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Am. J. Respir. Crit. Care Med., Volume 159, Number 6, June 1999, 1849-1861

Incidence and Mortality after Acute Respiratory Failure and Acute Respiratory Distress Syndrome in Sweden, Denmark, and Iceland

OWE R. LUHR, KRISTIAN ANTONSEN, MAGNUS KARLSSON, SIDSEL AARDAL, ADALBJÖRN THORSTEINSSON, CLAES G. FROSTELL, JAN BONDE, and the ARF Study Group

Division of Anaesthesia and Intensive Care, Karolinska Institute at Danderyd Hospital, Stockholm, Sweden; Department of Anaesthesiology and Intensive Care, Herlev Hospital, Herlev, Denmark; Division of Anaesthesia and Intensive Care, Karolinska Hospital, Stockholm, Sweden; Department of Anaesthesia and Intensive Care, Haukeland Hospital, Bergen, Norway; Division of Anaesthesia and Intensive Care, Landspitalinn Hospital, Reykjavik, Iceland; and Department of Paediatric Intensive Care, Astrid Lindgren Childrens Hospital at Karolinska Hospital, Stockholm, Sweden

To determine the incidence and 90-d mortality of acute respiratory failure (ARF), acute lung injury (ALI), and the acute respiratory distress syndrome (ARDS), we carried out an 8-wk prospective cohort study in Sweden, Denmark, and Iceland. All intensive care unit (ICU) admissions (n = 13,346) >=  15 yr of age were assessed between October 6th and November 30th, 1997 in 132 of 150 ICUs with resources to treat patients with intubation and mechanical ventilation (I + MV) >=  24 h. ARF was defined as I + MV >=  24 h. ALI and ARDS were defined using criteria recommended by the American-European Consensus Conference on ARDS. Calculation to correct the incidence for unidentified subjects from nonparticipating ICUs was made. No correction for in- or out-migration from the study area was possible. The population in the three countries >=  15 yr of age was 11.74 million. One thousand two hundred thirty-one ARF patients were included, 287 ALI and 221 ARDS patients were identified. The incidences were for ARF 77.6, for ALI 17.9, and for ARDS 13.5 patients per 100,000/yr. Ninety-day mortality was 41.0% for ARF, including ALI and ARDS patients, 42.2% for ALI not fulfilling ARDS criteria, and 41.2% for ARDS.




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