Evaluation of the clinical value of SpO2 / FiO2 in diagnosis of acute respiratory distress syndrome

doi:10.3877/cma.j.issn.1674-6902.2017.05.021

Chinese Journal of Lung Diseases(Electronic Edition) ›› 2017, Vol. 10 ›› Issue (05): 585-586. doi: 10.3877/cma.j.issn.1674-6902.2017.05.021

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Evaluation of the clinical value of SpO2 / FiO2 in diagnosis of acute respiratory distress syndrome

Tianxing Zeng¹, Chanchan Tian², Mingdong Zhao³()

Received:2016-05-09 Online:2017-10-20 Published:2017-10-20
Contact: Mingdong Zhao

Abstract

Tianxing Zeng, Chanchan Tian, Mingdong Zhao. Evaluation of the clinical value of SpO2 / FiO2 in diagnosis of acute respiratory distress syndrome[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2017, 10(05): 585-586.

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References 6

1	刘伟，金发光. 急性肺损伤/急性呼吸窘迫综合征的治疗新进展[J/CD]. 中华肺部疾病杂志(电子版), 2013, 6(1): 61-64.
2	Ferguson ND, Frutos-Vivar F, Esteban A, et al. Acute respiratory distress syndrome: underrecognition by clinicians and diagnostic accuracy of three clinical definitions[J]. Crit Care Med, 2005, 33(10): 2228-2234.
3	Khemani RG, Patel NR, Bart RD 3rd, et al. Comparison of the pulse oximetric saturation/fraction of inspired oxygen ratio and the PaO₂/fraction of inspired oxygen ratio in children[J]. Chest, 2009, 135(3): 662-668.
4	Lobete C, Medina A, Rey C, et al. Correlation of oxygen saturation as measured by pulse oximetry/fraction of inspired oxygen ratio with PaO₂/fraction of inspired oxygen ratio in a heterogeneous sample of critically ill children[J]. J Crit Care, 2013, 28(4): 538. e1-7.
5	Rice TW, Wheeler AP, Bernard GR, et al. National Institutes of Health, National Heart, Lung, and Blood Institute ARDS Network. Comparison of the SpO₂/FiO₂ ratio and the PaO₂/FiO₂ ratio in patients with acute lung injury or ARDS[J]. Chest, 2007, 132(2): 410-417.
6	Pandharipande PP, Shintani AK, Hagerman HE, et al. Derivation and validation of SpO₂/FiO₂ ratio to impute for PaO₂/FiO₂ ratio in the respiratory component of the Sequential Organ Failure Assessment score[J]. Crit Care Med, 2009, 37(4): 1317-1321.

组　别	pH	PaCO₂(mmHg)	P/L	S/F	PEEP
P/F诊断组	7.39±0.08	40.86±9.08	165.05±53.73	202.57±52.14	10.85±3.63
S/F诊断组	7.41±0.07	42.00±10.09	159.62±54.23	191.75±44.61	9.49±3.05
P值	0.49	0.70	0.75	0.48	0.20

组　别	pH	PaCO₂(mmHg)	P/L	S/F	PEEP
P/F诊断组	7.39±0.08	40.86±9.08	165.05±53.73	202.57±52.14	10.85±3.63
S/F诊断组	7.41±0.07	42.00±10.09	159.62±54.23	191.75±44.61	9.49±3.05
P值	0.49	0.70	0.75	0.48	0.20

组　别	比值	r	P值
P/F	162.39±53.38	0.75	0.00
S/F	197.42±48.26	0.75	0.00

组　别	比值	r	P值
P/F	162.39±53.38	0.75	0.00
S/F	197.42±48.26	0.75	0.00

时　相	P/F诊断组	S/F诊断组	均值差	P值
通气时间(d)	8.60±3.56	8.12±3.20	0.42	0.65
ICU时间(d)	10.22±3.53	9.59±4.48	0.59	0.62
住院时间(d)	16.07±5.54	17.41±5.25	1.34	0.43
住院病死率[n(%)]	38(8)	30(6)	?	0.58

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