Predictors of successful weaning from prolonged mechanical ventilation in Taiwan
| Autor: | Kuang-Hung Hsu, Kuo-Chin Kao, Meng-Jer Hsieh, Ying-Huang Tsai, Yao-Kuang Wu |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
Artificial ventilation Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty Time Factors Critical Care medicine.medical_treatment Taiwan Weaning urologic and male genital diseases Blood Urea Nitrogen Mechanical ventilation Respiratory care center Predictive Value of Tests Risk Factors Prolonged mechanical ventilation medicine Humans Long-term acute care facilities Blood urea nitrogen APACHE Aged Retrospective Studies business.industry Glasgow Coma Scale Retrospective cohort study Respiration Artificial Anesthesia Rapid shallow breathing index Female Hemodialysis Respiratory Insufficiency business Ventilator Weaning |
| Zdroj: | Respiratory Medicine. 103(8):1189-1195 |
| ISSN: | 0954-6111 |
| DOI: | 10.1016/j.rmed.2009.02.005 |
| Popis: | SummaryBackgroundFor adult patients on prolonged mechanical ventilation (PMV, ≥21 days), successful weaning has been attributed to various factors. The purpose of this study was to describe patient outcomes, weaning rates and factors in successful weaning at a hospital-based respiratory care center (RCC) in Taiwan.Methods and resultsThis was a retrospective observational study performed in a 24-bed RCC over six years. A total of 1307 patients on PMV were included in the study. The overall survival rate was 62%. Fifty-six percent of patients were successfully weaned. Unsuccessfully weaned patients had higher MICU transfer rates, higher Acute Physiology and Chronic Health Evaluation II scores, longer duration of RCC stay, higher rates of being bed-ridden prior to admission, increased hemodialysis rates, higher modified Glasgow Coma Scale scores, higher rapid shallow breathing index, lower inspiratory pressure at residual volume (PImax) and lower blood urea nitrogen (BUN) and creatinine levels. Factors found to be associated with unsuccessful weaning were length of RCC stay (OR=1.04, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect