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22대 대한민국 국회 국회정보길라잡이 국회의원검색
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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.

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기사명 저자명 페이지 원문 목차
소아청소년에서 만성 기침 = Chronic cough in children 최선희, 송대진, 염혜영, 박용민, 나영호 pp.235-247

대기오염과 소아 알레르기 질환 = Air pollution and childhood allergic disease 유영 pp.248-256

소아에서 급성 호흡곤란증후군의 정의 = Defining acute respiratory distress syndrome in children 조중범 pp.233-234

소아 급성 호흡곤란증후군에서의 Berlin 정의 = Application of the Berlin definition in children with acute respiratory distress syndrome 김수연, 김윤희, 설인숙, 김민정, 윤서희, 김경원, 손명현, 김규언 pp.257-263

아스피린 과민성 천식 환자에서 TLR3 유전자 다형성에 따른 IgG 아형 결핍 및 천식 중증도의 연관성 연구 = Association of TLR3 gene polymorphism with IgG subclass deficiency and the severity in patients with aspirin-intolerant asthma 김승현, 양은미, 정혜민, Duy Le Pham, 최현나, 반가영, 박해심 pp.264-270

아토피피부염 치료 실태에 관한 다기관 설문조사 = Multicenter questionnaires on the current management of atopic dermatitis in Korea 이동훈, 도은진, 이진영, 박양, 오재원, 이미희, 홍수종, 이소연, 박준수, 남동호, 염혜영, 난치성 아토피피부염 Work Group pp.271-275

지난 20여 년간 서울지역 초등학생 식품알레르기 유병률의 변화와 위험 인자 분석 = (The)change in food allergy prevalence of elementary school children in Seoul since the last 20 years and the risk factor analysis 김영호, 이소연, 이은, 조현주, 김효빈, 권지원, 양송이, 김은진, 이점규, 홍수종 pp.276-283

기관지확장제 반응 검사에서 속효성 기관지확장제 투여 용량의 차이가 소기도 반응도에 영향을 줄까? = Does the different amount of short-acting bronchodilator drugs have different effects on small airway response in bronchodilator test? 백지현, 장호민, 전유훈, 서보선, 이승진, 지혜미, 이경석, 정영호, 신윤호, 한만용 pp.284-289

단일 기관에서 경험한 소아 아토피피부염 환자의 감작 분포 = Sensitization in children with atopic dermatitis: a single center study 송아리, 이지영, 양혜경, 김민지, 안강모, 이상일, 김지현 pp.290-295

9세 소아에서 아세트아미노펜에 의한 드레스증후군 1예 = Drug reaction with eosinophilia and systemic symptom induced in a 9-year-old boy 송한솔, 최우혁, 최원복, 양승, 황일태, 백혜성 pp.296-300

림프구활성화시험으로 확인된 methazolamide에 의한 독성표피괴사융해 1예 = Methazolamide-induced toxic epidermal necrolysis confirmed by lymphocyte activation test 한규형, 홍구현, 김도형, 김윤섭, 박재석, 김승현, 지영구 pp.301-304

벌에 쏘인 뒤 비특이적반응으로 발생한 전신부종 1예 = Unusual reaction to Hymenoptera stings 인석환, 신영철, 황의권, 유혜원, 김준일, 박준혁, 장안수 pp.305-307

참고문헌 (32건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 ACUTE RESPIRATORY DISTRESS IN ADULTS 네이버 미소장
2 Intravascular coagulation associated with the adult respiratory distress syndrome 네이버 미소장
3 Clinical predictors of the adult respiratory distress syndrome 네이버 미소장
4 Adult respiratory distress syndrome: risk with common predispositions. 네이버 미소장
5 An expanded definition of the adult respiratory distress syndrome. 네이버 미소장
6 Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, et al. The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994;149(3 Pt 1):818-24. 미소장
7 Current definitions of acute lung injury and the acute respiratory distress syndrome do not reflect their true severity and outcome. 네이버 미소장
8 An early PEEP/FIO2 trial identifies different degrees of lung injury in patients with acute respiratory distress syndrome. 네이버 미소장
9 Acute respiratory distress syndrome: the Berlin Definition. 네이버 미소장
10 New Definition of Acute Respiratory Distress Syndrome 소장
11 Pediatric acute respiratory distress syndrome. 네이버 미소장
12 Epidemiology and outcome of acute lung injury in European intensive care units 네이버 미소장
13 Survival predictors in acute respiratory distress syndrome with extracorporeal membrane oxygenation. 네이버 미소장
14 Assessment of preoperative magnetic resonance imaging staging in patients with hepatocellular carcinoma undergoing resection compared with the seventh American Joint Committee on Cancer System. 네이버 미소장
15 Definition of Acute Respiratory Distress Syndrome 네이버 미소장
16 Phillips CR. The Berlin definition: real change or the emperor's new clothes? Crit Care 2013;17:174. 미소장
17 Hernu R, Wallet F, Thiolliere F, Martin O, Richard JC, Schmitt Z, et al. An attempt to validate the modification of the American-European consensus definition of acute lung injury/acute respiratory distress syndrome by the Berlin definition in a university hospital. Intensive Care Med 2013;39:2161-70. 미소장
18 Temporal evolution of acute respiratory distress syndrome definitions 네이버 미소장
19 Management of acute lung injury and acute respiratory distress syndrome in children 네이버 미소장
20 Pediatric Acute Lung Injury Epidemiology and Natural History study: Incidence and outcome of the acute respiratory distress syndrome in children. 네이버 미소장
21 Multidrug-resistant bacteria in hospitalized children: a 5-year multicenter study. 네이버 미소장
22 Acute Respiratory Distress Syndrome 네이버 미소장
23 Kneyber MC, Brouwers AG, Caris JA, Chedamni S, Plotz FB. Acute respiratory distress syndrome: is it underrecognized in the pediatric intensive care unit? Intensive Care Med 2008;34:751-4. 미소장
24 Epidemiology of pediatric acute respiratory distress syndrome in singapore: risk factors and predictive respiratory indices for mortality. 네이버 미소장
25 Erickson SE, Martin GS, Davis JL, Matthay MA, Eisner MD; NIH NHLBI ARDS Network. Recent trends in acute lung injury mortality: 1996-2005. Crit Care Med 2009;37:1574-9. 미소장
26 Mortality Rates for Patients With Acute Lung Injury/ARDS Have Decreased Over Time 네이버 미소장
27 Pediatric Acute Respiratory Distress Syndrome: Consensus Recommendations From the Pediatric Acute Lung Injury Consensus Conference* 네이버 미소장
28 Incidence and outcomes of pediatric acute lung injury. 네이버 미소장
29 Incidence of acute respiratory distress syndrome in German children and adolescents: a population-based study. 네이버 미소장
30 De Luca D, Piastra M, Chidini G, Tissieres P, Calderini E, Essouri S, et al. The use of the Berlin definition for acute respiratory distress syndrome during infancy and early childhood: multicenter evaluation and expert consensus. Intensive Care Med 2013;39:2083-91. 미소장
31 Gemke RJ, van Vught J. Scoring systems in pediatric intensive care: PRISM III versus PIM. Intensive Care Med 2002;28:204-7. 미소장
32 Visser IH, Hazelzet JA, Albers MJ, Verlaat CW, Hogenbirk K, van Woensel JB, et al. Mortality prediction models for pediatric intensive care: comparison of overall and subgroup specific performance. Intensive Care Med 2013;39:942-50. 미소장

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