Epidemiology of mechanically ventilated patients treated in ICU and non-ICU settings in Japan: a retrospective database study

Autor: Yuichi Imanaka, Hiroshi Imai, Hiroshi Ikai, Yoshiaki Iwashita, Kazuto Yamashita, Masamitsu Sanui
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Mechanically ventilated patient
medicine.medical_specialty
Multivariate analysis
Databases
Factual
medicine.medical_treatment
health care facilities
manpower
and services
Critical Care and Intensive Care Medicine
Retrospective database
03 medical and health sciences
0302 clinical medicine
Japan
Intensive care
Epidemiology
Odds Ratio
Humans
Medicine
Hospital Mortality
Prospective Studies
030212 general & internal medicine
Aged
Retrospective Studies
Mechanical ventilation
business.industry
Research
lcsh:Medical emergencies. Critical care. Intensive care. First aid
030208 emergency & critical care medicine
Odds ratio
lcsh:RC86-88.9
Length of Stay
Middle Aged
Respiration
Artificial
Intensive Care Units
Parenteral nutrition
Emergency medicine
ICU
Arterial line
Female
Respiratory Insufficiency
business
Zdroj: Critical Care, Vol 22, Iss 1, Pp 1-9 (2018)
Critical Care
ISSN: 1364-8535
DOI: 10.1186/s13054-018-2250-3
Popis: Background In most countries, patients receiving mechanical ventilation (MV) are treated in intensive care units (ICUs). However, in some countries, including Japan, many patients on MV are not treated in ICUs. There are insufficient epidemiological data on these patients. Here, we sought to describe the epidemiology of patients on MV in Japan by comparing and contrasting patients on MV treated in ICUs and in non-ICU settings. A preliminary comparison of patient outcomes between ICU and non-ICU patients was a secondary objective. Methods Data on adult patients receiving MV for at least 3 days in ICUs or non-ICU settings from April 2010 through March 2012 were obtained from the Quality Indicator/Improvement Project, a voluntary data-administration project covering more than 400 acute-care hospitals in Japan. We excluded patients with cancer-related diagnoses. Patient demographic data and the critical care provided were compared between groups. Results Over the study period, 17,775 patients on MV were treated only in non-ICU settings, whereas 20,516 patients were treated at least once in ICUs (46.4% vs. 53.6%). Average age was higher in non-ICU patients than in ICU patients (72.8 vs. 70.2, P
Databáze: OpenAIRE
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