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The American-European Consensus Conference On Ards. Definitions, Mechanisms, Relevant Outcomes, And Clinical Trial Coordination
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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“Similarly, another RCT did not find an effect on mortality with gelatin use (RR, 0.87; 95% CI, 0.66-1.12)(344).”
From Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. (2021) · cites this paper as [344]
In the citing paper
“Of note, the studies that guide the recommendations in this section enrolled patients using criteria from the American-European Consensus Criteria Definition for Acute Lung Injury and ARDS [422].”
From Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 (2021) · cites this paper as [422]
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Hudson, L. D., & Steinberg, K. P. (1999) · CHEST Journal · doi:10.1378/chest.116.suppl_1.74s-a · Cited by 206
Self-citationMitochondrial Membrane Potential and Apoptosis Peripheral Blood Monocytes in Severe Human Sepsis
Adrie, C., Bachelet, M., Vayssier‐Taussat, M., Russo‐Marie, F., Bouchaert, I., Adib‐Conquy, M., Cavaillon, J., Pinsky, M. R., Dhainaut, J.-F., & Polla, B. S. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.164.3.2009088 · Cited by 203
Vlaar, A. P. J., Binnekade, J. M., Prins, D. J., Stein, D. V., Hofstra, J. J., Schultz, M. J., & Juffermans, N. P. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181cc4d4b · Cited by 205
Brown, S. M., Grissom, C. K., Moss, M., Rice, T. W., Schoenfeld, D., Hou, P. C., Thompson, B., & Brower, R. G. (2016) · CHEST Journal · doi:10.1016/j.chest.2016.01.003 · Cited by 204
“The ratio of partial pressure of arterial oxygen (PaO2) to the fraction of inspired oxygen (FIO2) (PAO2/FIO2 ratio) measures the severity of hypoxemia in patients with ARDS.”
MethodInfluentialSantschi, M., Jouvet, P. A., Leclerc, F., Gauvin, F., Newth, C. J. L., Carroll, C. L., Flori, H. R., Tasker, R. C., Rimensberger, P. C., & Randolph, A. G. (2010) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0b013e3181d904c0 · Cited by 205
Psychiatric symptoms after acute respiratory distress syndrome: a 5-year longitudinal study
Bienvenu, O. J., Friedman, L. A., Colantuoni, E., Dinglas, V. D., Sepúlveda, K. A., Méndez-Téllez, P. A., Shanholz, C., Pronovost, P. J., & Needham, D. M. (2017) · Intensive Care Medicine · doi:10.1007/s00134-017-5009-4 · Cited by 212
“Study population In the Improving Care of Acute lung injury Patients (ICAP) prospective longitudinal cohort study, we enrolled consecutive mechanically ventilated patients with acute lung injury (ALI), as defined by AmericanEuropean Consensus criteria [8] in effect at the time of study recruitment (2004–2007) (Clinica…”
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Fluid balance in critically ill children with acute lung injury*
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Acute Lung Injury in Patients with Severe Brain Injury: A Double Hit Model
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Roupie, É., Lepage, É., Wysocki, M., Fagon, J.-Y., Chastre, J. E., Dreyfuss, D., Mentec, H., Carlet, J. M., Brun‐Buisson, C., Lemaire, F., et al. (1999) · Intensive Care Medicine · doi:10.1007/s001340050983 · Cited by 201
Self-citationTiming of Orthopaedic Surgery in Multiple Trauma Patients
Vallier, H. A., Wang, X., Moore, T. A., Wilber, J. H., & Como, J. J. (2013) · Journal of Orthopaedic Trauma · doi:10.1097/bot.0b013e31829efda1 · Cited by 202
“4 consecutive days with diffuse infiltrates on chest radiographs, in the absence of pneumonia.(51) Pneumonia was defined by plain chest radiograph with a new pulmonary infiltrate in the presence of purulent sputum, temperature .”
BackgroundMarotto, P. C. F., Murta‐Nascimento, C., Eluf‐Neto, J., Marotto, M. S., Andrade, L., Sztajnbok, J., & Seguro, A. C. (1999) · Clinical Infectious Diseases · doi:10.1086/313501 · Cited by 201
Raurich, J. M., Vilar, M., Colomar, A., Ibáñez, J., Ayestarán, I., Pérez‐Bárcena, J., & Llompart‐Pou, J. A. (2010) · Respiratory Care · doi:10.4187/respcare.10550282 · Cited by 199
Extravascular lung water in patients with severe sepsis: a prospective cohort study
Martin, G. S., Eaton, S., Mealer, M. L., & Moss, M. (2005) · Critical Care · doi:10.1186/cc3025 · Cited by 199
Villar, J., Pérez‐Méndez, L., Blanco, J., Añón, J. M., Blanch, L. L., Belda, J., Santos-Bouza, A., Fernández, R. L., Kacmarek, R. M., & Spanish Initiative for Epidemiology, S. (2013) · Intensive Care Medicine · doi:10.1007/s00134-012-2803-x · Cited by 208
Effects of Delayed Wound Excision and Grafting in Severely Burned Children
Wu, X. (2002) · Archives of Surgery · doi:10.1001/archsurg.137.9.1049 · Cited by 200
Clinical and mechanistic drivers of acute traumatic coagulopathy
Cohen, M. J. M., Kutcher, M., Redick, B. J., Nelson, M. F., Call, M. S., Knudson, M. M., Schreiber, M. A., Bulger, E. M., Muskat, P. C., Alarcon, L. H., et al. (2013) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0b013e31828fa43d · Cited by 200
Hirschl, R. B., Croce, M. A., Gore, D. C., Wiedemann, H. P., Davis, K., Zwischenberger, J. B., & Bartlett, R. H. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.165.6.2003052 · Cited by 200
Acute Respiratory Distress Syndrome in Blunt Trauma: Identification of Independent Risk Factors
Miller, P. R., Croce, M. A., Kilgo, P. D., Scott, J., & Fabian, T. C. (2002) · The American Surgeon · doi:10.1177/000313480206801002 · Cited by 195
Thirty years of clinical trials in acute respiratory distress syndrome
McIntyre, R. C., Pulido, E. J., Bensard, D. D., Shames, B. D., & Abraham, E. H. (2000) · Critical Care Medicine · doi:10.1097/00003246-200009000-00034 · Cited by 194
Acute lung injury following blood transfusion: Expanding the definition
Marik, P. E., & Corwin, H. L. (2008) · Critical Care Medicine · doi:10.1097/ccm.0b013e31818c3801 · Cited by 197
Pharmacotherapy of Acute Lung Injury and the Acute Respiratory Distress Syndrome
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Brodsky, M. B., Huang, M., Shanholtz, C. B., Méndez-Téllez, P. A., Palmer, J. B., Colantuoni, E., & Needham, D. M. (2017) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201606-455oc · Cited by 198
“The present analysis is part of a prospective, multi-site cohort study (Improving Care of ALI Patients (ICAP) evaluating consecutively recruited mechanically ventilated patients with acute lung injury defined using the American-European Consensus Conference criteria (18) in effect at”
MethodPulmonary fibrosis and lung cancer: risk and benefit analysis of pulmonary resection
Kumar, P. M., Goldstraw, P. G., Yamada, K., Nicholson, A. G., Wells, A. U., Hansell, D. M., du Bois, R. M., & Ladas, G. (2003) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/s0022-5223(03)00028-x · Cited by 197
Moss, M. M., & Mannino, D. M. (2002) · Critical Care Medicine · doi:10.1097/00003246-200208000-00001 · Cited by 199
High-Frequency Ventilation for Acute Lung Injury and ARDS
Krishnan, J. A., & Brower, R. G. (2000) · CHEST Journal · doi:10.1378/chest.118.3.795 · Cited by 195
Metadata
- 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
- 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
- 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
- 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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