1-Year Survival of Subjects Discharged From a Long-Term Chronic Ventilator Unit.
INTRODUCTION: Among survivors of intensive care, many remain dependent on mechanical ventilation and are discharged to long-term chronic ventilator units or to skilled nursing facilities. Few long-term outcome data are available on patients transferred from long-term chronic ventilator units. METHOD...
| Publicado en: | Respiratory Care Vol. 62; no. 10; pp. 1284 - 1291 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Oct2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125339114&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125339114 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Oct2017 vid: 62 iid: 10 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 125339114 125339114 125339114 10.4187/respcare.05419 125339114 ppf: 1284 ppct: 7 formats: fmt: @attributes: type: P tig: atl: 1-Year Survival of Subjects Discharged From a Long-Term Chronic Ventilator Unit. aug: au: Galiatsatos, Panagis Friedlander, Tracy Dababneh, Dina Nelson, Katie affil: Division of Pulmonary and Critical Care Medicine, Johns Hopkins Medicine, Baltimore, Maryland sug: subj: Respiration, Artificial Survival Patient Discharge Chronic Disease Critical Care Time Factors Skilled Nursing Facilities Long Term Care Survival Analysis Comorbidity Clinical Assessment Tools Retrospective Design Data Analysis Software Descriptive Statistics Mann-Whitney U Test P-Value Kaplan-Meier Estimator Log-Rank Test Adult Middle Age Aged Aged, 80 and Over Female Male Human Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Female Male ab: INTRODUCTION: Among survivors of intensive care, many remain dependent on mechanical ventilation and are discharged to long-term chronic ventilator units or to skilled nursing facilities. Few long-term outcome data are available on patients transferred from long-term chronic ventilator units. METHODS: We retrospectively followed subjects discharged from a long-term chronic ventilator unit from 2010-2012. We determined where these subjects went, evaluating whether location of discharge had an effect on mortality. RESULTS: We followed 79 subjects who were 64.9 ± 15.9 y old. Average stay in the long-term chronic ventilator unit was 38.5 ± 20.1 d. Within the first year after discharge, 24 (30.3%) subjects died: 17 in a skilled nursing facility, 7 at home. Of those who survived the first year, 28 had been discharged to a skilled nursing facility and 27 to home. Survivors were younger (62.6 ± 12.4 vs 70.4 ± 13.1 y, P = .03), had shorter intensive care unit lengths of stay (10.4 ± 5.0 vs 16.4 ± 11.5 d, P = .03), and were more likely discharged home from long-term chronic ventilator unit (49.0% vs 29.1%, P = .040). CONCLUSIONS: Subjects discharged from an long-term chronic ventilator unit and were alive at 1 y had shorter stays in the ICU and were more likely to be discharged home. Further attention is warranted to assure the survival of critical care patients once they are discharged from intensive care units. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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