Predictors of weaning and mortality in prolonged mechanical ventilation-Surviving survival
Objectives: to describe a sample of tracheostomized patients requiring prolonged mechanical ventilation who were admitted to a weaning center, to analyze their evolution and to determine the predictors of weaning failure from mechanical ventilation and of mortality. Design: an observational and retr...
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/33184 |
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I10-R10-article-33184 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-10 |
| container_title_str |
Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
respiration, artificial intensive care units mortality ventilator weaning rehabilitation centers respiración artificial unidades de cuidados intensivos mortalidad desconexión del ventilador centros de rehabilitación respiração artificial unidades de terapia intensiva mortalidade desmame do respirador centros de reabilitação |
| spellingShingle |
respiration, artificial intensive care units mortality ventilator weaning rehabilitation centers respiración artificial unidades de cuidados intensivos mortalidad desconexión del ventilador centros de rehabilitación respiração artificial unidades de terapia intensiva mortalidade desmame do respirador centros de reabilitação Hannun , Marcos Villalba, Dario Díaz Ballve , Ladislao Matesa , Amelia Pedace , Paula Tocalini, Pablo Pérez Calvo, Eliana Scrigna , Mariana Collins , Jessica Areas , Laura Gil Rossetti , Gregorio Planells , Fernando Predictors of weaning and mortality in prolonged mechanical ventilation-Surviving survival |
| topic_facet |
respiration, artificial intensive care units mortality ventilator weaning rehabilitation centers respiración artificial unidades de cuidados intensivos mortalidad desconexión del ventilador centros de rehabilitación respiração artificial unidades de terapia intensiva mortalidade desmame do respirador centros de reabilitação |
| author |
Hannun , Marcos Villalba, Dario Díaz Ballve , Ladislao Matesa , Amelia Pedace , Paula Tocalini, Pablo Pérez Calvo, Eliana Scrigna , Mariana Collins , Jessica Areas , Laura Gil Rossetti , Gregorio Planells , Fernando |
| author_facet |
Hannun , Marcos Villalba, Dario Díaz Ballve , Ladislao Matesa , Amelia Pedace , Paula Tocalini, Pablo Pérez Calvo, Eliana Scrigna , Mariana Collins , Jessica Areas , Laura Gil Rossetti , Gregorio Planells , Fernando |
| author_sort |
Hannun , Marcos |
| title |
Predictors of weaning and mortality in prolonged mechanical ventilation-Surviving survival |
| title_short |
Predictors of weaning and mortality in prolonged mechanical ventilation-Surviving survival |
| title_full |
Predictors of weaning and mortality in prolonged mechanical ventilation-Surviving survival |
| title_fullStr |
Predictors of weaning and mortality in prolonged mechanical ventilation-Surviving survival |
| title_full_unstemmed |
Predictors of weaning and mortality in prolonged mechanical ventilation-Surviving survival |
| title_sort |
predictors of weaning and mortality in prolonged mechanical ventilation-surviving survival |
| description |
Objectives: to describe a sample of tracheostomized patients requiring prolonged mechanical ventilation who were admitted to a weaning center, to analyze their evolution and to determine the predictors of weaning failure from mechanical ventilation and of mortality.
Design: an observational and retrospective cohort study was carried out, in the period between January 2005 and December 2017.
Setting: weaning and rehabilitation center
Patients: all tracheostomized patients requiring mechanical ventilation who were admitted during the study period were included. Of 1027 patients admitted to the respiratory care service, a consecutive sample of 677 patients was analyzed.
Main variables of interest: the main variables were mortality and weaning failure from mechanical ventilation.
Results: age older than 70 years (OR 1,461 95% CI 1,016-2,099), a cardiovascular history (OR 1,533 95% CI 1,050-2,237), admission due to respiratory disease (OR 1,538 95% CI 1,001-2,364) and presenting more than 105 days of hospitalization (OR 0.408 95% CI 0.261-0.637) were found as predictors of weaning failure. The predictors of mortality were, age over 70 years (OR 2,116 95% CI 1,491-3,004), history of cerebrovascular accident (OR 1,991 95% CI 1,255-3,158), admission to intensive care due to cardiorespiratory arrest (OR 5,821 95% CI 2,193-15,445) and presenting more than 64 days of hospitalization (OR1.63 95% CI 1,116-2,292).
Conclusion: The data found in this study manage to describe factors associated with weaning and mortality of patients in a weaning and rehabilitation center. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/33184 |
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I10-R10-article-331842022-08-19T21:47:05Z Predictors of weaning and mortality in prolonged mechanical ventilation-Surviving survival Predictores de desvinculación y mortalidad en ventilación mecánica prolongada-Sobrevivir al sobrevivir Preditores de desligamento e mortalidade em ventilação mecânica prolongada - sobrevivendo por sobrevivencia Hannun , Marcos Villalba, Dario Díaz Ballve , Ladislao Matesa , Amelia Pedace , Paula Tocalini, Pablo Pérez Calvo, Eliana Scrigna , Mariana Collins , Jessica Areas , Laura Gil Rossetti , Gregorio Planells , Fernando respiration, artificial intensive care units mortality ventilator weaning rehabilitation centers respiración artificial unidades de cuidados intensivos mortalidad desconexión del ventilador centros de rehabilitación respiração artificial unidades de terapia intensiva mortalidade desmame do respirador centros de reabilitação Objectives: to describe a sample of tracheostomized patients requiring prolonged mechanical ventilation who were admitted to a weaning center, to analyze their evolution and to determine the predictors of weaning failure from mechanical ventilation and of mortality. Design: an observational and retrospective cohort study was carried out, in the period between January 2005 and December 2017. Setting: weaning and rehabilitation center Patients: all tracheostomized patients requiring mechanical ventilation who were admitted during the study period were included. Of 1027 patients admitted to the respiratory care service, a consecutive sample of 677 patients was analyzed. Main variables of interest: the main variables were mortality and weaning failure from mechanical ventilation. Results: age older than 70 years (OR 1,461 95% CI 1,016-2,099), a cardiovascular history (OR 1,533 95% CI 1,050-2,237), admission due to respiratory disease (OR 1,538 95% CI 1,001-2,364) and presenting more than 105 days of hospitalization (OR 0.408 95% CI 0.261-0.637) were found as predictors of weaning failure. The predictors of mortality were, age over 70 years (OR 2,116 95% CI 1,491-3,004), history of cerebrovascular accident (OR 1,991 95% CI 1,255-3,158), admission to intensive care due to cardiorespiratory arrest (OR 5,821 95% CI 2,193-15,445) and presenting more than 64 days of hospitalization (OR1.63 95% CI 1,116-2,292). Conclusion: The data found in this study manage to describe factors associated with weaning and mortality of patients in a weaning and rehabilitation center. Objetivos: describir una muestra de pacientes traqueostomizados con requerimiento de ventilación mecánica prolongada que ingresaron a un centro de desvinculación, analizar su evolución y determinar los predictores de fracaso de desvinculación de la ventilación mecánica y de mortalidad. Diseño: se realizó un estudio de cohorte observacional y retrospectivo, en el período comprendido entre enero del 2005 y diciembre del 2017. Ámbito: centro de desvinculación de la ventilación mecánica y de rehabilitación. Pacientes: se incluyeron a todos los pacientes traqueostomizados con requerimiento de ventilación mecánica, que ingresaron durante el periodo de estudio. De 1027 pacientes ingresados al servicio de cuidados respiratorios, se analizó una muestra consecutiva de 677 pacientes. Variables de interés principales: las variables principales fueron mortalidad y falla en la desvinculación de la ventilación mecánica. Resultados: Se encontraron como predictores del fracaso de la desvinculación la edad mayor a 70 años (OR 1.461 IC95% 1.016-2.099), tener antecedentes cardiovasculares (OR 1.533 IC95% 1.050-2.237), motivo de ingreso por afección respiratoria (OR 1.538 IC95% 1.001-2.364) y presentar más de 105 días de internación (OR 0.408 IC95% 0.261-0.637). Los predictores de mortalidad fueron, la edad mayor a 70 años (OR 2.116 IC95% 1.491-3.004), tener como antecedente un accidente cerebro-vascular (OR 1.991 IC95% 1.255-3.158), motivo de ingreso a terapia intensiva por paro cardiorrespiratorio (OR 5.821 IC95% 2.193-15.445) y presentar más de 64 días de internación (OR1.63 IC95% 1.116-2.292). Conclusión: Los datos hallados en este estudio logran describir factores asociados a la desvinculación y mortalidad de los pacientes en un centro de desvinculación. Metas: descrever uma amostra de pacientes traqueostomizados com necessidade de ventilação mecânica prolongada que foram admitidos em um centro de dissociação, analisar sua evolução e determinar os preditores de falha no desligamento da ventilação mecânica e mortalidade. Desenho: foi realizado um estudo de coorte observacional e retrospectivo, no período de janeiro de 2005 a dezembro de 2017.. Local: centro para desligamento da ventilação mecânica e reabilitação. Pacientes: foram incluídos todos os pacientes traqueostomizados com necessidade de ventilação mecânica e internados durante o período do estudo. De 1.027 pacientes admitidos no serviço de assistência respiratória, uma amostra consecutiva de 677 pacientes foi analisada. Principais variáveis de interesse: as principais variáveis foram mortalidade e não desligamento da ventilação mecânica. Resultados: Os preditores de falha de desengajamento foram encontrados em idade acima de 70 anos (OR 1.461 IC 95% 1.016-2.099), com história cardiovascular (OR 1.533 IC 95% 1.050-2.237), motivo de admissão devido a doença respiratória (OR 1.538 95 % CI 1.001 -2.364) e apresentando mais de 105 dias de internação (OR 0,408 IC 95% 0,261-0,637). Os preditores de mortalidade foram idade superior a 70 anos (OR 2.116 IC95% 1.491-3.004), história de acidente vascular encefálico (OR 1.991 IC95% 1.255-3.158), motivo de internação em terapia intensiva por parada cardiorrespiratória (OU 5.821 IC 95% 2.193-15.445) e apresentando mais de 64 dias de internação (OR1,63 IC 95% 1.116-2.292). Conclusão: Os dados encontrados neste estudo são capazes de descrever fatores associados ao desligamento e mortalidade de pacientes internados em um centro de desligamento. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-06-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/33184 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 2 (2022); 162-167 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 2 (2022); 162-167 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 2 (2022); 162-167 1853-0605 0014-6722 10.31053/1853.0605.v79.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/33184/37962 https://revistas.unc.edu.ar/index.php/med/article/view/33184/37963 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |