Acute Respiratory Distress Syndrome in Patients Discharged From a Tertiary Hospital in Taiwan: Long-Term Survival and Prognostic Factors

• Published in: Nursing research (New York) Vol. 64; no. 5; p. 402
• Main Authors: Chen, Hui-Chuan, Wu, Huey-Dong, Liu, Hsiang-Wen, Chang, Hong-Jer, Lee, Ming-Der, Huang, Pei-Yu, Kuo, Ping-Hung
• Format: Journal Article
• Language: English
• Published: United States 01.09.2015
• Subjects: Age Factors; Aged; Female; Follow-Up Studies; Health Status; Hospital Mortality; Humans; Intensive Care Units; Kidney Diseases - mortality; Lung Diseases - mortality; Male; Patient Discharge; Prognosis; Proportional Hazards Models; Respiratory Distress Syndrome, Adult - mortality; Retrospective Studies; Risk Factors; Taiwan - epidemiology; Tertiary Care Centers; Taiwan
• ISSN: 1538-9847
• DOI: 10.1097/NNR.0000000000000110

Acute respiratory distress syndrome (ARDS) carries significant morbidity and mortality. No previous studies have investigated the long-term outcomes of ARDS patients in Taiwan. This study aimed to investigate the survival of ARDS patients after discharge from the hospital in Taiwan. Medical records from 150 ARDS patients discharged alive from the intensive care unit from January 2004 to June 2009 were reviewed. Survival of these patients was followed for 5 years, and prognostic factors were identified. Cumulative survival rates were 81.4% at 6 months, 79.0% at 1 year, 67.2% at 2 years, and 45.7% at 5 years. Independent prognostic factors influencing both 1- and 5-year survival rates were age, previous lung disease, and disposition after discharge. For 5-year survival, renal disease was also an independent risk factor. The mortality rate of ARDS survivors after intensive care unit discharge is still high in Taiwan. Three independent risk factors were found to affect the overall survival of these patients.