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Incidence and Mortality after Acute Respiratory Failure and Acute Respiratory Distress Syndrome in Sweden, Denmark, and Iceland

LUHR, OWE R., ANTONSEN, KRISTIAN, KARLSSON, MAGNUS, AARDAL, SIDSEL, THORSTEINSSON, ADALBJÖRN, FROSTELL, CLAES G., BONDE, JAN, the ARF Study Group·1999·American Journal of Respiratory and Critical Care Medicine

Abstract

To determine the incidence and 90-d mortality of acute respiratory failure (ARF), acute lung injury (ALI), and the acute respiratory distress syndrome (ARDS), we carried out an 8-wk prospective cohort study in Sweden, Denmark, and Iceland. All intensive care unit (ICU) admissions (n = 13,346) >/= 15 yr of age were assessed between October 6th and November 30th, 1997 in 132 of 150 ICUs with resources to treat patients with intubation and mechanical ventilation (I + MV) >/= 24 h. ARF was defined as I + MV >/= 24 h. ALI and ARDS were defined using criteria recommended by the American-European Consensus Conference on ARDS. Calculation to correct the incidence for unidentified subjects from nonparticipating ICUs was made. No correction for in- or out-migration from the study area was possible. The population in the three countries >/= 15 yr of age was 11.74 million. One thousand two hundred thirty-one ARF patients were included, 287 ALI and 221 ARDS patients were identified. The incidences were for ARF 77.6, for ALI 17.9, and for ARDS 13.5 patients per 100,000/yr. Ninety-day mortality was 41.0% for ARF, including ALI and ARDS patients, 42.2% for ALI not fulfilling ARDS criteria, and 41.2% for ARDS.

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Metadata

Authors
LUHR, O. R., ANTONSEN, K., KARLSSON, M., AARDAL, S., THORSTEINSSON, A., FROSTELL, C. G., BONDE, J., & the ARF Study Group
Venue
American Journal of Respiratory and Critical Care Medicine
Published
1999-06-01
Volume
159
Issue
6
Pages
1849-1861
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W2083931054
Cited by
597
References
2
FWCI
21.06
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Incidence and Mortality after Acute Respiratory Failure and Acute Respiratory Distress Syndrome in Sweden, Denmark, and Iceland. https://app.cochat.ai/papers/10.1164/ajrccm.159.6.9808136
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LUHR, O. R., ANTONSEN, K., KARLSSON, M., AARDAL, S., THORSTEINSSON, A., FROSTELL, C. G., BONDE, J., & the ARF Study Group. (1999). Incidence and Mortality after Acute Respiratory Failure and Acute Respiratory Distress Syndrome in Sweden, Denmark, and Iceland. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/ajrccm.159.6.9808136

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