• Dolors Ortiz Chinchilla and M Rosa Jam Gatell.
• Diplomada Enfermería. Servicio de Medicina Intensiva. Corporación Sanitaria Parc Taulí. Sabadell. Barcelona. España.
• Enferm Intensiva. 2003 Jul 1; 14 (3): 88-95.

IntroductionAlthough advanced technology and make many researches, the acute respiratory distress syndrome has been associated to high mortality. We prospectively evaluated the quality of life and mortality changes in patients with acute respiratory distress syndrome, was used quality of life indicators, as well as we determinated if positional strategie will be have an influence to falling-off in mortality.Material And MethodsWe combined the Karnosfky scale, daily live activities index, and the perception of quality of life scale to assess previously quality of life before admission to the intensive care unit and 6 moths after realese for 59 patients with acute respiratory distress syndrome. Mortality was compared with age, stay, severity of disease, nine equivalent manpower score and quality of life indicators. We evaluated mortality according to position strategie supine-position or pron-position.ResultsMortality was to the 57%. Three significant variables related with mortality were identified: age, nine equivalent manpower score and quality of life indicators. We didn't find any significant differentiate between positioning strategies. All of quality of life indicators were decrease six months after discharge to the intensive care unit.DiscussionMortality from patients acute respiratory distress syndrome is described between ratio for others authors, as well as it doesn't condittioned for positional estrategie used. The quality of life of survivors have deteriorated moderately, it was attributable to chronic disease.

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