Acute respiratory distress syndrome epidemiology and demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Brian Shaller, M.D. [2]

Overview

The incidence of ARDS in the United States is estimated at approximately 75 cases per 100,000 individuals, which amounts to roughly 150,000 new cases annually.[1] There is substantial variance in the rates of ARDS between different countries and geographic regions due to factors such as mean life expectancy, prevalence of different risk factors and comorbidities, and access to healthcare.

Epidemiology and Demographics

Incidence

No reliable international comparative epidemiological data of ARDS are available because of the evolution of the diagnostic criteria. The incidence of ARDS as defined by the Berlin definition remains unclear.[2]

Worldwide, the incidence of ARDS ranges from a low of 1.5 per 100,000 persons per year to a high of 75 per 100,000 persons per year. Most studies suggest an incidence rate of approximately 2 to 8 cases per 100,000 persons per year.[3]

The incidence of ARDS in the United States is estimated at approximately 75 cases per 100,000 individuals, which amounts to roughly 150,000 new cases annually.

Age

Patients of all age groups may develop ARDS, however, it occurs more commonly in the elderly.

Gender

Women are slightly more commonly affected with ARDS than men, however, the mortality rate is slightly higher among men than women.[4][5]

Race

There is no racial predilection to the development of ARDS. However, in the United States the mortality rate among African Americans with ARDS is higher than among whites.[4]

References

  1. Lucas AC (1988). "The future of radiological instrumentation". Health Phys. 55 (2): 191–5. PMID 3410685.
  2. Adhikari, Neill K. J., Robert A. Fowler, Satish Bhagwanjee, and Gordon D. Rubenfeld. “Critical Care and the Global Burden of Critical Illness in Adults.” Lancet (London, England) 376, no. 9749 (October 16, 2010): 1339–46. doi:10.1016/S0140-6736(10)60446-1.
  3. “Round Table Conference. Acute Lung Injury.” American Journal of Respiratory and Critical Care Medicine 158, no. 2 (August 1998): 675–79. doi:10.1164/ajrccm.158.2.15823.
  4. 4.0 4.1 Moss M, Mannino DM (2002). "Race and gender differences in acute respiratory distress syndrome deaths in the United States: an analysis of multiple-cause mortality data (1979- 1996)". Crit Care Med. 30 (8): 1679–85. PMID 12163776.
  5. Heffernan DS, Dossett LA, Lightfoot MA, Fremont RD, Ware LB, Sawyer RG; et al. (2011). "Gender and acute respiratory distress syndrome in critically injured adults: a prospective study". J Trauma. 71 (4): 878–83, discussion 883-5. doi:10.1097/TA.0b013e31822c0d31. PMC 3201740. PMID 21986736.


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