Patient outcomes after noninvasive mechanical ventilation at a high dependency unit of an emergency department
| Autor: | Javier Muñoz-González, Jose A. Sevillano-Fernández, Guillermo Cuevas-Tascón, Carmen Cuenca-Carvajal, José M. de Miguel-Yanes, Jose A. Nuevo-Gonzalez, Juan A. Andueza-Lillo, Itziar Fernández-Ormaechea, Juan Carlos Cano-Ballesteros, Almudena Santano-Magariño |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Critical Care medicine.medical_treatment Observation law.invention law Intensive care Medicine Humans Prospective Studies Aged Mechanical ventilation Aged 80 and over business.industry Mortality rate Emergency department Odds ratio Intensive care unit Respiration Artificial Confidence interval Spain Ventilation (architecture) Emergency medicine Emergency Medicine Female business Emergency Service Hospital |
| Zdroj: | European journal of emergency medicine : official journal of the European Society for Emergency Medicine. 16(2) |
| ISSN: | 1473-5695 |
| Popis: | OBJECTIVE To describe the outcome of patients after noninvasive ventilation in a high dependency unit (HDU) of an emergency department (ED). Secondary aims were to define the role of intensive care consultation and to identify variables associated with mortality. METHODS Observational, prospective 6-month study. RESULTS Two hundred and nine cases were analysed. Thirty-four patients were initially rejected by the intensive care unit (ICU). Physicians in the ED did not request ICU consultation in the remaining 175 (83%) because of 'belief of improvable medical condition in the ED in patients without therapeutic limits' in 93 (group 1) and to 'preset therapeutic limits' or 'comfort measures only' in 82 (groups 2 and 3). Ten out of these 175 were subsequently admitted to the ICU. The global in-hospital mortality rate was 22% (3.3% in the high dependency unit), but only 10% in group 1. Place of referral for ventilation (P |
| Databáze: | OpenAIRE |
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