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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Geo-economic variations in epidemiology, patterns of care, and outcomes in patients with acute respiratory distress syndrome: insights from the LUNG SAFE prospective cohort study
The Lancet Respiratory Medicine, Volume 5, No. 8, Year 2017
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Description
Background Little information is available about the geo-economic variations in demographics, management, and outcomes of patients with acute respiratory distress syndrome (ARDS). We aimed to characterise the effect of these geo-economic variations in patients enrolled in the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE). Methods LUNG SAFE was done during 4 consecutive weeks in winter, 2014, in a convenience sample of 459 intensive-care units in 50 countries across six continents. Inclusion criteria were admission to a participating intensive-care unit (including transfers) within the enrolment window and receipt of invasive or non-invasive ventilation. One of the trial's secondary aims was to characterise variations in the demographics, management, and outcome of patients with ARDS. We used the 2016 World Bank countries classification to define three major geo-economic groupings, namely European high-income countries (Europe-High), high-income countries in the rest of the world (rWORLD-High), and middle-income countries (Middle). We compared patient outcomes across these three groupings. LUNG SAFE is registered with ClinicalTrials.gov, number NCT02010073. Findings Of the 2813 patients enrolled in LUNG SAFE who fulfilled ARDS criteria on day 1 or 2, 1521 (54%) were recruited from Europe-High, 746 (27%) from rWORLD-High, and 546 (19%) from Middle countries. We noted significant geographical variations in demographics, risk factors for ARDS, and comorbid diseases. The proportion of patients with severe ARDS or with ratios of the partial pressure of arterial oxygen (PaO2) to the fractional concentration of oxygen in inspired air (FIO2) less than 150 was significantly lower in rWORLD-High countries than in the two other regions. Use of prone positioning and neuromuscular blockade was significantly more common in Europe-High countries than in the other two regions. Adjusted duration of invasive mechanical ventilation and length of stay in the intensive-care unit were significantly shorter in patients in rWORLD-High countries than in Europe-High or Middle countries. High gross national income per person was associated with increased survival in ARDS; hospital survival was significantly lower in Middle countries than in Europe-High or rWORLD-High countries. Interpretation Important geo-economic differences exist in the severity, clinician recognition, and management of ARDS, and in patients' outcomes. Income per person and outcomes in ARDS are independently associated. Funding European Society of Intensive Care Medicine, St Michael's Hospital, University of Milan-Bicocca. © 2017 Elsevier Ltd
Authors & Co-Authors
Laffey, John
Canada, Toronto
Saint Michael's Hospital University of Toronto
Canada, Toronto
Li ka Shing Knowledge Institute
Canada, Toronto
University of Toronto
Madotto, Fabiana
Italy, Milan
Università Degli Studi Di Milano-bicocca
Bellani, Giacomo
Italy, Milan
Università Degli Studi Di Milano-bicocca
Italy, Monza
Azienda Ospedaliera San Gerardo Monza
Pham, Tài I.
Canada, Toronto
Li ka Shing Knowledge Institute
Canada, Toronto
University of Toronto
France, Paris
Sorbonne Université
Fan, Eddy
Canada, Toronto
University of Toronto
Canada, Toronto
Mount Sinai Hospital of University of Toronto
Brochard, Laurent Jean
Canada, Toronto
Li ka Shing Knowledge Institute
Canada, Toronto
University of Toronto
Amin, Pravin R.
India, Mumbai
Bombay Hospital and Medical Research Centre
Arabi, Yaseen M.
Saudi Arabia, Riyadh
King Saud Bin Abdulaziz University for Health Sciences
Saudi Arabia, Riyadh
National Guard Health Affairs
Bajwa, Ednan Khalid
United States, Boston
Massachusetts General Hospital
Bruhn, Alejandro R.
Chile, Santiago
Pontificia Universidad Católica de Chile
Cerný, Vladimír
Czech Republic, Usti Nad Labem
Univerzita Jana Evangelisty Purkyne V Ústí Nad Labem
Czech Republic, Prague
Charles University
Clarkson, Kevin P.
Ireland, Galway
University Hospital Galway
Heunks, Leo M.A.
Netherlands, Amsterdam
Amsterdam Umc - Vrije Universiteit Amsterdam
Kurahashi, Kiyoyasu
Japan, Otawara
International University of Health and Welfare
Laake, Jon Henrik
Norway, Oslo
Oslo Universitetssykehus
Lorente, José Ángel A.
Spain, Villaviciosa de Odon
Universidad Europea de Madrid
McNamee, Lia
United Kingdom, Belfast
Queen's University Belfast
United Kingdom, Belfast
Wellcome-wolfson Institute for Experimental Medicine
United Kingdom, Belfast
Royal Victoria Hospital Belfast
Nín, Nicholas
Spain, Villaviciosa de Odon
Universidad Europea de Madrid
Uruguay, Montevideo
Hospital Español
Palo, Jose Emmanuel M.
Philippines, Pasig
Section of Adult Critical Care
Piquilloud, Lise
Switzerland, Lausanne
Centre Hospitalier Universitaire Vaudois
France, Angers
Chu Angers
Qiu, Haibo
China, Nanjing
Southeast University
Jiménez, Juan Ignacio Silesky
Costa Rica, San Jose
Universidad de Costa Rica
Esteban, Andrés
Spain, Villaviciosa de Odon
Universidad Europea de Madrid
Uruguay, Montevideo
Hospital Español
McAuley, Daniel F.
United Kingdom, Belfast
Queen's University Belfast
United Kingdom, Belfast
Wellcome-wolfson Institute for Experimental Medicine
United Kingdom, Belfast
Royal Victoria Hospital Belfast
van Haren, Frank M.P.
Australia, Canberra
Canberra Hospital
Australia, Canberra
The Australian National University
Ranieri, V. Marco
Italy, Rome
Azienda Ospedaliera Universitaria Policlinico Umberto I
Rubenfeld, Gordon David
Canada, Toronto
University of Toronto
Canada, Toronto
Sunnybrook Health Sciences Centre
Wrigge, Hermann
Germany, Leipzig
Universität Leipzig
Slutsky, Arthur S.
Canada, Toronto
Li ka Shing Knowledge Institute
Canada, Toronto
University of Toronto
Pesenti, Antonio Maria
Italy, Milan
Fondazione Irccs Ca' Granda Ospedale Maggiore Policlinico
Gattinoni, Luciano G.
Unknown Affiliation
Larsson, Anders Sune
Unknown Affiliation
Thompson, Boyd Taylor
Unknown Affiliation
Ríos, Fernando Gonçalves
Unknown Affiliation
Sottiaux, Thierry M.
Unknown Affiliation
Depuydt, Pieter O.
Unknown Affiliation
Lora, Fredy S.
Unknown Affiliation
Azevedo, Luciano César Pontes
Unknown Affiliation
Bugedo, Guillermo
Unknown Affiliation
González, Marco A.
Unknown Affiliation
Silesky, Juan
Unknown Affiliation
Nielsen, Jonas Bille
Unknown Affiliation
Jibaja, Manuel
Unknown Affiliation
Matamis, Dimitrios
Unknown Affiliation
Ranero, Jorge Luis M.
Unknown Affiliation
Hashemian, Seyed Mohammad Reza
Unknown Affiliation
Villagómez, Asisclo Jesús
Unknown Affiliation
Zeggwagh, Amine Ali
Unknown Affiliation
Fernandes, Antero Do Vale
Unknown Affiliation
Sǎndesc, Dorel
Unknown Affiliation
Bumbasierevic, Vesna
Unknown Affiliation
Hurtado, Javier L.
Unknown Affiliation
d’Empaire, Gabriel
Unknown Affiliation
Sula, Hektor H.
Unknown Affiliation
Nunci, Lordian
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Cani, Alma
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Zazu, Alan
Unknown Affiliation
Dellera, Christian
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Alejandro, Risso V.
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Daldin, Julio
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Fernández, Rubén Oscar
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Cardonnet, Luis Pablo
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Bettini, Lisandro Roberto
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Bisso, Mariano Carboni
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Osman, Emilio M.
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Setten, Mariano G.
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Villar, Veronica
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Pozo, Norberto Christian
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Grubissich, Nicolas
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Plotnikow, Gustavo Adrián
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Vásquez, Daniela Noris
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Ilutovich, Santiago
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Tiribelli, Norberto
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Chena, Ariel
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Pellegrini, Carlos Anibal
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Saenz, María Gabriela
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Estenssoro, Elisa
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Brizuela, Matías
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Gianinetto, Hernan
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Gómez, Pablo Edgardo
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Cerrato, Valeria I.
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Bezzi, Marco Guillermo
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Borello, Silvina A.
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Loiacono, Flavia A.
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Fernandez, Adriana M.
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Knowles, Serena
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Reynolds, Claire
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Inskip, Deborah M.
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Miller, Jennene J.
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Kong, Jing
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Whitehead, Christina
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Bihari, Shailesh
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Seven, Aylin
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Krstevski, Amanda
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Rodgers, Helen J.
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Millar, Rebecca T.
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McKenna, Toni E.
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Bailey, Irene M.
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Åneman, Erik Anders
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Staudinger, Thomas
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Wittebole, Xavier
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Bulpa, Pierre A.
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Piras, Cláudio
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Beloncle, François Michel
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Cirone, Rob
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Goligher, Ewan C.
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Rittayamai, Nuttapol
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Ferguson, Niall D.
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Mehta, Sangeeta K.
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García, Pablo Martín
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An, Youzhong
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Qin, Bingyu
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Zhou, Suming
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Maca, Jan
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Sklienka, Peter
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Gjedsted, Jakob
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Burtin, Philippe
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Beuret, Pascal
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Mercat, Alain
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Carteaux, Guillaume
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de Prost, Nicolas
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Chiche, Jean Daniel
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Daviaud, Fabrice
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Fartoukh, Muriel Sarah
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Dellamonica, Jean
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Arnal, Jean Michel
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Papazian, Laurent
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Messika, Jonathan
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Béduneau, Gaëtan
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Zogheib, Élie H.
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Dupont, Hervé
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Besset, Sébastien L.
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Danin, Pierre Éric
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Badie, Julio C.
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Schneider, Francis
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Rigaud, Jean Philippe
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Chabanne, Russell
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Richecoeur, Jack R.
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Robine, Adrien
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Dres, Martin
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Demoule, Alexandre
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Zacharowski, Kai D.
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Mouloudi, Eleni K.
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Jog, Sameer Arvind
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Shah, Bhagyesh Ashwinkumar
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Gurjar, Mohan
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Baronia, Arvind Kumar
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Ramakrishnan, N.
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Nichol, Alistair D.
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Spadaro, S.
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Protti, Alessandro
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Cortegiani, Andrea
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Antonelli, Massimo M.
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Montini, Luca Maria
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Beck, Eduardo J.
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Cinnella, Gilda
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Foti, Giuseppe
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Brazzi, Luca
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Iotti, Giorgio Antonio
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Ñamendys-Silva, Silvio A.
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Sanchez-Hurtado, Luis A.
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del Carmen Marín, María
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Dendane, Tarek
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Newby, Lynette
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Söreide, Eldar
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Tabhan, Edgardo E.
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Roche-Campo, Ferrán
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ElAtrous, Souheil
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de Gordoa, Laura Ortiz Ruiz
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Statistics
Citations: 91
Authors: 249
Affiliations: 34
Identifiers
Doi:
10.1016/S2213-2600(17)30213-8
ISSN:
22132600
Research Areas
Environmental
Health System And Policy
Study Design
Cohort Study
Study Approach
Quantitative