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Table 2 Clinical parameters were compared between RIARDS and persistent ARDS. Ventilatory parameters significantly differed between persistent ARDS and RIARDS. Steroids were more commonly administered to persistent ARDS patients compared to RIARDS over the first 48 hours of ARDS diagnosis. Bacteremia was more common in persistent ARDS

From: Rapidly improving ARDS differs clinically and biologically from persistent ARDS

 

Persistent ARDS N = 169

RIARDS N = 46

p value

Clinical parameters

Ventilatory parameters on day 1 of ARDS diagnosis

 Plateau pressure (cmH2O), median (IQR)†

24 (20, 28)

20 (17, 21)

0.0003

 PIP (cmH2O), median (IQR)†

31 (26, 37)

26 (22, 31)

0.001

 FiO2 (%), median (IQR) †

1 (0.6, 1)

0.6 (0.5, 0.9)

0.001

 PEEP (cmH2O), median (IQR)

5 (5, 10)

5 (5, 8)

0.01

 paCO2 (mmHg), median (IQR)

41 (33, 52)

44 (33, 49)

0.84

Arterial pressure on day 1 of ARDS diagnosis

 MAP (mmHg), median (IQR)

78 (68, 93)

76 (67, 90)

0.50

 SBP (mmHg), median (IQR)

113 (98, 132)

110 (99, 126)

0.52

Medications received within 48 h of ARDS diagnosis

 Steroids, n (%)

65 (38)

6 (13)

0.001*

 Diuretics, n (%)

35 (21)

13 (28)

0.28*

 Antibiotics, n (%)

161 (95)

45 (98)

0.44*

 Antivirals, n (%)

41 (24)

9 (20)

0.50*

 Antifungals, n (%)

17 (10)

1 (2)

0.13

Microbiology within 48 h of ARDS diagnosis

 Pulmonary infection

   

 Bacterial, n (%)

33 (20)

6 (13)

0.31*

 Viral, n (%)

14 (8)

7 (15)

0.16*

 Fungal, n (%)

0 (0)

0 (0)

–

 Bacteremia, n (%)

30 (18)

2 (4)

0.02

  1. Mann–Whitney U Test or Fisher’s test was used to determine statistical significance unless otherwise specified
  2. p values that met criteria for statistical signifcance (p ≤ 0.05) were bolded
  3. PIP peak inspiratory pressure; FiO2 fraction of inspired oxygen; PEEP positive end-expiratory pressure; paCO2 partial pressure of carbon dioxide in arterial blood gas; MAP mean arterial pressure; SBP systolic blood pressure
  4. *Pearson’s chi-square test was used to determine statistical significance
  5. †Missing values for some patients as indicated in supplement table eight