publication . Article . Other literature type . 2018

The Value of Oxygenation Saturation Index in Predicting the Outcomes of Patients with Acute Respiratory Distress Syndrome

Wan-Ling Chen; Wei-Ting Lin; Shu-Chen Kung; Chih-Cheng Lai; Chien-Ming Chao;
Open Access English
  • Published: 01 Aug 2018 Journal: Journal of Clinical Medicine, volume 7, issue 8 (issn: 2077-0383, eissn: 2077-0383, Copyright policy)
  • Publisher: MDPI
Abstract
This study aims to investigate the association between oxygenation saturation index (OSI) and the outcome of acute respiratory distress syndrome (ARDS) patients, and assess the predictive performance of OSI for ARDS patients’ mortality. This study was conducted at one regional hospital with 66 adult intensive care unit (ICU) beds. All patients with ARDS were identified between November 1 2016 and May 31 2018, and their clinical information was retrospectively collected. The lowest PaO2/FiO2 ratio and SpO2/FiO2 ratio and highest mean airway pressure (MAP) were recorded on the first day of ARDS; and oxygen index (OI) and OSI were calculated as (FiO2 × ...
Subjects
mesheuropmc: respiratory tract diseases
free text keywords: R, SpO<sub>2</sub>/FiO<sub>2</sub>, PaO<sub>2</sub>/FiO<sub>2</sub>, SpO2/FiO2, acute respiratory distress syndrome, mortality, Medicine, Article, PaO2/FiO2
Related Organizations

1. Phua, J.; Badia, J.R.; Adhikari, N.K.; Friedrich, J.O.; Fowler, R.A.; Singh, J.M.; Scales, D.C.; Stather, D.R.; Li, A.; Jones, A.; et al. Has mortality from acute respiratory distress syndrome decreased over time? A systematic review. Am. J. Respir. Crit. Care Med. 2009, 179, 220-227. [CrossRef] [PubMed]

2. Villar, J.; Blanco, J.; Añón, J.M.; Santos-Bouza, A.; Blanch, L.; Ambrós, A.; Gandía, F.; Carriedo, D.; Mosteiro, F.; Basaldúa, S.; et al. The ALIEN study: Incidence and outcome of acute respiratory distress syndrome in the era of lung protective ventilation. Intensive Care Med. 2011, 37, 1932-1941. [CrossRef] [PubMed]

3. Villar, J.; Sulemanji, D.; Kacmarek, R.M. The acute respiratory distress syndrome: Incidence and mortality, has it changed? Curr. Opin. Crit. Care 2014, 20, 3-9. [CrossRef] [PubMed]

4. Bernard, G.R.; Artigas, A.; Brigham, K.L.; Carlet, J.; Falke, K.; Hudson, L.; Lamy, M.; Legall, J.R.; Morris, A.; Spragg, R. The American-European consensus conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am. J. Respir. Crit. Care Med. 1994, 149, 818-824. [CrossRef] [PubMed]

5. Ranieri, V.M.; Rubenfeld, G.D.; Thompson, B.T.; Ferguson, N.D.; Caldwell, E.; Fan, E.; Camporota, L.; Slutsky, A.S.; Antonelli, M.; Anzueto, A.; et al. Acute respiratory distress syndrome: The Berlin Definition. JAMA 2012, 307, 2526-2533. [PubMed] [OpenAIRE]

6. Cooke, C.R.; Kahn, J.M.; Caldwell, E.; Okamoto, V.N.; Heckbert, S.R.; Hudson, L.D.; Rubenfeld, G.D. Predictors of hospital mortality in a population-based cohort of patients with acute lung injury. Crit. Care Med. 2008, 36, 1412-1420. [CrossRef] [PubMed]

7. Villar, J.; Pérez-Méndez, L.; Basaldúa, S.; Blanco, J.; Aguilar, G.; Toral, D.; Zavala, E.; Romera, M.A.; González-Díaz, G.; Nogal, F.D.; et al. A risk tertiles model for predicting mortality in patients with acute respiratory distress syndrome: Age, plateau pressure, and P(aO(2))/F(IO(2)) at ARDS onset can predict mortality. Respir. Care 2011, 56, 420-428. [CrossRef] [PubMed]

8. Lai, C.C.; Sung, M.I.; Ho, C.H.; Liu, H.H.; Chen, C.M.; Chiang, S.R.; Chao, C.M.; Liu, W.L.; Hsing, S.C.; Cheng, K.C. The prognostic value of N-terminal proB-type natriuretic peptide in patients with acute respiratory distress syndrome. Sci. Rep. 2017, 7, 44784. [CrossRef] [PubMed]

9. Lai, C.C.; Sung, M.I.; Liu, H.H.; Chen, C.M.; Chiang, S.R.; Liu, W.L.; Chao, C.M.; Ho, C.H.; Weng, S.F.; Hsing, S.C.; et al. The ratio of partial pressure arterial oxygen and fraction of inspired oxygen 1 day after acute respiratory distress syndrome onset can predict the outcomes of involving patients. Medicine 2016, 95, e3333. [CrossRef] [PubMed]

10. Brown, S.M.; Duggal, A.; Hou, P.C.; Tidswell, M.; Khan, A.; Exline, M.; Park, P.K.; Schoenfeld, D.A.; Liu, M.; Grissom, C.K.; et al. Nonlinear imputation of PaO2/FIO2 from SpO2/FIO2 among mechanically ventilated patients in the ICU: A prospective, observational study. Crit. Care Med. 2017, 45, 1317-1324. [CrossRef] [PubMed]

11. Brown, S.M.; Grissom, C.K.; Moss, M.; Rice, T.W.; Schoenfeld, D.; Hou, P.C.; Thompson, B.T.; Brower, R.G.; NIH/NHLBI PETAL Network Collaborators. Nonlinear imputation of PaO2/FiO2 from SpO2/FiO2 among patients with acute respiratory distress syndrome. Chest 2016, 150, 307-313. [CrossRef] [PubMed]

12. DesPrez, K.; McNeil, J.B.; Wang, C.; Bastarache, J.A.; Shaver, C.M.; Ware, L.B. Oxygenation saturation index predicts clinical outcomes in ARDS. Chest 2017, 152, 1151-1158. [CrossRef] [PubMed] [OpenAIRE]

13. Chen, W.; Janz, D.R.; Shaver, C.M.; Bernard, G.R.; Bastarache, J.A.; Ware, L.B. Clinical characteristics and outcomes are similar in ARDS diagnosed by oxygen saturation/FiO2 ratio compared with PaO2/FiO2 ratio. Chest 2015, 148, 1477-1483. [CrossRef] [PubMed]

14. Barbas, C.S.; Isola, A.M.; Caser, E.B. What is the future of acute respiratory distress syndrome after the Berlin definition? Curr. Opin. Crit. Care 2014, 20, 10-16. [CrossRef] [PubMed]

15. Hernu, R.; Wallet, F.; Thiollière, F.; Martin, O.; Richard, J.C.; Schmitt, Z.; Wallon, G.; Delannoy, B.; Rimmelé, T.; Démaret, C.; 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, 2161-2170. [CrossRef] [PubMed]

Abstract
This study aims to investigate the association between oxygenation saturation index (OSI) and the outcome of acute respiratory distress syndrome (ARDS) patients, and assess the predictive performance of OSI for ARDS patients&rsquo; mortality. This study was conducted at one regional hospital with 66 adult intensive care unit (ICU) beds. All patients with ARDS were identified between November 1 2016 and May 31 2018, and their clinical information was retrospectively collected. The lowest PaO2/FiO2 ratio and SpO2/FiO2 ratio and highest mean airway pressure (MAP) were recorded on the first day of ARDS; and oxygen index (OI) and OSI were calculated as (FiO2 &times; ...
Subjects
mesheuropmc: respiratory tract diseases
free text keywords: R, SpO<sub>2</sub>/FiO<sub>2</sub>, PaO<sub>2</sub>/FiO<sub>2</sub>, SpO2/FiO2, acute respiratory distress syndrome, mortality, Medicine, Article, PaO2/FiO2
Related Organizations

1. Phua, J.; Badia, J.R.; Adhikari, N.K.; Friedrich, J.O.; Fowler, R.A.; Singh, J.M.; Scales, D.C.; Stather, D.R.; Li, A.; Jones, A.; et al. Has mortality from acute respiratory distress syndrome decreased over time? A systematic review. Am. J. Respir. Crit. Care Med. 2009, 179, 220-227. [CrossRef] [PubMed]

2. Villar, J.; Blanco, J.; Añón, J.M.; Santos-Bouza, A.; Blanch, L.; Ambrós, A.; Gandía, F.; Carriedo, D.; Mosteiro, F.; Basaldúa, S.; et al. The ALIEN study: Incidence and outcome of acute respiratory distress syndrome in the era of lung protective ventilation. Intensive Care Med. 2011, 37, 1932-1941. [CrossRef] [PubMed]

3. Villar, J.; Sulemanji, D.; Kacmarek, R.M. The acute respiratory distress syndrome: Incidence and mortality, has it changed? Curr. Opin. Crit. Care 2014, 20, 3-9. [CrossRef] [PubMed]

4. Bernard, G.R.; Artigas, A.; Brigham, K.L.; Carlet, J.; Falke, K.; Hudson, L.; Lamy, M.; Legall, J.R.; Morris, A.; Spragg, R. The American-European consensus conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am. J. Respir. Crit. Care Med. 1994, 149, 818-824. [CrossRef] [PubMed]

5. Ranieri, V.M.; Rubenfeld, G.D.; Thompson, B.T.; Ferguson, N.D.; Caldwell, E.; Fan, E.; Camporota, L.; Slutsky, A.S.; Antonelli, M.; Anzueto, A.; et al. Acute respiratory distress syndrome: The Berlin Definition. JAMA 2012, 307, 2526-2533. [PubMed] [OpenAIRE]

6. Cooke, C.R.; Kahn, J.M.; Caldwell, E.; Okamoto, V.N.; Heckbert, S.R.; Hudson, L.D.; Rubenfeld, G.D. Predictors of hospital mortality in a population-based cohort of patients with acute lung injury. Crit. Care Med. 2008, 36, 1412-1420. [CrossRef] [PubMed]

7. Villar, J.; Pérez-Méndez, L.; Basaldúa, S.; Blanco, J.; Aguilar, G.; Toral, D.; Zavala, E.; Romera, M.A.; González-Díaz, G.; Nogal, F.D.; et al. A risk tertiles model for predicting mortality in patients with acute respiratory distress syndrome: Age, plateau pressure, and P(aO(2))/F(IO(2)) at ARDS onset can predict mortality. Respir. Care 2011, 56, 420-428. [CrossRef] [PubMed]

8. Lai, C.C.; Sung, M.I.; Ho, C.H.; Liu, H.H.; Chen, C.M.; Chiang, S.R.; Chao, C.M.; Liu, W.L.; Hsing, S.C.; Cheng, K.C. The prognostic value of N-terminal proB-type natriuretic peptide in patients with acute respiratory distress syndrome. Sci. Rep. 2017, 7, 44784. [CrossRef] [PubMed]

9. Lai, C.C.; Sung, M.I.; Liu, H.H.; Chen, C.M.; Chiang, S.R.; Liu, W.L.; Chao, C.M.; Ho, C.H.; Weng, S.F.; Hsing, S.C.; et al. The ratio of partial pressure arterial oxygen and fraction of inspired oxygen 1 day after acute respiratory distress syndrome onset can predict the outcomes of involving patients. Medicine 2016, 95, e3333. [CrossRef] [PubMed]

10. Brown, S.M.; Duggal, A.; Hou, P.C.; Tidswell, M.; Khan, A.; Exline, M.; Park, P.K.; Schoenfeld, D.A.; Liu, M.; Grissom, C.K.; et al. Nonlinear imputation of PaO2/FIO2 from SpO2/FIO2 among mechanically ventilated patients in the ICU: A prospective, observational study. Crit. Care Med. 2017, 45, 1317-1324. [CrossRef] [PubMed]

11. Brown, S.M.; Grissom, C.K.; Moss, M.; Rice, T.W.; Schoenfeld, D.; Hou, P.C.; Thompson, B.T.; Brower, R.G.; NIH/NHLBI PETAL Network Collaborators. Nonlinear imputation of PaO2/FiO2 from SpO2/FiO2 among patients with acute respiratory distress syndrome. Chest 2016, 150, 307-313. [CrossRef] [PubMed]

12. DesPrez, K.; McNeil, J.B.; Wang, C.; Bastarache, J.A.; Shaver, C.M.; Ware, L.B. Oxygenation saturation index predicts clinical outcomes in ARDS. Chest 2017, 152, 1151-1158. [CrossRef] [PubMed] [OpenAIRE]

13. Chen, W.; Janz, D.R.; Shaver, C.M.; Bernard, G.R.; Bastarache, J.A.; Ware, L.B. Clinical characteristics and outcomes are similar in ARDS diagnosed by oxygen saturation/FiO2 ratio compared with PaO2/FiO2 ratio. Chest 2015, 148, 1477-1483. [CrossRef] [PubMed]

14. Barbas, C.S.; Isola, A.M.; Caser, E.B. What is the future of acute respiratory distress syndrome after the Berlin definition? Curr. Opin. Crit. Care 2014, 20, 10-16. [CrossRef] [PubMed]

15. Hernu, R.; Wallet, F.; Thiollière, F.; Martin, O.; Richard, J.C.; Schmitt, Z.; Wallon, G.; Delannoy, B.; Rimmelé, T.; Démaret, C.; 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, 2161-2170. [CrossRef] [PubMed]

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publication . Article . Other literature type . 2018

The Value of Oxygenation Saturation Index in Predicting the Outcomes of Patients with Acute Respiratory Distress Syndrome

Wan-Ling Chen; Wei-Ting Lin; Shu-Chen Kung; Chih-Cheng Lai; Chien-Ming Chao;