The purpose of this study is to evaluate the incidence of the ARDS in the French wounded soldiers.
The Acute Respiratory Distress Syndrome (ARDS) complicates war wounds. Among the repatriated wounded persons, it can appear in the first 7 days. It has been well described among American soldiers and it is known that it's serious, frequent and multifactorial. However, not a single study has described the frequency and the severity of the ARDS in French wounded soldiers. Thus the purpose of this study is to estimate the incidence and severity of the ARDS among the French wounded soldiers, admitted in continuing care and intensive care unit between 2001 and 2017. The analysis of this data collection will let us improve the medical care of the ARDS in Outside Operation.
Study Type
OBSERVATIONAL
Enrollment
100
Hôpital d'Instruction des Armées Sainte Anne
Toulon, Var, France
Incidence of ARDS
The appearance of ARDS is defined by a ratio of partial pressure arterial oxygen (PaO2) and fraction of inspired oxygen (FiO2) lower than 300 in 7 days after the wound.
Time frame: Day 7
Assess the severity of ARDS
the severity of ARDS will be assessed regarding the necessity or not of non-invasive and invasive ventilation
Time frame: 7 days
Description of the severity of ARDS
the therapeutic intensity will be describe with : Maximal Positive end-expiration pressure (PEEP), curarisation, nitrogen monoxide (NO), prone position , Extracorporeal membrane oxygenation.
Time frame: 7 days
Mortality
Assess the mortality since hospitalization
Time frame: Day 90
Assessment of the severity of ARDS
the severity of ARDS will be assessed regarding duration of non-invasive and invasive ventilation
Time frame: 7 days
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