Despite being a well-documented entity, miliary TB complicated by ARDS remains a challenging diagnosis due to its variable clinical manifestations and low morbidity. Some predictors such as AST, and ALT [4, 10] in miliary TB with ARDS have drawn our attention. Numerous case reports have mentioned that TB with ARDS is more common than TB complicated by anemia [4, 11] and hypoproteinemia [6, 11] . Thus, identifying the predictors of miliary TB associated with ARDS can play an important role in diagnosis and therapy. The aim of the present study was to determine the predictors and their impact on outcome based on a retrospective analysis of patients with ARDS caused by miliary TB in four hospitals of Chongqing in China, with the hope that this will contribute to a better understanding and improved management of the disease.