NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TỬ VONG Ở BỆNH NHÂN MẮC HỘI CHỨNG SUY HÔ HẤP CẤP TIẾN TRIỂN TẠI KHOA HỒI SỨC TÍCH CỰC - CHỐNG ĐỘC, BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ NĂM 2024 - 2025

Abstract

Objectives: To investigate the clinical and paraclinical characteristics and associated factors of mortality in patients with acute respiratory distress syndrome (ARDS). Subjects and Methods: A cross-sectional descriptive study was conducted on 61 ARDS patients treated at the Intensive Care Unit, Can Tho General Hospital, from June 2024 to January 2025. Results: The mean age was 63.21 ± 14.35 years, with males accounting for 52.5%. The mean SOFA and Murray scores were 4.44 ± 3.47 and 2.30 ± 1.04, respectively. Severe ARDS accounted for 31.2% of cases. The mean PaO₂/FiO₂ ratio was 138.31 ± 52.88. Diffuse bilateral lung infiltrates on chest X-ray were observed in 39.3% of patients. The overall mortality rate was 54.1%. Factors associated with increased mortality included septic shock (OR = 3.55), multiorgan failure (OR = 9.67), SOFA score ≥2 (OR = 8.36), serum lactate >2 mmol/L (OR = 1.95), and Murray score >2.5 (OR = 3.07). Conclusions: Patients with ARDS had a relatively high mortality rate. Factors related to increased mortality included the extent of lung injury on chest X-ray, presence of septic shock, multiorgan failure, elevated blood lactate, and higher SOFA and Murray scores at admission.