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. 2018 Mar 31;31(1):9-12.

Acute respiratory distress syndrome among severe burn patients in a developing country: application result of the berlin definition

N N Lam  1 , T D Hung  1 , D K Hung  2
Affiliations

Acute respiratory distress syndrome among severe burn patients in a developing country: application result of the berlin definition

N N Lam et al. Ann Burns Fire Disasters. .

Abstract
in English, French

Our aim was to investigate risk factors and outcome of Acute Respiratory Distress Syndrome (ARDS) in severe burn patients. A descriptive study was carried out on 159 adult burn patients with burn extent ≥ 20% total body surface area, treated at the Burn Intensive Care Unit, National Institute of Burns. ARDS was defined according to the 2012 Berlin definition. Risk factors for developing ARDS and outcome were recorded and analyzed. Results showed that 45 patients developed ARDS (28.3%). Severe ARDS was recorded in 30 of these patients, accounting for 66.7%. Inhalation injury, burn surface area over 40% and full thickness burn area over 20% TBSA were determined as risk factors for the development of ARDS. Mortality rate of patients with ARDS was extremely high (80%), especially for severe ARDS patients (p < 0.01), and deaths were mostly due to multiple organ failure.

Notre de but était d’étudier les facteurs de risque de SDRA et le devenir des patients brûlés en souffrant. Une étude descriptive a été conduite sur 159 patients brûlés sur plus de 20% SCT traités dans l’Unité de Réanimation pour Brûlés de l’Institut National des Brûlés. La classification de Berlin 2012 a été utilisée pour définir le SDRA. Quarante cinq (28,3%) patients ont développé un SDRA, classé comme sévère pour les 2/3 d’entre eux. Une inhalation de fumée, une surface totale brûlée > 40% et une atteinte profonde > 20% sont des facteurs de risque. La mortalité de ces patients est majeure (80%), dans le cadre de défaillance multiviscérale, en particulier si le SDRA est sévère (p<0,01).

Keywords: ARDS; outcomes; severe burn.

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Figures

Table I
Table I. PEEP/FiO2 combinations for ventilation of patients with ARDS
Table II
Table II. Demographic criteria of patients (n = 159)
Table III
Table III. Severity classification of ARDS according to the Berlin definition (n = 45)
Table IV
Table IV. Distribution of ARDS by gender, age and inhalation injury
Table V
Table V. Distribution of ARDS by burn extent
Table VI
Table VI. Relationship between ARDS development and other criteria
Fig. 1
Fig. 1. Relationship between number of risk factors and ARDS development.
Table VII
Table VII
See this image and copyright information in PMC

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