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In the ICU, a great number had ARDS (77.7%, CI 95% 71.8-88.3% with a PaO /FiO 20. In-hospital mortality was 33% (CI 95% 24.6-43.3%). The two phenotypes showed clinical and radiological differences (respiratory rate, OR = 0.98, = 0.02; CT scan lesion extension 50%, OR = 0.76, 0.03). However, no difference was found in terms of overall in-hospital mortality (OR = 1.07, = 0.74). The clinical phenotypes appear to be very distinguishable in the pre-hospital field, yet no difference was found in terms of mortality. This leads