Respiratory failure & ventilation

Association between Age and Mortality in Pediatric and Adult Acute Respiratory Distress Syndrome

Am J Respir Crit Care MedPublished Retrospective cohort study

Authors' conclusion

There was a nonlinear relationship between age and mortality in pediatric and adult ARDS.

Study context

Population
Children and adults with acute respiratory distress syndrome (ARDS) meeting Berlin criteria43% moderate ARDS
Participants
7,862 children
Exposure
Age across pediatric and adult ARDS
  • Pediatric cohortsn = 1,236
  • Adult trialsn = 5,547
  • Adult observationaln = 1,079
Outcome
Association between age and mortality
Follow-up
90 days
Methodological detailspooled pediatric and adult cohorts and trials, fractional polynomial logistic regression, adjusted
  • Pooled pediatric and adult cohorts and trials
  • Fractional polynomial logistic regression
  • Adjusted

Main finding

As reported in the abstract

Age–mortality relationship
  • Nonlinear relationship between age and mortality: risk increased at an accelerating rate between 11 and 65 years of age, more slowly thereafter
  • Adjusted for sex, PaO2/FiO2, immunosuppressed status, year of study, and observational vs RCT; each study a fixed effect

Observational data: associations, not effects.

Further findings

90-day mortality by cohort

Original publication

Association between Age and Mortality in Pediatric and Adult Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med. Published 1 April 2024. doi:10.1164/rccm.202310-1926oc

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