Temporal evolution of acute respiratory distress syndrome definitions

Temporal evolution of acute respiratory distress syndrome definitions

Author Fioretto, José Roberto Google Scholar
Carvalho, Werther Brunow de Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Soc Paulista Terapia Intensiva
Universidade de São Paulo (USP)
Abstract Objective: to review the evolution of acute respiratory distress syndrome (ARDS) definitions and present the current definition for the syndrome.Data source: a literature review and selection of the most relevant articles on ARDS definitions was performed using the MEDLINE (R)/PubMed (R) Resource Guide database (last ten years), in addition to including the most important articles (classic articles) that described the disease evolution.Data synthesis: the review included the following subjects: introduction; importance of definition; description of the first diagnostic criterion and subsequently used definitions, such as acute lung injury score; definition by the American-European Consensus Conference, and its limitations; description of the definition by Delphi, and its problems; accuracy of the aforementioned definitions; description of most recent definition (the Berlin definition), and its limitations; and practical importance of the new definition.Conclusions: ARDS is a serious disease that remains an ongoing diagnostic and therapeutic challenge. the evolution of definitions used to describe the disease shows that studies are needed to validate the current definition, especially in pediatrics, where the data are very scarce. (C) 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.
Keywords Acute respiratory distress syndrome
Acute lung injury
Pediatric ICU
Language Portuguese
Date 2013-11-01
Published in Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 89, n. 6, p. 523-530, 2013.
ISSN 0021-7557 (Sherpa/Romeo, impact factor)
Publisher Soc Brasil Pediatria
Extent 523-530
Origin http://dx.doi.org/10.1016/j.jped.2013.02.023
Access rights Open access Open Access
Type Review
Web of Science ID WOS:000328910100003
SciELO ID S0021-75572013000600003 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/36892

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