Outcome of acute hypoxaemic respiratory failure: insights from the LUNG SAFE Study. Issue 6 (10th June 2021)

• Record Type: Journal Article
• Authors: Pham, Tài; Pesenti, Antonio; Bellani, Giacomo; Rubenfeld, Gordon; Fan, Eddy; Bugedo, Guillermo; Lorente, José Angel; Fernandes, Antero do Vale; Van Haren, Frank; Bruhn, Alejandro; Rios, Fernando; Esteban, Andres; Gattinoni, Luciano; Larsson, Anders; McAuley, Daniel F.; Ranieri, Marco; Thompson, B. Taylor; Wrigge, Hermann; Brochard, Laurent J.; Laffey, John G.
• Other Names: author non-byline.; Pesenti Antonio author non-byline.; Laffey John G. author non-byline.; Brochard Laurent author non-byline.; Esteban Andres author non-byline.; Gattinoni Luciano author non-byline.; van Haren Frank author non-byline.; Larsson Anders author non-byline.; McAuley Daniel F. author non-byline.; Ranieri Marco author non-byline.; Rubenfeld Gordon author non-byline.; Thompson B. Taylor author non-byline.; Wrigge Hermann author non-byline.; Slutsky Arthur S. author non-byline.; Laffey John G. author non-byline.; Bellani Giacomo author non-byline.; Pham Tài author non-byline.; Fan Eddy author non-byline.; Rios Fernando author non-byline.; van Haren Frank author non-byline.; Sottiaux Thierry author non-byline.; Depuydt Pieter author non-byline.; Lora Fredy S. author non-byline.; Azevedo Luciano Cesar author non-byline.; Fan Eddy author non-byline.; Bugedo Guillermo author non-byline.; Qiu Haibo author non-byline.; Gonzalez Marcos author non-byline.; Silesky Juan author non-byline.; Cerny Vladimir author non-byline.; Nielsen Jonas author non-byline.; Jibaja Manuel author non-byline.; Pham Tài author non-byline.; Wrigge Hermann author non-byline.; Matamis Dimitrios author non-byline.; Ranero Jorge Luis author non-byline.; Amin Pravin author non-byline.; Hashemian S.M. author non-byline.; Clarkson Kevin author non-byline.; Bellani Giacomo author non-byline.; Kurahashi Kiyoyasu author non-byline.; Villagomez Asisclo author non-byline.; Zeggwagh Amine Ali author non-byline.; Heunks Leo M. author non-byline.; Laake Jon Henrik author non-byline.; Palo Jose Emmanuel author non-byline.; Fernandes Antero do Vale author non-byline.; Sandesc Dorel author non-byline.; Arabi Yaasen author non-byline.; Bumbasierevic Vesna author non-byline.; Nin Nicolas author non-byline.; Lorente Jose A. author non-byline.; Larsson Anders author non-byline.; Piquilloud Lise author non-byline.; Abroug Fekri author non-byline.; McAuley Daniel F. author non-byline.; McNamee Lia author non-byline.; Hurtado Javier author non-byline.; Bajwa Ed author non-byline.; Démpaire Gabriel author non-byline.; Sula Hektor author non-byline.; Nunci Lordian author non-byline.; Cani Alma author non-byline.; Zazu Alan author non-byline.; Dellera Christian author non-byline.; Insaurralde Carolina S. author non-byline.; Alejandro Risso V. author non-byline.; Daldin Julio author non-byline.; Vinzio Mauricio author non-byline.; Fernandez Ruben O. author non-byline.; Cardonnet Luis P. author non-byline.; Bettini Lisandro R. author non-byline.; Bisso Mariano Carboni author non-byline.; Osman Emilio M. author non-byline.; Setten Mariano G. author non-byline.; Lovazzano Pablo author non-byline.; Alvarez Javier author non-byline.; Villar Veronica author non-byline.; Pozo Norberto C. author non-byline.; Grubissich Nicolas author non-byline.; Plotnikow Gustavo A. author non-byline.; Vasquez Daniela N. author non-byline.; Ilutovich Santiago author non-byline.; Tiribelli Norberto author non-byline.; Chena Ariel author non-byline.; Pellegrini Carlos A. author non-byline.; Saenz María G. author non-byline.; Estenssoro Elisa author non-byline.; Brizuela Matias author non-byline.; Gianinetto Hernan author non-byline.; Gomez Pablo E. author non-byline.; Cerrato Valeria I. author non-byline.; Bezzi Marco G. author non-byline.; Borello Silvina A. author non-byline.; Loiacono Flavia A. author non-byline.; Fernandez Adriana M. author non-byline.; Knowles Serena author non-byline.; Reynolds Claire author non-byline.; Inskip Deborah M. author non-byline.; Miller Jennene J. author non-byline.; Kong Jing author non-byline.; Whitehead Christina author non-byline.; Bihari Shailesh author non-byline.; Seven Aylin author non-byline.; Krstevski Amanda author non-byline.; Rodgers Helen J. author non-byline.; Millar Rebecca T. author non-byline.; McKenna Toni E. author non-byline.; Bailey Irene M. author non-byline.; Hanlon Gabrielle C. author non-byline.; Aneman Anders author non-byline.; Lynch Joan M. author non-byline.; Azad Raman author non-byline.; Neal John author non-byline.; Woods Paul W. author non-byline.; Roberts Brigit L. author non-byline.; Kol Mark R. author non-byline.; Wong Helen S. author non-byline.; Riss Katharina C. author non-byline.; Staudinger Thomas author non-byline.; Wittebole Xavier author non-byline.; Berghe Caroline author non-byline.; Bulpa Pierre A. author non-byline.; Dive Alain M. author non-byline.; Verstraete Rik author non-byline.; Lebbinck Herve author non-byline.; Depuydt Pieter author non-byline.; Vermassen Joris author non-byline.; Meersseman Philippe author non-byline.; Ceunen Helga author non-byline.; Rosa Jonas I. author non-byline.; Beraldo Daniel O. author non-byline.; Piras Claudio author non-byline.; Rampinelli Adenilton M. author non-byline.; Jr Antonio P. Nassar, author non-byline.; Mataloun Sergio author non-byline.; Moock Marcelo author non-byline.; Thompson Marlus M. author non-byline.; Gonçalves Claudio H. author non-byline.; Antônio Ana Carolina P. author non-byline.; Ascoli Aline author non-byline.; Biondi Rodrigo S. author non-byline.; Fontenele Danielle C. author non-byline.; Nobrega Danielle author non-byline.; Sales Vanessa M. author non-byline.; Abul Wahab Ahmad Yazid Bin HJ author non-byline.; Ismail Maizatul author non-byline.; Shindhe Suresh author non-byline.; Laffey John author non-byline.; Beloncle Francois author non-byline.; Davies Kyle G. author non-byline.; Cirone Rob author non-byline.; Manoharan Venika author non-byline.; Ismail Mehvish author non-byline.; Goligher Ewan C. author non-byline.; Jassal Mandeep author non-byline.; Nishikawa Erin author non-byline.; Javeed Areej author non-byline.; Curley Gerard author non-byline.; Rittayamai Nuttapol author non-byline.; Parotto Matteo author non-byline.; Ferguson Niall D. author non-byline.; Mehta Sangeeta author non-byline.; Knoll Jenny author non-byline.; Pronovost Antoine author non-byline.; Canestrini Sergio author non-byline.; Bruhn Alejandro R. author non-byline.; Garcia Patricio H. author non-byline.; Aliaga Felipe A. author non-byline.; Farías Pamela A. author non-byline.; Yumha Jacob S. author non-byline.; Ortiz Claudia A. author non-byline.; Salas Javier E. author non-byline.; Saez Alejandro A. author non-byline.; Vega Luis D. author non-byline.; Labarca Eduardo F. author non-byline.; Martinez Felipe T. author non-byline.; Carreño Nicolás G. author non-byline.; Lora Pilar author non-byline.; Liu Haitao author non-byline.; Qiu Haibo author non-byline.; Liu Ling author non-byline.; Tang Rui author non-byline.; Luo Xiaoming author non-byline.; An Youzhong author non-byline.; Zhao Huiying author non-byline.; Gao Yan author non-byline.; Zhai Zhe author non-byline.; Ye Zheng L. author non-byline.; Wang Wei author non-byline.; Li Wenwen author non-byline.; Li Qingdong author non-byline.; Zheng Ruiqiang author non-byline.; Yu Wenkui author non-byline.; Shen Juanhong author non-byline.; Li Xinyu author non-byline.; Yu Tao author non-byline.; Lu Weihua author non-byline.; Wu Ya Q. author non-byline.; Huang Xiao B. author non-byline.; He Zhenyang author non-byline.; Lu Yuanhua author non-byline.; Han Hui author non-byline.; Zhang Fan author non-byline.; Sun Renhua author non-byline.; Wang Hua X. author non-byline.; Qin Shu H. author non-byline.; Zhu Bao H. author non-byline.; Zhao Jun author non-byline.; Liu Jian author non-byline.; Li Bin author non-byline.; Liu Jing L. author non-byline.; Zhou Fa C. author non-byline.; Li Qiong J. author non-byline.; Zhang Xing Y. author non-byline.; Li-Xin Zhou author non-byline.; Xin-Hua Qiang author non-byline.; Jiang Liangyan author non-byline.; Gao Yuan N. author non-byline.; Zhao Xian Y. author non-byline.; Li Yuan Y. author non-byline.; Li Xiao L. author non-byline.; Wang Chunting author non-byline.; Yao Qingchun author non-byline.; Yu Rongguo author non-byline.; Chen Kai author non-byline.; Shao Huanzhang author non-byline.; Qin Bingyu author non-byline.; Huang Qing Q. author non-byline.; Zhu Wei H. author non-byline.; Hang Ai Y. author non-byline.; Hua Ma X. author non-byline.; Li Yimin author non-byline.; Xu Yonghao author non-byline.; Di Yu D. author non-byline.; Ling Long L. author non-byline.; Qin Tie H. author non-byline.; Wang Shou H. author non-byline.; Qin Junping author non-byline.; Han Yi author non-byline.; Zhou Suming author non-byline.; Vargas Monica P. author non-byline.; Jimenez Juan I. Silesky author non-byline.; Rojas Manuel A. González author non-byline.; SolisQuesada Jaime E. author non-byline.; Ramirez-Alfaro Christian M. author non-byline.; Máca Jan author non-byline.; Sklienka Peter author non-byline.; Gjedsted Jakob author non-byline.; Christiansen Aage author non-byline.; Nielsen Jonas author non-byline.; Villamagua Boris G. author non-byline.; Llano Iguel author non-byline.; Burtin Philippe author non-byline.; Buzancais Gautier author non-byline.; Beuret Pascal author non-byline.; Pelletier Nicolas author non-byline.; Mortaza Satar author non-byline.; Mercat Alain author non-byline.; Chelly Jonathan author non-byline.; Jochmans Sébastien author non-byline.; Terzi Nicolas author non-byline.; Daubin Cédric author non-byline.; Carteaux Guillaume author non-byline.; de Prost Nicolas author non-byline.; Chiche Jean-Daniel author non-byline.; Daviaud Fabrice author non-byline.; Pham Tài author non-byline.; Fartoukh Muriel author non-byline.; Barberet Guillaume author non-byline.; Biehler Jerome author non-byline.; Dellamonica Jean author non-byline.; Doyen Denis author non-byline.; Arnal Jean-Michel author non-byline.; Briquet Anais author non-byline.; Hraiech Sami author non-byline.; Papazian Laurent author non-byline.; Follin Arnaud author non-byline.; Roux Damien author non-byline.; Messika Jonathan author non-byline.; Kalaitzis Evangelos author non-byline.; Dangers Laurence author non-byline.; Combes Alain author non-byline.; Au Siu-Ming author non-byline.; Béduneau Gaetan author non-byline.; Carpentier Dorothée author non-byline.; Zogheib Elie H. author non-byline.; Dupont Herve author non-byline.; Ricome Sylvie author non-byline.; Santoli Francesco L. author non-byline.; Besset Sebastien L. author non-byline.; Michel Philippe author non-byline.; Gelée Bruno author non-byline.; Danin Pierre-Eric author non-byline.; Goubaux Bernard author non-byline.; Crova Philippe J. author non-byline.; Phan Nga T. author non-byline.; Berkelmans Frantz author non-byline.; Badie Julio C. author non-byline.; Tapponnier Romain author non-byline.; Gally Josette author non-byline.; Khebbeb Samy author non-byline.; Herbrecht Jean-Etienne author non-byline.; Schneider Francis author non-byline.; Declercq PierreLouis M. author non-byline.; Rigaud Jean-Philippe author non-byline.; Duranteau Jacques author non-byline.; Harrois Anatole author non-byline.; Chabanne Russell author non-byline.; Marin Julien author non-byline.; Bigot Charlene author non-byline.; Thibault Sandrine author non-byline.; Ghazi Mohammed author non-byline.; Boukhazna Messabi author non-byline.; Zein Salem Ould author non-byline.; Richecoeur Jack R. author non-byline.; Combaux Daniele M. author non-byline.; Grelon Fabien author non-byline.; Moal Charlene Le author non-byline.; Sauvadet Elise P. author non-byline.; Robine Adrien author non-byline.; Lemiale Virginie author non-byline.; Reuter Danielle author non-byline.; Dres Martin author non-byline.; Demoule Alexandre author non-byline.; Goldgran-Toledano Dany author non-byline.; Baboi Loredana author non-byline.; Guérin Claude author non-byline.; Lohner Ralph author non-byline.; Kraßler Jens author non-byline.; Schäfer Susanne author non-byline.; Zacharowski Kai D. author non-byline.; Meybohm Patrick author non-byline.; Reske Andreas W. author non-byline.; Simon Philipp author non-byline.; Hopf HansBernd F. author non-byline.; Schuetz Michael author non-byline.; Baltus Thomas author non-byline.; Papanikolaou Metaxia N. author non-byline.; Papavasilopoulou Theonymfi G. author non-byline.; Zacharas Giannis A. author non-byline.; Ourailogloy Vasilis author non-byline.; Mouloudi Eleni K. author non-byline.; Massa Eleni V. author non-byline.; Nagy Eva O. author non-byline.; Stamou Electra E. author non-byline.; Kiourtzieva Ellada V. author non-byline.; Oikonomou Marina A. author non-byline.; Avila Luis E. author non-byline.; Cortez Cesar A. author non-byline.; Citalán Johanna E. author non-byline.; Jog Sameer A. author non-byline.; Sable Safal D. author non-byline.; Shah Bhagyesh author non-byline.; Gurjar Mohan author non-byline.; Baronia Arvind K. author non-byline.; Memon Mohammedfaruk author non-byline.; Muthuchellappan Radhakrishnan author non-byline.; Ramesh Venkatapura J. author non-byline.; Shenoy Anitha author non-byline.; Unnikrishnan Ramesh author non-byline.; Dixit Subhal B. author non-byline.; Rhayakar Rachana V. author non-byline.; Ramakrishnan Nagarajan author non-byline.; Bhardwaj Vallish K. author non-byline.; Mahto Heera L. author non-byline.; Sagar Sudha V. author non-byline.; Palaniswamy Vijayanand author non-byline.; Ganesan Deeban author non-byline.; Hashemian Seyed Mohammadreza author non-byline.; Jamaati Hamidreza author non-byline.; Heidari Farshad author non-byline.; Meaney Edel A. author non-byline.; Nichol Alistair author non-byline.; Knapman Karl M. author non-byline.; O'Croinin Donall author non-byline.; Dunne Eimhin S. author non-byline.; Breen Dorothy M. author non-byline.; Clarkson Kevin P. author non-byline.; Jaafar Rola F. author non-byline.; Dwyer Rory author non-byline.; Amir Fahd author non-byline.; Ajetunmobi Olaitan O. author non-byline.; O'Muircheartaigh Aogan C. author non-byline.; Black Colin S. author non-byline.; Treanor Nuala author non-byline.; Collins Daniel V. author non-byline.; Altaf Wahid author non-byline.; Zani Gianluca author non-byline.; Fusari Maurizio author non-byline.; Spadaro Savino author non-byline.; Volta Carlo A. author non-byline.; Graziani Romano author non-byline.; Brunettini Barbara author non-byline.; Palmese Salvatore author non-byline.; Formenti Paolo author non-byline.; Umbrello Michele author non-byline.; Lombardo Andrea author non-byline.; Pecci Elisabetta author non-byline.; Botteri Marco author non-byline.; Savioli Monica author non-byline.; Protti Alessandro author non-byline.; Mattei Alessia author non-byline.; Schiavoni Lorenzo author non-byline.; Tinnirello Andrea author non-byline.; Todeschini Manuel author non-byline.; Giarratano Antonino author non-byline.; Cortegiani Andrea author non-byline.; Giarratano Antonino author non-byline.; Cortegiani Andrea author non-byline.; Antonelli Massimo M. author non-byline.; Montini Luca M. author non-byline.; Casalena Paolo author non-byline.; Scafetti Sergio author non-byline.; Panarello Giovanna author non-byline.; Occhipinti Giovanna author non-byline.; Patroniti Nicolò author non-byline.; Pozzi Matteo author non-byline.; Biscione Roberto R. author non-byline.; Poli Michela M. author non-byline.; Raimondi Ferdinando author non-byline.; Albiero Daniela author non-byline.; Crapelli Giulia author non-byline.; Beck Eduardo author non-byline.; Pota Vincenzo author non-byline.; Schiavone Vincenzo author non-byline.; Molin Alexandre author non-byline.; Tarantino Fabio author non-byline.; Monti Giacomo author non-byline.; Frati Elena author non-byline.; Mirabella Lucia author non-byline.; Cinnella Gilda author non-byline.; Fossali Tommaso author non-byline.; Colombo Riccardo author non-byline.; Terragni Pierpaolo author non-byline.; Pattarino Ilaria author non-byline.; 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Oss Peteris author non-byline.; Haddad Youssef author non-byline.; Liew Kong Y. author non-byline.; ñamendys-Silva Silvio A. author non-byline.; Jarquin-Badiola Yves D. author non-byline.; Sanchez-Hurtado Luis A. author non-byline.; Gomez-Flores Saira S. author non-byline.; Marin Maria C. author non-byline.; Villagomez Asisclo J. author non-byline.; Lemus Jordana S. author non-byline.; Fierro Jonathan M. author non-byline.; Cervantes Mavy Ramirez author non-byline.; Mejia Francisco Javier Flores author non-byline.; Dector Dulce author non-byline.; Rojas Alejandro author non-byline.; Gonzalez Daniel R. author non-byline.; Estrella Claudia R. author non-byline.; Sanchez-Medina Jorge R. author non-byline.; Ramirez-Gutierrez Alvaro author non-byline.; George Fernando G. author non-byline.; Aguirre Janet S. author non-byline.; Buensuseso Juan A. author non-byline.; Poblano Manuel author non-byline.; Buensuseso Juan A. author non-byline.; Poblano Manuel author non-byline.; Dendane Tarek author non-byline.; 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• Is Part Of: European respiratory journal. Volume 57:Issue 6(2021)
• Publication Date: 2021-06-10
• Subjects: Respiratory organs -- Diseases -- Periodicals; Respiration -- Periodicals; 616.2
• DOI: 10.1183/13993003.03317-2020
• Languages: English
• ISSNs: 0903-1936

Abstract

Background: Current incidence and outcome of patients with acute hypoxaemic respiratory failure requiring mechanical ventilation in the intensive care unit (ICU) are unknown, especially for patients not meeting criteria for acute respiratory distress syndrome (ARDS). Methods: An international, multicentre, prospective cohort study of patients presenting with hypoxaemia early in the course of mechanical ventilation, conducted during four consecutive weeks in the winter of 2014 in 459 ICUs from 50 countries (LUNG SAFE). Patients were enrolled with arterial oxygen tension/inspiratory oxygen fraction ratio ≤300 mmHg, new pulmonary infiltrates and need for mechanical ventilation with a positive end-expiratory pressure of ≥5 cmH2 O. ICU prevalence, causes of hypoxaemia, hospital survival and factors associated with hospital mortality were measured. Patients with unilateral versus bilateral opacities were compared. Findings: 12 906 critically ill patients received mechanical ventilation and 34.9% with hypoxaemia and new infiltrates were enrolled, separated into ARDS (69.0%), unilateral infiltrate (22.7%) and congestive heart failure (CHF; 8.2%). The global hospital mortality was 38.6%. CHF patients had a mortality comparable to ARDS (44.1% versus 40.4%). Patients with unilateral-infiltrate had lower unadjusted mortality, but similar adjusted mortality compared to those with ARDS. The number of quadrants on chest imaging was associated with an increased risk of death. There was no difference in mortality comparing patients with unilateral-infiltrate and ARDS with only two quadrants involved. Interpretation: More than one-third of patients receiving mechanical ventilation have hypoxaemia and new infiltrates with a hospital mortality of 38.6%. Survival is dependent on the degree of pulmonary involvement whether or not ARDS criteria are reached. Patients with hypoxaemic respiratory failure represent more than one-third of patients requiring mechanical ventilation and their mortality often exceeds 40%. Adjusting for severity, mortality is similar whether it is unilateral or bilateral (as in ARDS). https://bit.ly/2VshdWc