دورية أكاديمية
Association between Participation in a Rehabilitation Program and 1-Year Survival in Patients Requiring Prolonged Mechanical Ventilation
العنوان: | Association between Participation in a Rehabilitation Program and 1-Year Survival in Patients Requiring Prolonged Mechanical Ventilation |
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المؤلفون: | Wanho Yoo, Myung Hun Jang, Sang Hun Kim, Soohan Kim, Eun-Jung Jo, Jung Seop Eom, Jeongha Mok, Mi-Hyun Kim, Kwangha Lee |
المصدر: | Tuberculosis and Respiratory Diseases, Vol 86, Iss 2, Pp 133-141 (2023) |
بيانات النشر: | The Korean Academy of Tuberculosis and Respiratory Diseases, 2023. |
سنة النشر: | 2023 |
المجموعة: | LCC:Diseases of the respiratory system |
مصطلحات موضوعية: | mechanical ventilation, rehabilitation, intensive care unit, Diseases of the respiratory system, RC705-779 |
الوصف: | Background The present study evaluated the association between participation in a rehabilitation program during a hospital stay and 1-year survival of patients requiring at least 21 days of mechanical ventilation (prolonged mechanical ventilation [PMV]) with various respiratory diseases as their main diagnoses that led to mechanical ventilation. Methods Retrospective data of 105 patients (71.4% male, mean age 70.1±11.3 years) who received PMV in the past 5 years were analyzed. Rehabilitation included physiotherapy, physical rehabilitation, and dysphagia treatment program that was individually provided by physiatrists. Results The main diagnosis leading to mechanical ventilation was pneumonia (n=101, 96.2%) and the 1-year survival rate was 33.3% (n=35). One-year survivors had lower Acute Physiology and Chronic Health Evaluation (APACHE) II score (20.2±5.8 vs. 24.2±7.5, p=0.006) and Sequential Organ Failure Assessment score (6.7±5.6 vs. 8.5±2.7, p=0.001) on the day of intubation than non-survivors. More survivors participated in a rehabilitation program during their hospital stays (88.6% vs. 57.1%, p=0.001). The rehabilitation program was an independent factor for 1-year survival based on the Cox proportional hazard model (hazard ratio, 3.513; 95% confidence interval, 1.785 to 6.930; p |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1738-3536 2005-6184 |
Relation: | http://e-trd.org/upload/pdf/trd-2022-0137.pdf; https://doaj.org/toc/1738-3536; https://doaj.org/toc/2005-6184 |
DOI: | 10.4046/trd.2022.0137 |
URL الوصول: | https://doaj.org/article/7920e95197f74b26b0d9adbac4c2b810 |
رقم الأكسشن: | edsdoj.7920e95197f74b26b0d9adbac4c2b810 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 17383536 20056184 |
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DOI: | 10.4046/trd.2022.0137 |