Acute respiratory distress syndrome screening
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Acute respiratory distress syndrome Microchapters |
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Differentiating Acute respiratory distress syndrome from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Acute respiratory distress syndrome screening On the Web |
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American Roentgen Ray Society Images of Acute respiratory distress syndrome screening |
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Directions to Hospitals Treating Acute respiratory distress syndrome |
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Risk calculators and risk factors for Acute respiratory distress syndrome screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Brian Shaller, M.D. [2]
Overview
There are no screening tools for ARDS. The best way to make an early diagnosis of ARDS is to apply the diagnostic criteria to any patient with bilateral pulmonary infiltrates on chest x ray, and new/worsening hypoxemia with an increasing supplemental oxygen requirement in whom a potential cause or risk factor for ARDS exists.
Screening
Several clinical algorithms have been proposed and validated for early recognition of ARDS. No single biomarker is currently specific or sensitive enough to be incorporated into routine clinical practice.
Trillo-Alvarez et al. devised the Lung Injury Prediction Study (LIPS) score in an effort to identifie patients at high risk for acute lung injury before ICU admission. Covariates used in the derivation of model include predisposing conditions (trauma, high-risk surgery, sepsis, shock, pneumonia, aspiration, and pancreatitis) and risk-modifiers (tachypnea, alcohol abuse, hypoalbuminemia, oxygen supplementation, chemotherapy, diabetes mellitus, and smoking history).