Respiratory failure & ventilation

Epidemiology of the acute respiratory distress syndrome and the prognostic validity of SpO2:FiO2 under the expanded Global definition

Crit CarePublished Prospective cohort study

Authors' conclusion

Our work establishes an increased incidence and modestly decreased time to diagnosis of ARDS under the Global definition and supports the prognostic validity of SFR.

Study context

Population
Critically ill patients with sepsis
Participants
950 patients
Exposure
2023 Global vs 2012 Berlin acute respiratory distress syndrome (ARDS) definitions
  • Globaln = 466
  • Berlinn = 427reference
Outcome
Incidence and outcomes of ARDS under Berlin vs Global definitions; relationship of SFR-derived severity categories with mortality

Main finding

As reported in the abstract

ARDS incidence · 6-day follow-up

Observational data: associations, not effects.

Further findings

OutcomeMedian difference (h earlier)
Time to ARDS qualification3.0

Mortality

Comparable between Global and Berlin definitions at onset; substantially lower for patients who never met the Berlin definition

Prognostic validity of SFR · 30 days

SFR predictive of 30-day mortality; moderate correlation with PaO2:FiO2 ratio

Original publication

Epidemiology of the acute respiratory distress syndrome and the prognostic validity of SpO2:FiO2 under the expanded Global definition. Crit Care. Published 8 May 2026. doi:10.1186/s13054-026-06043-4

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.