Navigation Links
Revised ARDS definition sets out levels of severity
Date:5/22/2012

SAN ANTONIO (May 22, 2012) An international task force this week unveiled a revised definition of acute respiratory distress syndrome (ARDS), a disease first recognized during the Vietnam War in casualties with limb injuries who had trouble breathing.

The new definition includes a distinction between the most serious cases of ARDS and cases that are less advanced, said Antonio Anzueto, M.D., of UT Medicine San Antonio, a pulmonologist who served on the ARDS Definition Task Force. The guidelines are based on evidence from data of more than 4,000 patients with ARDS, including 200 from San Antonio.

Awareness that ARDS is starting

The guidelines, called the Berlin Definition, are described in the Journal of the American Medical Association. This paper represents a more vigilant approach to identification and diagnosis of ARDS, which doesn't necessarily begin in the lungs, Dr. Anzueto said. "This new stratification of severity will make clinicians aware the process is starting and interventions have to be applied almost immediately to prevent the disease from progressing," he said.

UT Medicine is the clinical practice of the School of Medicine at The University of Texas Science Center San Antonio. Dr. Anzueto, professor of medicine at the Health Science Center and section chief of pulmonary diseases at the South Texas Veterans Health Care System, participated in an ARDS network established by the National Institutes of Health and has studied the disease for 15 years.

'White lung'

Vietnam casualties presented with lungs that were white on X-rays, and an early name for ARDS was "white lung." As many as 8 in every 10 patients died with the disease. In the 1980s a consensus conference was convened to clinically define ARDS and the research network began. New understandings about managing the disease have cut the mortality rate by more than half.

"We are learning that even though patients are surviving ARDS there are long-term consequences," Dr. Anzueto said. "Generalized weakness, emotional abnormalities and post-traumatic stress disorder are among these."

Data for review

University Hospital, a level one trauma center in San Antonio and teaching hospital of the Health Science Center, is a leading hospital for treatment of the disease. Dr. Anzueto's group contributed data to the revised definition from patients managed in the South Texas Veterans Health Care System and University Hospital.

"This is evidence-based; it is not our opinion sitting at a table smoking cigars," Dr. Anzueto said.

Factors hinder care

ARDS continues to be difficult to treat, he said, in part because conditions such as diabetes, obesity and heart disease are impacting the disease in many patients.

The JAMA article coincides with the panel's presentation of the Berlin Definition on May 23 at the American Thoracic Society 2012 Conference in San Francisco.


'/>"/>
Contact: Will Sansom
sansom@uthscsa.edu
210-567-2579
University of Texas Health Science Center at San Antonio
Source:Eurekalert

Related medicine news :

1. JSCM publishes revised International Standards for Neurological Classification of Spinal Cord Injury
2. FDA Advisers: Newer Forms of the Pill Need Revised Warning Labels
3. FDA Advisers Call for Revised Labels for Osteoporosis Drugs
4. New studies show negative effects from revised mammography recommendation for women, ages 40-49
5. More Natural Fat Burning Foods & Ready-Made Meal Plans Added to the Newly Revised Version of The Diet Solution Program
6. Revised Edition of the Oil Pollution Act Case Digest and Source Book Released
7. "Revised Yoga for Dummies" Author and Co-Founder of International Association for Yoga Therapists Celebrates 30th Anniversary in Los Angeles
8. Revised Oil Pollution Act Case Digest and Source Book to be Published June 2, 2010
9. The Diet Solution Program: Popular Online Weight Loss Program is Revised to Include More Metabolism Boosting Meals
10. Compton's by Britannica Revised for 2010; Hundreds of Articles Rewritten, Hundreds of New Photos, Images
11. New high definition fiber tracking reveals damage caused by traumatic brain injury, Pitt team finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/16/2017)... OR (PRWEB) , ... January 16, 2017 , ... ... author, editor, attorney, science teacher, http://www.ageofautism.com/legal , Sharon Kleyne, America’s leading ... Kent Heckenlively to her nationally syndicated radio program, The Sharon Kleyne Hour Power ...
(Date:1/16/2017)... IL (PRWEB) , ... January 16, 2017 , ... ... (iaedp) organized to provide first-quality education and high-level training standards to an international ... spectrum of eating disorder problems. As a way to further its mission at ...
(Date:1/16/2017)... ... January 16, 2017 , ... San Francisco dentist, Dr. ... the latest in 3-D scanning device which is capable of taking digital impressions of ... in dentistry, such as CAD CAM restorations , in terms of speed, efficiency ...
(Date:1/16/2017)... , ... January 16, 2017 , ... NexTec Group has ... group of 100 organizations honored for their accomplishments in the field of midmarket financial ... industry leadership and recognition, and innovation. Selection is not based on revenue and those ...
(Date:1/15/2017)... CINCINNATI, Ohio (PRWEB) , ... January 15, 2017 ... ... their applications, Gensuite’s Community Outreach is a program that strives to better communities ... in each global locations’ community. It also provides the opportunity for team members ...
Breaking Medicine News(10 mins):
(Date:1/14/2017)... , Jan. 14, 2017  Johnson & Weaver, LLP ... of purchasers of Zimmer Biomet Holdings, Inc. (NYSE: ... through October 31, 2016 (the "Class Period"). Zimmer ... and markets orthopaedic reconstructive products, such as knee and hip ... ...
(Date:1/13/2017)... , January 13, 2017 Constant research ... AIDS will collectively contribute to the demand for western blotting ... a value of US$ 551.0 Mn by 2016 end. Developing ... the most lucrative markets for western blotting, whereas ... globally. ...
(Date:1/13/2017)... YORK , January 13, 2017 ... equities to see how they have fared at yesterday,s ... ), Galena Biopharma Inc. (NASDAQ: GALE ), ... These companies harness cellular and biomolecular processes to develop ... reduce our environmental footprint, feed the hungry, use less ...
Breaking Medicine Technology: