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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/31071


    標題: The outcomes and prognostic factors of patients requiring prolonged mechanical ventilation
    作者: Lai, Chih-Cheng
    Shieh, Jiunn-Min
    Chiang, Shyh-Ren
    Chiang, Kuo-Hwa
    Weng, Shih-Feng
    Ho, Chung-Han
    Tseng, Kuei-Ling
    Cheng, Kuo-Chen
    貢獻者: Chi Mei Med Ctr, Dept Intens Care Med
    Chi Mei Med Ctr, Dept Internal Med
    Chia Nan Univ Pharm & Sci
    Kaohsiung Med Univ, Dept Healthcare Adm & Med Informat
    Chi Mei Med Ctr, Med Res
    Chung Hwa Univ Med Technol, Dept Safety Hlth & Environm Engn
    關鍵字: one-year mortality
    resource utilization
    health-insurance
    decision aid
    taiwan
    model
    care
    icu
    epidemiology
    日期: 2016-06
    上傳時間: 2018-01-18 11:41:06 (UTC+8)
    出版者: Nature Publishing Group
    摘要: The aims of this study were to investigate the outcomes of patients requiring prolonged mechanical ventilation (PMV) and to identify risk factors associated with its mortality rate. All patients admitted to the respiratory care centre (RCC) who required PMV (the use of MV >= 21 days) between January 2006 and December 2014 were enrolled. A total of 1,821 patients were identified; their mean age was 69.8 +/- 14.2 years, and 521 patients (28.6%) were aged > 80 years. Upon RCC admission, the APACHE II scores were 16.5 +/- 6.3, and 1,311 (72.0%) patients had at least one comorbidity. Pulmonary infection was the most common diagnosis (n = 770, 42.3%). A total of 320 patients died during hospitalization, and the in-hospital mortality rate was 17.6%. A multivariate stepwise logistic regression analysis indicated that patients were more likely to die if they who were > 80 years of age, had lower albumin levels (< 2 g/dl) and higher APACHE II scores (>= 15), required haemodialysis, or had a comorbidity. In conclusion, the in-hospital mortality for patients requiring PMV in our study was 17%, and mortality was associated with disease severity, hypoalbuminaemia, haemodialysis, and an older age.
    關聯: Scientific Reports, v.6 n., 28034
    Appears in Collections:[通識教育中心] 期刊論文

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