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Bedside identification of subphenotypes in acute respiratory failure (PHIND): a multicentre, observational cohort study - PubMed

3 hours ago
  • #precision medicine
  • #biomarkers
  • #ARDS subphenotypes
  • The PHIND study prospectively identified two subphenotypes of ARDS (hyperinflammatory and hypoinflammatory) using a near-patient assay measuring IL-6, TNFR1, and plasma bicarbonate.
  • 60-day mortality was significantly higher in the hyperinflammatory group (51%) compared to the hypoinflammatory group (28%), with an adjusted odds ratio of 2.7.
  • The study involved 512 patients from UK and Irish ICUs and demonstrated the feasibility of rapid subphenotype identification for precision medicine in ARDS.