Acute respiratory distress syndrome following cardiac surgery severely affects the prognosis of patients; the mortality is up to 40%. Although experience many years of research and exploration, the effective methods for the treatment of acute respiratory distress syndrome is still relatively limited at present, including lung protective mechanical ventilation respiratory support, fluid management, glucocorticoid and other integrated organ function maintenance measures. It is currently the research of acute respiratory distress syndrome aims at the early discovery and takes effective measures to prevent its occurrence, hoping to improve the prognosis of patients. According to risk factors is established through the analysis of lung injury score early warning system, the early identification of acute respiratory distress syndrome patients at high risk, before the occurrence of acute respiratory distress syndrome take corresponding preventive measures can effectively reduce the incidence rate and mortality. So far, domestic and foreign research on the establishment of acute respiratory distress syndrome scoring early warning system is less. Cardiac surgery has significant characteristics, type of operation, location, operation, intraoperative blood transfusion and oxygenation, postoperative factors, are likely to be the factors of acute respiratory distress syndrome. As far as investigators know, so far there are few specialized for acute respiratory distress syndrome predicting lung injury after cardiac surgery. This study will be completed after the implementation of individualized dynamic lung injury score evaluation of cardiac surgery patients, identification of high-risk acute respiratory distress syndrome patients, to assist clinicians in early decision, take preventive measures. This study will improve the prognosis of acute respiratory distress syndrome patients after cardiac surgery; it is of great significance to improve the level of intensive care after cardiac surgery.
Study Type
OBSERVATIONAL
Enrollment
1,333
This is a clinical observational study, no intervention was included.
Department of Respiratory and Critical Care Medicine, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases
Beijing, Beijing Municipality, China
The number of acute respiratory distress syndrome following cardiac surgery in Anzhen hospital during Jan 2013 to Dec 2015.
Time frame: up to 12months
The number of patients of cardiac surgery in Anzhen hospital during Jan 2013 to Dec 2015.
Time frame: up to 12months
The number of acute respiratory distress syndrome following cardiac surgery in Anzhen hospital during Jan 2017 to Dec 2017.
Time frame: up to 12months
The number of patients of cardiac surgery in Anzhen hospital during Jan 2017 to Dec 2017.
Time frame: up to 12months
The number of diabetic patients in ARDS group.
Time frame: up to 1 month
The number of diabetic patients in non-ARDS group.
Time frame: up to 1 month
The number of chronic obstructive pulmonary disease patients in ARDS group.
Time frame: up to 1 month
The number of chronic obstructive pulmonary disease patients in non-ARDS group.
Time frame: up to 1 month
The type of operation in ARDS group.
Time frame: up to 1 month
The type of operation in non-ARDS group.
Time frame: up to 1 month
The body mass index in ARDS group.
Time frame: up to 1 month
The body mass index in non-ARDS group.
Time frame: up to 1 month
The heart function in ARDS group before operation.
Time frame: up to 1 month
The heart function in non-ARDS group before operation.
Time frame: up to 1 month
The oxygenation in ARDS group before operation.
Time frame: up to 1 month
The oxygenation in non-ARDS group before operation.
Time frame: up to 1 month
The drug taken by patients in ARDS group.
Time frame: up to 1 month
The drug taken by patients in non-ARDS group.
Time frame: up to 1 month
The nutrition situation of patients in ARDS group.
Time frame: up to 1 month
The nutrition situation of patients in non-ARDS group.
Time frame: up to 1 month
The process of operation in ARDS group.
Time frame: up to 1 month
The process of operation in non-ARDS group.
Time frame: up to 1 month
The blood transfusion of patients during operation in ARDS group.
Time frame: up to 1 month
The blood transfusion of patients during operation in non-ARDS group.
Time frame: up to 1 month
The oxygenation of patients during operation in ARDS group.
Time frame: up to 1 month
The oxygenation of patients during operation in non-ARDS group.
Time frame: up to 1 month
The drug taken by patients after operation in ARDS group.
Time frame: up to 1 month
The drug taken by patients after operation in non-ARDS group.
Time frame: up to 1 month
The oxygenation of patients after operation in ARDS group.
Time frame: up to 1 month
The oxygenation of patients after operation in non-ARDS group.
Time frame: up to 1 month
The situation of mechanical ventilation of patients after operation in ARDS group.
Time frame: up to 1 month
The situation of mechanical ventilation of patients after operation in non-ARDS group.
Time frame: up to 1 month
The mortality of acute respiratory distress syndrome following cardiac surgery in Anzhen hospital .
Time frame: up to 1months
The morbidity of acute respiratory distress syndrome following cardiac surgery in Anzhen hospital .
Time frame: up to 1months
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