Chest
Clinical Investigations in Critical CareLong-term Outcomes for Patients Discharged From a Long-term Hospital-Based Weaning Unit*
Section snippets
Materials and Methods
Features of the ReSCU include the following: (1) six private beds on a pulmonary specialty ward staffed by nurses with special pulmonary and rehabilitation expertise; (2) 24-h respiratory therapist supervision; (3) noninvasive monitoring (ie, continuous pulse oximetry, end-tidal capnometry [CO2SMO model 7100; Novametrix Medical Systems; Wallingford, CT], and ventilator alarms) with signal output at each bedside and at a central monitoring station (Patient Care Monitoring System; Spacelabs
Results
Between August 22, 1993 and August 22, 1996, 162 patients were admitted to the ReSCU. As shown in Table 1, 59% of the cohort were women, and the mean age was 65 years. The causes of respiratory failure leading to mechanical ventilation and need for ReSCU among the 162 patients included the following: (1) COPD (13 patients; 8%); (2) ARDS, with or without multiple organ failure in a nonsurgical patient (47 patients; 29%); (3) ARDS with multiple organ failure in a surgical patient (31 patients;
Discussion
In this description of long-term survival in patients in a hospital-based weaning unit, our main findings were as follows:
- 1.
In keeping with the results of the few available earlier reports,456789 rates of 5-year survival among patients admitted to our hospital-based weaning unit were low.
- 2.
The pattern of postdischarge survival rate shows steep declines within the first 2 years (32%) with slower decline thereafter (5-year survival rate, 19%).
- 3.
Survival rates for the patient cohort admitted to
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What Is Chronic Critical Illness and What Outcomes Can Be Expected
2023, Evidence-Based Practice of Palliative Medicine, Second EditionMortality outcomes of patients on chronic mechanical ventilation in different care settings: A systematic review
2021, HeliyonCitation Excerpt :A total of 19 studies (7 ICU [24, 29, 33, 42, 43, 47, 52], 9 non-ICU [9, 20, 23, 35, 38, 40, 51, 66, 69] and 3 home care [18, 49, 63]) examined the association between age and long-term mortality. Of these, 5 ICU [24, 29, 42, 43, 47], 7 non-ICU [9, 20, 23, 38, 40, 66, 69] and 1 home care [18] studies reported significantly higher long-term mortality in older age groups. Fifteen these studies examined mortality up to 1-year while the rest had 6 months to 5 years follow-up time [9, 35, 66, 69].
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