Mortality and Readmission Among Ventilator-dependent Patients After Successful Weaned Discharge From a Respiratory Care Ward

Hui, Chun; Lin, Ming-Chih; Liu, Tu-Chen; Wu, Ren-Guang

doi:10.1016/s0929-6646(10)60076-9

Cited by 12 publications

(21 citation statements)

References 30 publications

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“…Younger age is significantly associated with greater long-term survival, and the risk of mortality increases 1.3-fold with every 10-year increase in age 23 . Hui et al reported that 67.1% of weaned patients were readmitted within 3 months of discharge and that the most common cause of readmission was airway infection (80.5%) 24 . Patients with cardiac and pulmonary disease as causes of respiratory failure had higher readmission probability.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Outcome for Very Elderly Patients (≥ 80 years) Admitted to a Respiratory Care Center in Taiwan

Lin

Chen

et al. 2012

International Journal of Gerontology

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Section: Discussionmentioning

confidence: 99%

Characteristics and Outcome for Very Elderly Patients (≥ 80 years) Admitted to a Respiratory Care Center in Taiwan

Lin

Chen

et al. 2012

International Journal of Gerontology

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“…[5,8–11] Home and RCW caregivers of PMV patients have different concerns. Previous studies have revealed that caregivers of patients receiving institutional care are concerned about patients’ health status and future medical care requirements.…”

Section: Introductionmentioning

confidence: 99%

Burden on caregivers of ventilator-dependent patients

Liu

Fang

et al. 2017

Medicine

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Caring for prolonged mechanical ventilation (PMV) patients imposes heavy psychological, physical, social, and financial burdens on caregivers. Currently, studies regarding the burden on caregivers of PMV patients are scant; therefore, the present study investigated the burden on caregivers of PMV patients.This cross-sectional study was approved by the Institutional Review Board of Zuoying Armed Forces General Hospital. A survey was conducted among the caregivers of PMV patients who were admitted to a chronic respiratory care ward (RCW) or were receiving home care from June to December 2010. The survey included basic demographic information of PMV patients and their caregivers and the Burden Assessment Scale scores for 4 domains comprising a total of 21 questions (physical burden, n = 5; psychological burden, n = 6; social burden, n = 6; financial burden, n = 4). Statistical analyses were conducted using the t test, 1-way analysis of variance with the Scheffé post hoc test, and the chi-square test, and P < .05 was considered statistically significant.A total of 160 caregivers (age, 50–53 years) were recruited (n = 80 each in the home care and RCW groups), and most of these caregivers were married women. Due to insufficient sleep, physical exhaustion, back pain, and caregiving, home caregivers had significantly higher physical burden levels than RCW caregivers (P < .01).Home caregivers experienced higher physical burden levels than RCW caregivers. Therefore, clinical and professional support must be provided to home caregivers of PMV patients.

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“…Dentre os estudos desta revisão, destacou--se a VMP e o desmame prolongado como prin-cipais preditores de mortalidade (13,17,18,(20)(21)(22)29,32) . A ocorrência de VMP pode ser influenciada por comorbidades crônicas pré-existentes na admissão, dentre as quais destacam-se doença renal crônica, diabetes mellitus, doença cerebrovascular e doença pulmonar (13,17,18) . Um estudo observacional (19) , com 7848 pacientes em uso de VMI, identificou que as causas infecciosas, como pneumonia e choque séptico, também determinam a dependência do ventilador.…”

Section: Discussionunclassified

“…Um estudo observacional (19) , com 7848 pacientes em uso de VMI, identificou que as causas infecciosas, como pneumonia e choque séptico, também determinam a dependência do ventilador. Estes fatores repercutem em maiores taxas de readmissões, maior tempo de internação hospitalar (17,19) , prolongamento do desmame e extubação (20)(21)(22) , visto que a recuperação é mais lenta em pacientes com doenças crônicas complexas e/ou infecciosas (13) . Fonte: dados referentes à complicação da busca nas bases de dados…”

Section: Discussionunclassified

Preditores de mortalidade em pacientes ventilados mecanicamente: revisão integrativa

2018

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Aim: To identify, by means of scientific evidence, the predictive factors of mortality in patients using Invasive Mechanical Ventilation. Method: Integrative literature review. The search was performed in Pubmed, Cochrane and Web of Science databases, using the descriptors: “humans”, “respiration”, “artificial”, “mechanical ventilation”, “ventilator weaning”, “mechanical ventilator weaning", "Mortality" and "hospital mortality", mediated by the Boolean operators AND and OR. Results: Twenty-six articles were selected. The analysis of these articles allowed a discussion directed to the identification of predictors of mortality, classified in clinical and ventilatory predictors; and the main changes in ventilation during the years. Of the 26 articles found, 96% were published in English, 92% were observational studies, 4% were meta-analyzes and 4% were clinical trials. Conclusion: Prolonged weaning, extubation failure and reintubation were the main predictors identified by the studies analyzed.

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Mortality and Readmission Among Ventilator-dependent Patients After Successful Weaned Discharge From a Respiratory Care Ward

Abstract: Underlying comorbidities and causes of ventilator dependency are important predictors of mortality and readmission among patients after weaned discharge from a RCW.

Cited by 12 publications

References 30 publications

Characteristics and Outcome for Very Elderly Patients (≥ 80 years) Admitted to a Respiratory Care Center in Taiwan

Characteristics and Outcome for Very Elderly Patients (≥ 80 years) Admitted to a Respiratory Care Center in Taiwan

Burden on caregivers of ventilator-dependent patients

Preditores de mortalidade em pacientes ventilados mecanicamente: revisão integrativa

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