Table 5

Annual incidence of the acute respiratory distress syndrome (ARDS) and acute lung injury (ALI) in different clinical studies

StudyCriteria used to diagnose ALI/ARDSIncidence (cases/100 000 population/year)Study limitations
NHLI task force2775• Broad definition of respiratory distress syndrome including patients with volume overload
Canary Islands31Pao2/Fio2 <1101.5• Mean age of study population was 32
Pao2/Fio2 <1503.5• Non-urban setting
Utah30Pao2/Fio2 <1104.8–8.3• Incomplete sampling of hospitals
• Use of ICD-9 codes to diagnose ARDS
Berlin28Lung injury score >2.53.0• 2 month study may miss seasonal variation in incidence of ALI/ARDS
Lung injury score >1.75–<2.517.1• No correction for migration in and out of study population
Scandinavia29Pao2/Fio2 <30013.5• 2 month study may miss seasonal variation in incidence of ALI/ARDS
Pao2/Fio2 <20017.9
Lung injury score >2.57.6• No correction for migration in and out of study population