GrippeAllemagneV3, Main, Exploration, bibRecord, 000207

Extracorporeal lung support in H1N1 provoked acute respiratory failure: the experience of the German ARDS Network.

Identifieur interne : 000207 ( Main/Exploration ); précédent : 000206; suivant : 000208

Extracorporeal lung support in H1N1 provoked acute respiratory failure: the experience of the German ARDS Network.

Auteurs : Steffen Weber-Carstens ; Anton Goldmann ; Michael Quintel ; Armin Kalenka ; Stefan Kluge ; Jürgen Peters ; Christian Putensen ; Thomas Müller ; Simone Rosseau ; Bernhard Zwi Ler ; Onnen Moerer

Source :

Deutsches Arzteblatt international [ 1866-0452 ] ; 2013.

RBID : pubmed:24069078

Descripteurs français

English descriptors

KwdEn :
- Acute Disease, Adult, Age Distribution, Causality, Community Networks (statistics & numerical data), Comorbidity, Extracorporeal Membrane Oxygenation (mortality), Female, Germany (epidemiology), Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human (mortality), Influenza, Human (therapy), Influenza, Human (virology), Male, Middle Aged, Pandemics (prevention & control), Pandemics (statistics & numerical data), Prevalence, Respiratory Distress Syndrome, Adult (mortality), Respiratory Distress Syndrome, Adult (therapy), Respiratory Distress Syndrome, Adult (virology), Retrospective Studies, Risk Factors, Sex Distribution, Survival Rate, Treatment Outcome.
MESH :
- epidemiology : Germany.
- mortality : Extracorporeal Membrane Oxygenation, Influenza, Human, Respiratory Distress Syndrome, Adult.
- prevention & control : Pandemics.
- statistics & numerical data : Community Networks, Pandemics.
- therapy : Influenza, Human, Respiratory Distress Syndrome, Adult.
- virology : Influenza, Human, Respiratory Distress Syndrome, Adult.
- Acute Disease, Adult, Age Distribution, Causality, Comorbidity, Female, Humans, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Prevalence, Retrospective Studies, Risk Factors, Sex Distribution, Survival Rate, Treatment Outcome.

Abstract

BACKGROUND

During the H1N1 pandemic of 2009 and 2010, the large number of patients with severe respiratory failure due to H1N1 infection strained the capacities of treatment facilities for extracorporeal membrane oxygenation (ECMO) around the world. No data on this topic have yet been published for Germany.

METHODS

During the pandemic, the German ARDS Network (a task force of the DIVI's respiratory failure section) kept track of the availability of ECMO treatment facilities with a day-to-day, Internet-based capacity assessment. In cooperation with the Robert Koch Institute, epidemiological and clinical data were obtained on all patients treated for influenza in intensive care units.

RESULTS

116 patients were identified who had H1N1 disease and were treated in the intensive care units of 9 university hospitals and 3 other maximum medical care hospitals. 61 of them received ECMO. The overall mortality was 38% (44 of 116 patients); among patients receiving ECMO, the mortality was 54% (33 of 61 patients). The mortality was higher among patients who had an accompanying malignancy or immune deficiency (72.2%).

CONCLUSION

Even persons without any other accompanying disease developed life-threatening respiratory failure as a result of H1N1 infection, and many of these patients needed ECMO. This study reveals for the first time that the mortality of H1N1 infection in Germany is comparable to that in other countries. H1N1 patients with acute respiratory failure had a worse outcome if they also had serious accompanying diseases.

DOI: 10.3238/arztebl.2013.0543
PubMed: 24069078

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000185
to stream Main, to step Curation: 000185

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>During the H1N1 pandemic of 2009 and 2010, the large number of patients with severe respiratory failure due to H1N1 infection strained the capacities of treatment facilities for extracorporeal membrane oxygenation (ECMO) around the world. No data on this topic have yet been published for Germany.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>During the pandemic, the German ARDS Network (a task force of the DIVI's respiratory failure section) kept track of the availability of ECMO treatment facilities with a day-to-day, Internet-based capacity assessment. In cooperation with the Robert Koch Institute, epidemiological and clinical data were obtained on all patients treated for influenza in intensive care units.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>116 patients were identified who had H1N1 disease and were treated in the intensive care units of 9 university hospitals and 3 other maximum medical care hospitals. 61 of them received ECMO. The overall mortality was 38% (44 of 116 patients); among patients receiving ECMO, the mortality was 54% (33 of 61 patients). The mortality was higher among patients who had an accompanying malignancy or immune deficiency (72.2%).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Even persons without any other accompanying disease developed life-threatening respiratory failure as a result of H1N1 infection, and many of these patients needed ECMO. This study reveals for the first time that the mortality of H1N1 infection in Germany is comparable to that in other countries. H1N1 patients with acute respiratory failure had a worse outcome if they also had serious accompanying diseases.</p>
</div>
</front>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">During the H1N1 pandemic of 2009 and 2010, the large number of patients with severe respiratory failure due to H1N1 infection strained the capacities of treatment facilities for extracorporeal membrane oxygenation (ECMO) around the world. No data on this topic have yet been published for Germany.</AbstractText>
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Extracorporeal lung support in H1N1 provoked acute respiratory failure: the experience of the German ARDS Network.

Extracorporeal lung support in H1N1 provoked acute respiratory failure: the experience of the German ARDS Network.

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