Early diagnosis of Acute Respiratory Distress Syndrome in children
Early diagnosis of Respiratory Distress SyndromeAcute Respiratory Distress Syndrome (ARDS) affects 6-10% of patients admitted annually to intensive care units, is currently under-diagnosed and has a mortality of 18-45%. We have completed an international consensus conference on ARDS which recommended improving the number and earliness of diagnoses, and also clarified diagnostic criteria and management in children, complementing similar work in adults. In order to obtain an early diagnosis of ARDS and thus improve its management, we are developing and validating a clinical decision support system (CDSS) for the automated real-time diagnosis of ARDS based on diagnostic criteria including notions of acute onset of the syndrome, a radiological change, a hypoxemia criterion, a respiratory assistance criterion and the absence of predominant heart failure.
Ce SADC va combiner les 3 éléments suivants : (1) real-time monitoring of hypoxemia
(2) Evidence of pulmonary infiltrate on chest X-ray
(3) detection of the absence of heart failure based on admission notes