ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT CỤC ĐIỀU TRỊ CỦA BỆNH NHÂN MẮC HỘI CHỨNG SUY HÔ HẤP CẤP TIẾN TRIỂN TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objectives: To describe the clinical characteristics and treatment outcomes of patients with acute respiratory distress syndrome (ARDS) treated at Bach Mai Hospital. Subjects and methods: A retrospective descriptive study was conducted on 64 patients diagnosed with ARDS according to the Berlin 2012 criteria and treated at Bach Mai Hospital. The studied variables included demographic characteristics, comorbidities, etiologies of ARDS, severity of ARDS, and treatment outcomes. Results: The mean age of the patients was 55±17 years, and males accounted for 56.3%. Comorbidities were present in 73.4% of patients. Pneumonia was the predominant cause of ARDS, accounting for 89.1%. According to the Berlin 2012 classification, severe ARDS was the most common (59.4%), followed by moderate ARDS (37.5%). The overall mortality rate was 73.4%. The mean age of the non-survivor group was significantly higher than that of the survivor group (58±16 vs. 47±16 years, p=0.022). Patients with moderate and severe ARDS had a higher mortality rate compared with those with mild ARDS (p=0.045). Comorbidities tended to increase the risk of mortality, although the difference was not statistically significant (OR=1.79; p=0.368). Conclusions: ARDS patients treated at Bach Mai Hospital were predominantly middle-aged and frequently had underlying comorbidities. Pneumonia was the leading cause of ARDS. Most patients presented with moderate to severe ARDS at admission and had a high mortality rate. Older age and greater severity of ARDS were associated with an increased risk of mortality.