Description of the development of a community-based weaning unit and the outcomes from that unit.
Review of admissions, classified by etiology of ventilator dependence, with attention to disposition, length of stay, and time to wean.
Long-term acute-care facility in Worcester, Mass.
Two hundred seventy-eight ventilator-dependent patients admitted to a ventilator unit from 1988 through May 1995.
Admissions criteria did not include prognostic considerations.
Selected patients were entered into a formal weaning program beginning in 1992.
Through the study period, there was a substantial growth in annual admissions, primarily due to increases in patients surviving a catastrophic acute illness.
Overall, 107 of 278 (38%) patients were liberated from mechanical ventilation for at least 7 consecutive days and nights.
Of the patients admitted 1993 to 1995,31% died, 20% were discharged to a long-term care facility, 29% returned home, and 18% either remained as residents of the unit or had been transferred to acute-care facilities and were unavailable for follow-up.
The highest weaning success was seen in patients with ventilator dependence from postoperative causes (58%) and acute lung injury (57%) ; the least success was seen in patients with ventilator dependence from COPD and neuromuscular diseases (22% each). (...)
Mots-clés Pascal : Ventilation mécanique, Prolongé, Analyse coût, Economie santé, Sevrage, Hospitalisation, Durée, Réhabilitation, Traitement, Pronostic, Homme, Réanimation respiratoire
Mots-clés Pascal anglais : Mechanical ventilation, Prolonged, Cost analysis, Health economy, Weaning, Hospitalization, Duration, Rehabilitation, Treatment, Prognosis, Human, Respiratory intensive care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0270186
Code Inist : 002B27B02. Création : 15/07/1997.