Chest
Original ResearchCritical Care MedicineAge, Duration of Mechanical Ventilation, and Outcomes of Patients Who Are Critically Ill
Section snippets
Materials and Methods
This retrospective cohort study conducted at Bridgeport Hospital, Yale New Haven-Health (Bridgeport, CT), a 425-bed community teaching hospital. The Institutional Review Board approved the study, waiving the requirement of informed consent for this retrospective review of computerized administrative medical records. Bridgeport Hospital has a total of 37 critical care beds within its medical, surgical, and burn ICUs. Each ICU is staffed with one nurse for every two patients, and care is
Results
A total of 9,207 patients were included in the analysis. The median age of the patients was 65 years, and 43% were women. A total of 4,238 patients (46%) received MV, with a median duration of 2 days (25th to 75th percentile, 2 to 6 days). The median age of patients requiring MV was older than that of patients who did not require MV (67 vs 63 years, respectively; p < 0.05), and the male/female gender ratio was similar in both groups. Cardiovascular and pulmonary primary conditions were more
Discussion
To our knowledge, this study is the first to examine whether a simple combination of patient age and DMV data, which are readily available to clinicians at bedside, provide useful prognostic information for families and clinicians in their decision making regarding care of patients who are acutely ill. These epidemiologic data were derived from 5 years of hospital ICU admissions at a community teaching hospital and suggest that advanced age and prolonged duration of MV significantly decrease
Acknowledgments
Author contributions: Dr. Feng gathered data, performed statistical analyses, and helped to write the manuscript. Dr. Amoateng-Adjepong assisted in statistical analyses and in writing the manuscript. Dr. Kaufman helped to write the manuscript. Dr. Gheorghe helped to gather data and participated in writing the manuscript. Dr. Manthous conceived the question and helped to write the manuscript.
Financial/nonfinancial disclosures: The authors have reported to the ACCP that no significant conflicts
References (0)
Cited by (42)
Nursing care of the ventilator patient
2022, Small Animal Critical Care MedicineMathematical modeling of ventilator-induced lung inflammation
2021, Journal of Theoretical BiologyCitation Excerpt :A 2003–2008 study conducted at Bridgeport Hospital reported that 4,238 out of 9,912 (42.8%) patients received MV for a median of two days. Mortality or discharge to extended-care facilities increased for each decade of age greater than 65 years (Feng et al., 2009). Most recently, severe forms of COVID-19, a highly infectious respiratory disease caused by the novel coronavirus SARS-CoV-2, can lead to respiratory failure and death (Lai et al., 2020).
Healthcare costs of ICU survivors are higher before and after ICU admission compared to a population based control group: A descriptive study combining healthcare insurance data and data from a Dutch national quality registry
2018, Journal of Critical CareCitation Excerpt :This difference in healthcare costs can be due to the fact that older patients are less likely to undergo major surgery or dialysis [23]. Though, after discharge older people are more likely to be readmitted and are more dependent of long-term care facilities, nursing homes or rehabilitation centres compared to younger people [24-26]. ICU patients in our study had a high prevalence of chronic conditions compared to the total Dutch population [1].
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2016, Journal of Critical CareOutcome of mechanically ventilated patients initially denied admission to an intensive care unit and subsequently admitted
2016, European Journal of Internal MedicineCitation Excerpt :The most striking feature of the current study is that patients who were denied ICU admission and subsequently admitted did not tend to benefit from ICU admission when it occurred. The actual benefit from ICU admission may have been diminished due to other factors that were found to be significantly associated with adverse outcomes such as duration of mechanical ventilation [14], length of hospital stay [15], rate of failed extubations [16], and occurrence of VAP and nosocomial bacteremia [17,18], all of which were highest among this group of patients. In addition, the mean length of stay before transfer to the ICU was 3.9 days, delayed admission to ICU has been associated with significant increase in overall hospital mortality [19].
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