Cited by 6,746Respiratory Support and MechanismsNeonatal Respiratory Health ResearchSepsis Diagnosis and Treatment

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The American-European Consensus Conference On Ards. Definitions, Mechanisms, Relevant Outcomes, And Clinical Trial Coordination

Bernard, G R, Artigas, A, Brigham, K L, Carlet, J, Falke, K, Hudson, L, Lamy, M, Legall, J R, Morris, A, Spragg, R·1994·American journal of respiratory and critical care medicine

DOI 10.1164/ajrccm.149.3.7509706

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Abstract

The acute respiratory distress syndrome (ARDS), a process of nonhydrostatic pulmonary edema and hypoxemia associated with a variety of etiologies, carries a high morbidity, mortality (10 to 90%), and financial cost. The reported annual incidence in the United States is 150,000 cases, but this figure has been challenged, and it may be different in Europe. Part of the reason for these uncertainties are the heterogeneity of diseases underlying ARDS and the lack of uniform definitions for ARDS. Thus, those who wish to know the true incidence and outcome of this clinical syndrome are stymied. The American-European Consensus Committee on ARDS was formed to focus on these issues and on the pathophysiologic mechanisms of the process. It was felt that international coordination between North America and Europe in clinical studies of ARDS was becoming increasingly important in order to address the recent plethora of potential therapeutic agents for the prevention and treatment of ARDS.

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Endothelial glycocalyx degradation is more severe in patients with non-pulmonary sepsis compared to pulmonary sepsis and associates with risk of ARDS and other organ dysfunction
Murphy, L. S., Wickersham, N. E., McNeil, J. B., Shaver, C. M., May, A. K., Bastarache, J. A., & Ware, L. B. (2017) · Annals of Intensive Care · doi:10.1186/s13613-017-0325-y · Cited by 116
Using IL-6 concentrations in the first 24 h following trauma to predict immunological complications and mortality in trauma patients: a meta-analysis
Qiao, Z., Wang, W., Yin, L., Luo, P., Greven, J., Horst, K., & Hildebrand, F. (2017) · European Journal of Trauma and Emergency Surgery · doi:10.1007/s00068-017-0880-9 · Cited by 111
“Despite improvements in the care of severely injured patients, post-traumatic complications [such as acute respiratory distress syndrome (ARDS), multiple organ dysfunction syndrome (MODS), systemic inflammatory response syndrome (SIRS), and sepsis] are still common and are associated with increased mortality and treat…”
MethodInfluential
Risk Factors and Outcome of Pulmonary Complications After Autologous Hematopoietic Stem Cell Transplant
Afessa, B., Abdulai, R. M., Kremers, W. K., Hogan, W. J., Litzow, M. R., & Peters, S. G. (2011) · CHEST Journal · doi:10.1378/chest.10-2889 · Cited by 111
Effects of alveolar recruitment maneuvers on clinical outcomes in patients with acute respiratory distress syndrome: a systematic review and meta-analysis
Suzumura, É. A., Figueiró, M. F., Normílio-Silva, K., Laranjeira, L. N., de Oliveira, C. C., Buehler, A. M., Bugano, D. D. G., Amato, M. B. P., de Carvalho, C. R. R., Berwanger, O. B., et al. (2014) · Intensive Care Medicine · doi:10.1007/s00134-014-3413-6 · Cited by 110
“All included trials defined ARDS according to American–European consensus conference (AECC) criteria [35].”
Method
Albumin versus crystalloid solutions in patients with the acute respiratory distress syndrome: a systematic review and meta-analysis
Uhlig, C., Silva, P. L., Deckert, S., Schmitt, J. M., & de Abreu, M. G. (2014) · Critical Care · doi:10.1186/cc13187 · Cited by 109
Insights into the immuno-pathogenesis of acute respiratory distress syndrome
Wong, J. J., Leong, J. Y., Lee, J. H., Albani, S., & Yeo, J. G. (2019) · Annals of Translational Medicine · doi:10.21037/atm.2019.09.28 · Cited by 109
“Acute respiratory distress syndrome (ARDS) is a clinical syndrome characterized by oxygenation failure with significant morbidity and mortality due to inflammation and accumulation of a proteinaceous exudate within the pulmonary air spaces (1,2).”
Background
Curcumin regulates the differentiation of naïve CD4+T cells and activates IL-10 immune modulation against acute lung injury in mice
Chai, Y.-S., Chen, Y., Lin, S., Xie, K., Wang, C., Yang, Y., & Xu, F. (2020) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2020.109946 · Cited by 111
Early hemoperfusion with an immobilized polymyxin B fiber column eliminates humoral mediators and improves pulmonary oxygenation
Kushi, H., Miki, T., Okamaoto, K., Nakahara, J., Saito, T., & Tanjoh, K. (2005) · Critical Care · doi:10.1186/cc3815 · Cited by 110
Long-term Assessment of Lung Function in Survivors of Severe ARDSa
Neff, T. A., Stocker, R. A., Frey, H.-R., Stein, S., & Russi, E. W. (2003) · CHEST Journal · doi:10.1378/chest.123.3.845 · Cited by 110
Comparison of Levofloxacin and Cefotaxime Combined With Ofloxacin for ICU Patients With Community-Acquired Pneumonia Who Do Not Require Vasopressors
Leroy, O., SAUX, P., Bédos, J., & Caulin, E. (2005) · CHEST Journal · doi:10.1378/chest.128.1.172 · Cited by 110
The role of platelets in acute lung injury (ALI)
Zarbock, A. (2009) · Frontiers in bioscience · doi:10.2741/3236 · Cited by 111
The Ventilator-Associated Pneumonia PIRO Score
Lisboa, T. C., Díaz, E., Borges-Sa, M., Socías, A., Solé‐Violán, J., Rodríguez, A. H., & Rello, J. (2008) · CHEST Journal · doi:10.1378/chest.08-1106 · Cited by 109
Pumpless extracorporeal lung assist and adult respiratory distress syndrome
Reng, M., Philipp, A., Kaiser, M. E., Pfeifer, M., Gruene, S., & Schoelmerich, J. (2000) · The Lancet · doi:10.1016/s0140-6736(00)02485-5 · Cited by 110
Bacteremia in patients with ventilator-associated pneumonia is associated with increased mortality: A study comparing bacteremic vs. nonbacteremic ventilator-associated pneumonia*
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Fresh red blood cell transfusion and short-term pulmonary, immunologic, and coagulation status: a randomized clinical trial.
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Pneumonia in Acute Respiratory Distress Syndrome: A Prospective Evaluation of Bilateral Bronchoscopic Sampling
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Patient and intensive care unit organizational factors associated with low tidal volume ventilation in acute lung injury*
Umoh, N. J., Fan, E., Méndez-Téllez, P. A., Sevransky, J., Himmelfarb, C. D., Shanholtz, C. B., Pronovost, P. J., & Needham, D. M. (2008) · Critical Care Medicine · doi:10.1097/ccm.0b013e31816fc3d0 · Cited by 109
Well-being in informal caregivers of survivors of acute respiratory distress syndrome*
Cameron, J. I., Herridge, M. S., Tansey, C. M., McAndrews, M. P., & Cheung, A. M. (2005) · Critical Care Medicine · doi:10.1097/01.ccm.0000190428.71765.31 · Cited by 108
Postcardiopulmonary bypass hypoxemia: A prospective study on incidence, risk factors, and clinical significance
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New bronchoscopic microsample probe to measure the biochemical constituents in epithelial lining fluid of patients with acute respiratory distress syndrome
Ishizaka, A., Watanabe, M., Yamashita, T., Ogawa, Y., Koh, H., Hasegawa, N., Nakamura, H., Asano, K., Yamaguchi, K., Kotani, M., et al. (2001) · Critical Care Medicine · doi:10.1097/00003246-200104000-00043 · Cited by 109
Methicillin-resistant Staphylococcus aureus prolongs intensive care unit stay in ventilator-associated pneumonia, despite initially appropriate antibiotic therapy
Shorr, A. F., Combes, A., Kollef, M. H., & Chastre, J. E. (2006) · Critical Care Medicine · doi:10.1097/01.ccm.0000201885.57697.21 · Cited by 109
Increased fluid resuscitation can lead to adverse outcomes in major-burn injured patients, but low mortality is achievable
Dulhunty, J. M., Boots, R. J., Rudd, M., Müller, M. J., & Lipman, J. (2008) · Burns · doi:10.1016/j.burns.2008.01.011 · Cited by 109
Distinct Roles of Pattern Recognition Receptors CD14 and Toll-Like Receptor 4 in Acute Lung Injury
Jeyaseelan, S., Chu, H. W., Young, S. K., Freeman, M. W., & Worthen, G. S. (2005) · Infection and Immunity · doi:10.1128/iai.73.3.1754-1763.2005 · Cited by 109
Minute Ventilation-to-Carbon Dioxide Output ( V˙ e/ V˙ co2) Slope Is the Strongest Predictor of Respiratory Complications and Death After Pulmonary Resection
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Red blood cell transfusions and the risk of acute respiratory distress syndrome among the critically ill: a cohort study
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Prevalence and Mortality of Acute Lung Injury and ARDS After Lung Resection
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RETRACTED ARTICLE: Volume therapy in the critically ill: is there a difference?
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Retracted
Respective and Combined Effects of Prone Position and Inhaled Nitric Oxide in Patients with Acute Respiratory Distress Syndrome
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Epidemiology and outcome of severe pneumococcal pneumonia admitted to intensive care unit: a multicenter study
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Characterizing Degree of Lung Injury in Pediatric Acute Respiratory Distress Syndrome
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“This study, initiated in 2011 prior to publication of either Berlin or PALICC, prospectively collected data on mechanically ventilated children with Pao 2 /Fio 2 up to 300 with acute lung injury (ALI, AECC definition) to identify risk factors associated with mortality and ventilator-free days (VFDs) at 28 days.”
BackgroundInfluential
Low Tidal Volume Ventilation Use in Acute Respiratory Distress Syndrome*
Weiss, C. H., Baker, D. W., Weiner, S., Bechel, M. A., Ragland, M. F., RADEMAKER, A. W., Weitner, B. B., Agrawal, A., Wunderink, R. G., & Persell, S. D. (2016) · Critical Care Medicine · doi:10.1097/ccm.0000000000001710 · Cited by 110
“org 1521 in previous studies, and has better predictive validity (1, 25).”
Background
The Impact of Gender on Outcome From Mechanical Ventilation
Kollef, M. H., O’Brien, J. D., & Silver, P. (1997) · CHEST Journal · doi:10.1378/chest.111.2.434 · Cited by 108
Effects of a Clinical Trial on Mechanical Ventilation Practices in Patients with Acute Lung Injury
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Authors: Bernard, G. R., Artigas, A., Brigham, K. L., Carlet, J., Falke, K., Hudson, L., Lamy, M., Legall, J. R., Morris, A., & Spragg, R.
Affiliations: Vanderbilt University (US)
Vanderbilt University, Nashville, Tennessee
ORCID: Bernard, G R
Artigas, A
Carlet, J
Lamy, M
Morris, A
Venue: American journal of respiratory and critical care medicine
Publisher: Oxford University Press (OUP)
Published: 1994-03-01
Volume: 149
Issue: 3
Pages: 818-824
ISSN: 1073-449X (ISSN-L)
1535-4970
DOI: 10.1164/ajrccm.149.3.7509706
OpenAlex: W2161328469
Cited by: 6,746
References: 20
Citations by year: 2026: 54 · 2025: 112 · 2024: 107 · 2023: 119 · 2022: 126 · 2021: 164 · 2020: 158 · 2019: 184 · 2018: 156 · 2017: 192 · 2016: 238 · 2015: 241 · 2014: 289 · 2013: 341 · 2012: 364
FWCI: 80.47
Type: journal article
Language: en
Open access: closed
Licence: academic.oup.com/pages/standard-publication-reuse-rights (vor)
Locations: American Journal of Respiratory and Critical Care Medicine (publishedVersion)
PubMed (publishedVersion)
D-Scholarship@Pitt (University of Pittsburgh) (acceptedVersion)
Funders: National Institutes of Health (5r01hl043167-05, 5p50hl019153-22)
National Heart, Lung, and Blood Institute (NHLBI HL19153, NHLBI HL43167)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Sepsis Diagnosis and Treatment
Keywords: acute respiratory distress syndrome, ARDS definition, ARDS pathophysiology, ARDS incidence, ARDS mortality, clinical trial coordination
MeSH terms: Americas, Clinical Protocols, Clinical Trials as Topic, Europe, Humans, Oxygen Inhalation Therapy, Prognosis, Radiography, Respiratory Distress Syndrome, Risk Factors, Incidence, Prevalence

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The American-European Consensus Conference On Ards. Definitions, Mechanisms, Relevant Outcomes, And Clinical Trial Coordination

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