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Table 1 Keeping and abandoning ARDS: advantages and disadvatages

From: Isn’t it time to abandon ARDS? The COVID-19 lesson

  Keep and modify ARDS definition Abandon ARDS definition
Advantages Easy patient categorization and labeling
Facilitated enrollment in RCTs
Standardized guidance of treatment
Recognizes need to personalize therapy
Focuses on patient-relevant characteristics
Encourages best responses to ∆’s over time
Drawbacks Non-uniformity encourages inappropriate Rx
Promotes RCT enrollment of unqualified Pts
May inform misleading treatment guidelines
Universal standards for Rx difficult to establish
Precision inhibits RCT design and enrollment
Often requires mastery of bedside physiology
  1. RCT randomized clinical trial, change, Rx treatment, Pts patients