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소아 급성 호흡곤란증후군에서의 Berlin 정의
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김경원 | - |
dc.contributor.author | 김규언 | - |
dc.contributor.author | 김수연 | - |
dc.contributor.author | 김윤희 | - |
dc.contributor.author | 설인숙 | - |
dc.contributor.author | 손명현 | - |
dc.contributor.author | 윤서희 | - |
dc.date.accessioned | 2017-10-26T07:33:49Z | - |
dc.date.available | 2017-10-26T07:33:49Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 2288-0402 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/152197 | - |
dc.description.abstract | Purpose: The revised Berlin definition (BD) showed better predictive validity for mortality in adults with acute respiratory distress syndrome (ARDS). We examined the validity of BD for pediatric ARDS as compared to the American?European Consensus Conference definition (AECCD). Methods: This single-center, retrospective study included 127 patients aged 1 month to 19 years who were admitted to the medical intensive care unit due to acute lung injury (ALI, n=31) or ARDS (n=96) using the AECCD. All patient characteristics and mortality rates were compared between the individual severity groups according to the BD and AECCD. Results: Sixty-four patients (50%) died. Mortality rates increased across the severity groups according to both definitions (26% in mild, 42% in moderate, and 75% in severe by the BD [P<0.001]; 26% in ALI non-ARDS and 58% in ARDS by the AECCD [P=0.002]). The mortality risk increased only for 'severe ARDS' (hazard radio for mortality, 2.56; 95% confidence intervals [CI], 1.14?5.78; P=0.023) after adjusting for confounding factors. The BD better predicted mortality, with an integrated area under the receiver operating characteristic curve (iAUC) of 0.651 (95% CI, 0.571?0.725), than the AECCD, with an iAUC of 0.584 (95% CI, 0.523?0.637). The pediatric risk of mortality (PRISM) III and pediatric index of mortality 3 scores were significantly different across BD severity groups, whereas only PRISM III scores were different according to the AECCD. Conclusion: The BD applied to children with ARDS. It could be adopted to severity classifications and predict pediatric ARDS mortality better than the AECCD. | - |
dc.description.statementOfResponsibility | open | - |
dc.publisher | Korean Academy of Pediatric Allergy and Respiratory Disease | - |
dc.relation.isPartOf | ALLERGY ASTHMA & RESPIRATORY DISEASE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 소아 급성 호흡곤란증후군에서의 Berlin 정의 | - |
dc.title.alternative | Application of the Berlin definition in children with acute respiratory distress syndrome | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Pediatrics | - |
dc.contributor.googleauthor | 김수연 | - |
dc.contributor.googleauthor | 김윤희 | - |
dc.contributor.googleauthor | 설인숙 | - |
dc.contributor.googleauthor | 김민정 | - |
dc.contributor.googleauthor | 윤서희 | - |
dc.contributor.googleauthor | 김경원 | - |
dc.contributor.googleauthor | 손명현 | - |
dc.contributor.googleauthor | 김규언 | - |
dc.identifier.doi | 10.4168/aard.2016.4.4.257 | - |
dc.contributor.localId | A00327 | - |
dc.contributor.localId | A04724 | - |
dc.contributor.localId | A00799 | - |
dc.contributor.localId | A01941 | - |
dc.contributor.localId | A01967 | - |
dc.contributor.localId | A02563 | - |
dc.contributor.localId | A00303 | - |
dc.relation.journalcode | J00065 | - |
dc.relation.journalsince | 2013~ | - |
dc.relation.journalbefore | ~2012 Allergy Asthma & Respiratory Disease (소아알레르기 호흡기학회지) | - |
dc.subject.keyword | Acute respiratory distress syndrome | - |
dc.subject.keyword | Child | - |
dc.subject.keyword | Mortality | - |
dc.subject.keyword | Validity | - |
dc.contributor.alternativeName | Kim, Kyung Won | - |
dc.contributor.alternativeName | Kim, Kyu Earn | - |
dc.contributor.alternativeName | Kim, Soo Yeon | - |
dc.contributor.alternativeName | Kim, Yoon Hee | - |
dc.contributor.alternativeName | Sol, In Suk | - |
dc.contributor.alternativeName | Son, Myung Hyun | - |
dc.contributor.alternativeName | Yoon, Seo Hee | - |
dc.contributor.affiliatedAuthor | Kim, Kyu Earn | - |
dc.contributor.affiliatedAuthor | Kim, Soo Yeon | - |
dc.contributor.affiliatedAuthor | Kim, Yoon Hee | - |
dc.contributor.affiliatedAuthor | Sol, In Suk | - |
dc.contributor.affiliatedAuthor | Son, Myung Hyun | - |
dc.contributor.affiliatedAuthor | Yoon, Seo Hee | - |
dc.contributor.affiliatedAuthor | Kim, Kyung Won | - |
dc.citation.volume | 4 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 257 | - |
dc.citation.endPage | 263 | - |
dc.identifier.bibliographicCitation | ALLERGY ASTHMA & RESPIRATORY DISEASE, Vol.4(4) : 257-263, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 46975 | - |
dc.type.rims | ART | - |
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