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소아 급성호흡곤란증후군에서 Pediatric Acute Lung Injury Consensus Conference 정의의 임상적 적용

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dc.contributor.author김경원-
dc.contributor.author김규언-
dc.contributor.author김수연-
dc.contributor.author김윤희-
dc.contributor.author설인숙-
dc.contributor.author손명현-
dc.date.accessioned2019-09-20T07:31:29Z-
dc.date.available2019-09-20T07:31:29Z-
dc.date.issued2019-
dc.identifier.issn2288-0402-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/170935-
dc.description.abstractPurpose: Despite improved quality of intensive care, acute respiratory distress syndrome (ARDS) significantly contributes to mortality in critically ill children. As pre-existing definitions of ARDS were adult-oriented standards, the Pediatric Acute Lung Injury Consensus Conference (PALICC) group released a new definition of pediatric ARDS. In this study, we aimed to assess the performance of PALICC definition for ARDS risk stratification. Methods: Total 332 patients who admitted to the intensive care unit at Severance Hospital from January 2009 to December 2016 and diagnosed as having ARDS by either the PALICC definition or the Berlin definition were retrospectively analyzed. Patient characteristics and mortality rates were compared between the individual severity groups according to both definitions. Results: The overall mortality rate was 36.1%. The mortality rate increased across the severity classes according to both definitions (26% in mild, 37% in moderate and 68% in severe by the PALICC definition [P<0.001]; 20% in mild, 32% in moderate and 64% in severe by the Berlin definition [P<0.001]). The mortality risk increased only for severe ARDS in both definitions (hazard ratio [95% confidence interval]: 2.279 [1.414–3.672], P=0.001 by the PALICC definition; 2.674 [1.518–4.712], P=0.001 by the Berlin definition). There was no significant difference in mortality discrimination between the 2 definitions (difference in integrated area under the curve: 0.017 [-0.018 to 0.049]). Conclusion: The PALICC definition demonstrated similar discrimination power on PARDS’ severity and mortality as the Berlin definition.-
dc.description.statementOfResponsibilityopen-
dc.publisherKorean Academy of Pediatric Allergy and Respiratory Disease-
dc.relation.isPartOfAllergy Asthma & Respiratory Disease-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.title소아 급성호흡곤란증후군에서 Pediatric Acute Lung Injury Consensus Conference 정의의 임상적 적용-
dc.title.alternativeClinical application of the Pediatric Acute Lung Injury Consensus Conference definition of acute respiratory distress syndrome-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Pediatrics (소아청소년과학교실)-
dc.contributor.googleauthor김벼리-
dc.contributor.googleauthor김수연-
dc.contributor.googleauthor설인숙-
dc.contributor.googleauthor김윤희-
dc.contributor.googleauthor김경원-
dc.contributor.googleauthor손명현-
dc.contributor.googleauthor김규언-
dc.identifier.doi10.4168/aard.2019.7.1.44-
dc.contributor.localIdA00303-
dc.contributor.localIdA00327-
dc.contributor.localIdA04724-
dc.contributor.localIdA00799-
dc.contributor.localIdA01941-
dc.contributor.localIdA01967-
dc.relation.journalcodeJ00065-
dc.subject.keywordPediatric acute respiratory distress syndrome-
dc.subject.keywordPediatric Acute Lung Injury Consensus Conference-
dc.subject.keywordBerlin definition-
dc.subject.keywordMortality-
dc.contributor.alternativeNameKim, Kyung Won-
dc.contributor.affiliatedAuthor김경원-
dc.contributor.affiliatedAuthor김규언-
dc.contributor.affiliatedAuthor김수연-
dc.contributor.affiliatedAuthor김윤희-
dc.contributor.affiliatedAuthor설인숙-
dc.contributor.affiliatedAuthor손명현-
dc.citation.volume7-
dc.citation.number1-
dc.citation.startPage44-
dc.citation.endPage50-
dc.identifier.bibliographicCitationAllergy Asthma & Respiratory Disease, Vol.7(1) : 44-50, 2019-
dc.identifier.rimsid64360-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers

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