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Adult Respiratory Distress Syndrome - An Aspect of Multiple Organ Failure Results of a Prospective Clinical Study (Paperback)
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Adult Respiratory Distress Syndrome - An Aspect of Multiple Organ Failure Results of a Prospective Clinical Study (Paperback)
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l. A. STURM In modern society, trauma remains the number one cause
of death in people under 50 years, but, despite this, very little
attention has been paid to trauma care compared with other diseases
such as malignancy or myocardial infarction (Table 1). The efforts
that have been made in medical care, however, have showed some
success; for example although the frequency of traffic accidents in
the Federal Republic of Germany has remained constant over the
years, the number of deaths resulting from them has decreased (Fig.
1). The results of improvements in rescue systems, surgical
techniques, and intensive care are evident, as shown by a review of
the statistics of about 3000 multiple trauma patients treated in
the last 15 years at the trauma de partment of Hannover Medical
School which reflects the progress that has been made in medical
care. After the problem posed by posttraumatic kidney failure had
been solved in the 1960s and 1970s, the adult respiratory distress
syndrome (ARDS) became the biggest problem in the 1970s and 1980s
(Fig. 2). ARDS as a single entity disappeared in the literature in
the early 1980s and was replaced by the so-called multiple organ
failure (MOF) syndrome. Between 1985 and 1990 35% of the patients
in our intensive care unit developed MOF, and 70% of them died.
Overall MOF mortality has remained constant since 1985 at about 20%
(Fig. 3)."
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