Survival and quality of life outcome after mechanical ventilation in elderly stroke patients
| Autor: | Helmuth Steinmetz, Christian Foerch, D A Steckel, Matthias Sitzer, K R Kessler |
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| Rok vydání: | 2004 |
| Předmět: |
Male
Paper medicine.medical_specialty medicine.medical_treatment Severity of Illness Index Quality of life Modified Rankin Scale Internal medicine Severity of illness medicine Humans Glasgow Coma Scale Prospective cohort study Stroke Survival rate Lung Aged Mechanical ventilation Aged 80 and over business.industry Age Factors Odds ratio medicine.disease Respiration Artificial Surgery Survival Rate Psychiatry and Mental health Cross-Sectional Studies Quality of Life Female Neurology (clinical) business Respiratory Insufficiency Follow-Up Studies |
| Zdroj: | Journal of neurology, neurosurgery, and psychiatry. 75(7) |
| ISSN: | 0022-3050 |
| Popis: | Objectives: Mortality is high and functional outcome poor in mechanically ventilated stroke patients. In addition, age >65 years is an independent predictor of death at 2 months among these patients. Our objective was to determine survival rates, functional outcome, and quality of life (QoL) in stroke patients older than 65 years requiring mechanical ventilation. Methods: A prospective cohort study with an additional cross-sectional survey in 65 patients aged 65 years and older (mean age (SD): 75.6 (6.0) years) with ischaemic or haemorrhagic stroke who underwent mechanical ventilation. Main outcome measures were survival rate at 6 months, and Barthel Index (BI), modified Rankin Scale, and QoL at 15.8 (SD 8.0) months. Results: Survival rate at 6 months was 40%. Elective intubation (odds ratio (OR) 13.6; p = 0.002) was the only independent positive predictor for survival, while age >77.5 years (OR 0.1; p = 0.004) and white blood count >10/nl at admission (OR 0.31; p = 0.032) were independent negative predictors for survival at 6 months. At the time of the cross-sectional survey, BI was >70 in five out of 22 patients, 35–70 in three and |
| Databáze: | OpenAIRE |
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