Reinstitution of Mechanical Ventilation within 14 Days as a Poor Predictor in Prolonged Mechanical Ventilation Patients following Successful Weaning
Joint Authors
Tsai, Yuh Chyn
Tseng, Chia-Cheng
Tu, Mei-Lien
Wang, Chin-Chou
Lin, Meng-Chih
Tseng, Ching-Wan
Chen, Yung-Che
Fang, Wen-Feng
Liu, Shih-Feng
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-07-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science
Abstract EN
Although many parameters were investigated about weaning and mortality in critical patients in intensive units, no studies have yet investigated predictors in prolonged mechanical ventilation (PMV) patients following successful weaning.
A cohort of 142 consecutive PMV patients with successful weaning in our respiratory care center was enrolled in this study.
Successful weaning is defined as a patient having smooth respiration for more than 5 days after weaning.
The results showed as follows: twenty-seven patients (19%) had the reinstitution within 14 days, and 115 patients (81%) had the reinstitution beyond 14 days.
Renal disease RIFLE-LE was associated with the reinstitution within 14 days (P=0.006).
One year mortality rates showed significant difference between the two groups (85.2% in the reinstitution within 14 days group versus 53.1% in the reinstitution beyond 14 days; P<0.001).
Kaplan-Meier analysis showed that age ≥70 years (P=0.04), ESRD (P=0.02), and the reinstitution within 14 days (P<0.001) were associated with one-year mortality.
Cox proportional hazards regression model showed that only the reinstitution within 14 days was the independent predictor for mortality (P<0.001).
In conclusion, the reinstitution within 14 days was a poor predictor for PMV patients after successful weaning.
American Psychological Association (APA)
Tu, Mei-Lien& Tseng, Ching-Wan& Tsai, Yuh Chyn& Wang, Chin-Chou& Tseng, Chia-Cheng& Lin, Meng-Chih…[et al.]. 2012. Reinstitution of Mechanical Ventilation within 14 Days as a Poor Predictor in Prolonged Mechanical Ventilation Patients following Successful Weaning. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-511310
Modern Language Association (MLA)
Tu, Mei-Lien…[et al.]. Reinstitution of Mechanical Ventilation within 14 Days as a Poor Predictor in Prolonged Mechanical Ventilation Patients following Successful Weaning. The Scientific World Journal No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-511310
American Medical Association (AMA)
Tu, Mei-Lien& Tseng, Ching-Wan& Tsai, Yuh Chyn& Wang, Chin-Chou& Tseng, Chia-Cheng& Lin, Meng-Chih…[et al.]. Reinstitution of Mechanical Ventilation within 14 Days as a Poor Predictor in Prolonged Mechanical Ventilation Patients following Successful Weaning. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-511310
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-511310