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  1. A community-based regional ventilator weaning unit : Development and outcomes.

    Article - En anglais

    Study objective 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0270186

    Code Inist : 002B27B02. Création : 15/07/1997.