Respiratory failure & ventilation

Rapidly improving ARDS differs clinically and biologically from persistent ARDS

Crit CarePublished Prospective observational cohort study

Authors' conclusion

This study identifies a high prevalence of RIARDS in a multicenter observational cohort and confirms the more benign clinical course of these patients.

Study context

Population
Endotracheally intubated patients meeting Berlin criteria for ARDS at a tertiary care centre and an urban safety net hospital
Participants
215 participants
Exposure
Rapidly improving acute respiratory distress syndrome (RIARDS) vs persistent ARDS
Outcome
Clinical and biological features of RIARDS and its association with inflammatory subphenotypes
Methodological detailstwo sites
  • Two sites

Main finding

As reported in the abstract

Prevalence of RIARDS

RIARDS

21%

Observational data: associations, not effects.

Further findings

Hospital mortality

P < 0.001

Hypoinflammatory phenotype

P = 0.001

Median

OutcomeRIARDSPersistent ARDSP value
ICU-free days240P < 0.001

Plasma IL-6, IL-8 and PAI-1 · day of enrollment

Significantly lower in RIARDS

Original publication

Rapidly improving ARDS differs clinically and biologically from persistent ARDS. Crit Care. Published 22 April 2024. doi:10.1186/s13054-024-04883-6

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