Prevalence And Mortality of Acute Respiratory Distress Severity in The Pediatric Intensive Care Units’ Emergencies: A Systematic Review and Meta-Analysis

Le résumé fourni par la source

Objective: To review the prevalence of risk factors associated with mortality rate of acute respiratory distress (ARDs) severity in the pediatric intensive care units (ICU) emergencies. Data Sources: A systematic search of MEDLINE (PubMed, Medscape, Science Direct. EMF-Portal) and Internet was conducted on all articles published from 1980 to 2025. Study Selection: English-language reports of about the prevalence, risk factors associated with mortality rate of ARDs in the pediatric. The initial search presented 95 articles where 50 had inclusion criteria. Data Extraction: Articles not reporting on the prevalence, risk factors, mortality of ARDs in the pediatric in the title or abstract were not included. 10 independent investigators extracted data on methods. Data Synthesis: Comparisons were made by structured review with the results tabulated. 20 studies about Prevalence of ARDs in the pediatric, 14 emphasized Risk Factors of ARDs in pediatrics and another 16 studies about mortality of ARDs in pediatrics. Findings: Mortality rate of ARDs from 1998 till 2025, there were 8 studies conducted in 1998-2009 that reported that the mortality rate among pediatric ARDs in ICU ranged from 22-70%. However, other 7 studies were caried out in 2012-2022 years resulted that the mortality rate among pediatric ARDs in ICU ranged from 21.2% to 57.3%, while Pai et al. in 2025 reported the lower percentage from16.4%-38.3%. Conclusions: The prevalence of acute respiratory distress severity in the pediatric in intensive care units widely differed from 0.2% to 21.3% during the years studied from 1998 till 2025. Studies conducted and published later were associated with better survival. The prevalence Overall mortality rate among ARDS in pediatric intensive care units is high, with previous estimates varying widely between 21.2%-70%. Earlier years of publication was an independent factor adversely affecting mortality in pediatric ARDS regardless of study design.

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