Differences between Patients in Whom Physicians Agree and Disagree about the Diagnosis of Acute Respiratory Distress Syndrome.

ABSTRACT:

Rationale

Because the Berlin definition of acute respiratory distress syndrome (ARDS) has only moderate reliability, physicians disagree about the diagnosis of ARDS in some patients. Understanding the clinical differences between patients with agreement and disagreement about the diagnosis of ARDS may provide insight into the epidemiology and pathophysiology of this syndrome, and inform strategies to improve the reliability of ARDS diagnosis.

Objectives

To characterize patients with diagnostic disagreement about ARDS among critical-care-trained physicians and compare them with patients with a consensus that ARDS developed.

Methods

Patients with acute hypoxemic respiratory failure (arterial oxygen tension/pressure [Pa_O2]/fraction of inspired oxyge

SUBMITTER: Sjoding MW 

PROVIDER: S-EPMC6376946 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature