معدل الحدوث و الوفيات في متلازمة العسرة التنفسية الحادة عند الأطفال الموضوعين على جهاز التهوية الآلية

الملخص EN

Background &Objective: Acute respiratory distress syndrome (ARDS) in children represents a devastating complication and an important cause of admission and death observed in pediatric intensive care units (PICU).

The aim of this study is to determine the incidence of this syndrome in mechanically ventilated children and to investigate mortality and its predisposing conditions.

Methods & Material: This descriptive prospective study was carried out for one year in the pediatric intensive care unit (PICU), University Children's Hospital at Damascus University during 2011, for padicnks aging between one month and 14 years.

The study includes every patient admitted to PICU required mechanical ventilation and diagnosed according to the standard of 1994 American-European Consensus Conference (AECC ) definitions.

Results discussed and compared with similar studies in the literature.

Results: From a total of 941 patients admitted to PICU , 74 patients with ARDS were included in this prospective study during a one-year-study period .

The incidence was 7.8% (74/941) of all PICU admissions.

The most common major predisposing factors for ARDS were pneumonia (44,5% ), and septicemia (36,5 % ) .

81% were less than 3 years old.

Median time from PICU admission to the onset of ARDS was 4 days in 58.1 %, whereas 41,9 % (31 of 74) fulfilled the ARDS criteria from the beginning at admission to PICU.

The mortality rate of ARDS was 73 % (60/74)., which accounts for 14.5% of the total PICU deaths.

Conclusion: The incidence and mortality of ARDS in children in our PICU was higher than whet is found in literature.

Pneumonia and sepsis were the commonest major risk factors.

Adequate management, including lung protective ventilation strategy, is required in addition to apply aggressive and strict procedures against the infections