Short people got no reason: gender, height, and disparities in the management of acute lung injury
- PMID: 22221554
- PMCID: PMC3388692
- DOI: 10.1186/cc10509
Short people got no reason: gender, height, and disparities in the management of acute lung injury
Abstract
Though the benefits of lung protective ventilation (LPV) in acute lung injury/acute respiratory distress syndrome (ALI/ARDS) have been known for more than a decade, widespread clinical adoption has been slow. Han and colleagues demonstrate that women with ALI/ARDS are less likely than men to receive LPV, though this disparity resolves when the analysis is adjusted for patient height. This analysis identifies patient height as a significant factor in predicting provider adherence with LPV guidelines, and illuminates why some disparities in intensive care exist and how they may be resolved via improved utilization of evidence-driven protocols.
Comment on
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Short women with severe sepsis-related acute lung injury receive lung protective ventilation less frequently: an observational cohort study.Crit Care. 2011;15(6):R262. doi: 10.1186/cc10524. Epub 2011 Nov 1. Crit Care. 2011. PMID: 22044724 Free PMC article.
References
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- The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342:1301–1308. - PubMed
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