |
| title_full | Etiology and Outcomes of ARDS in a Rural-Urban Fringe Hospital of South India |
| title_fullStr | Etiology and Outcomes of ARDS in a Rural-Urban Fringe Hospital of South India |
| title_full_unstemmed | Etiology and Outcomes of ARDS in a Rural-Urban Fringe Hospital of South India |
| title_short | Etiology and Outcomes of ARDS in a Rural-Urban Fringe Hospital of South India |
| title_sort | etiology and outcomes of ards in a rural urban fringe hospital of south india |
| url | http://dx.doi.org/10.1155/2014/181593 |
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