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Risk Factors of Chen et al for Acute Respiratory Distress Syndrome (ARDS) Following Heart Valve Surgery

Description

Chen et al identified risk factors for the acute respiratory distress syndrome in patients following valvular heart surgery. These can help to identify a patient who may benefit from more aggressive management. The authors are from Chang Gung Memorial Hospital at Linkou Medical Center in Taiwan.


 

Patient selection: valvular heart surgery

 

Outcome: ARDS

 

Risk factors for ARDS:

(1) age (based on Table 1, page 141, will use > 60 years of age)

(2) hepatic cirrhosis

(3) massive blood transfusion (> 4 units)

(4) tricuspid valve replacement

 

where:

• Massive blood transfusion raises the possibility of fluid overload.

 

Patients with ARDS had greater in-hospital mortality, time on ventilator, and complications.

 


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