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A CALCULOUS CHOLECYSTITIS: A FATAL COMPLICATION IN POST‐LUNG TRANSPLANTATION PATIENT—A CASE REPORT

between survivors and non-survivors. The risk factor for mortality was assessed using a logistic regression analysis. Results: Total 126 patients (mortality, 57.1%) were eligible. In all patients, 94.4% were transferred to the study site from other hospitals in the north part of Vietnam. In the conditions of gas exchange, mean ( SD) of PaO2/FiO2 between non-survivors (102.1 52.5) and survivors (120.0 66.7) on Day 1 was not significant (P = 0.079); however, PaO2/ FiO2 on Day 3 was improved both on Non-survivors (126.3 79.9) and Survivors (183.9 98.9) with the significant difference (P = 0.002). A multivariate logistic regression analysis resulted that PaO2/FiO2 [odds ratio (OR), 1.010; 95% confidence interval (CI), 1.003–1.017] and length of pre-hospitalization before admission (OR, 1.122; 95%CI, 1.042–1.210) were independent risk factors for hospital mortality. Conclusion: The present study revealed that hospitalized patients with ARDS were admitted to the central hospital with severe respiratory conditions. In the central hospital, if pathophysiological conditions does not improve (PaO2/FiO2 on Day 3 is 150 or less), the clinical outcome would getting worth. In the treatment of ARDS in Vietnam, the early transfer to the central hospital that can get the early diagnosis and the early initiation of appropriate treatments would contribute to the better outcome.