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The purpose of this study is to evaluate the incidence of the ARDS in the French wounded soldiers.
The Acute Respiratory Distress Syndrome (ARDS) complicates war wounds. Among the repatriated wounded persons, it can appear in the first 7 days.
It has been well described among American soldiers and it is known that it's serious, frequent and multifactorial.
However, not a single study has described the frequency and the severity of the ARDS in French wounded soldiers.
Thus the purpose of this study is to estimate the incidence and severity of the ARDS among the French wounded soldiers, admitted in continuing care and intensive care unit between 2001 and 2017.
The analysis of this data collection will let us improve the medical care of the ARDS in Outside Operation.
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of ARDS | The appearance of ARDS is defined by a ratio of partial pressure arterial oxygen (PaO2) and fraction of inspired oxygen (FiO2) lower than 300 in 7 days after the wound. | Day 7 |
| Measure | Description | Time Frame |
|---|---|---|
| Assess the severity of ARDS | the severity of ARDS will be assessed regarding the necessity or not of non-invasive and invasive ventilation | 7 days |
| Description of the severity of ARDS | the therapeutic intensity will be describe with : Maximal Positive end-expiration pressure (PEEP), curarisation, nitrogen monoxide (NO), prone position , Extracorporeal membrane oxygenation. |
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Inclusion Criteria:
Exclusion Criteria:
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Patient evacuated from the theatre of outside operation and hospitalized in intensive care unit in France between 2001 et 2017
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| Name | Affiliation | Role |
|---|---|---|
| Julien Bordes, professor | Hopital d'Instruction des Armées Sainte Anne | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital d'Instruction des Armées Sainte Anne | Toulon | Var | 83000 | France |
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| ID | Term |
|---|---|
| D012128 | Respiratory Distress Syndrome |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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| 7 days |
| Mortality | Assess the mortality since hospitalization | Day 90 |
| Assessment of the severity of ARDS | the severity of ARDS will be assessed regarding duration of non-invasive and invasive ventilation | 7 days |