Document Detail


Experience with a step-down respiratory care center at a tertiary referral medical center in Taiwan.
MedLine Citation:
PMID:  16769459     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of the study was to describe the outcome of patients after 1 year's implementation of an integrated delivery system for respiratory care mandated by the National Health Insurance Bureau in Taiwan. DESIGN: A retrospective observational study was conducted in a step-down respiratory care center (RCC). PATIENTS: Patients included adults receiving prolonged mechanical ventilation (> or =21 days). MEASUREMENTS AND MAIN RESULTS: A total of 224 cases were available for review; 108 (48.2%) patients were successfully weaned. Those who failed weaning had a longer stay in the intensive care unit and RCC (25.1 vs 20.9 and 31.4 vs 18.6 days, P < .05), but there were no differences in the patients' ages (74.3 vs 70.4 years, P = .17) or the Simplified Acute Physiology Score II (52 vs 46.9, P = .18) before admission to the RCC. After discharge from the RCC, only 4.9% of the patients still on a ventilator were weaned within 1 year. Patients who failed weaning in the RCC had a shorter overall survival (5.2 vs 10.4 months, P < .05) and a lower 1-year survival (23.6% vs 44.6%, P < .05). CONCLUSION: Patients admitted to the RCC were still critically ill. Patients who failed weaning in the RCC had had a longer intensive care unit and RCC stay and a worse outcome after leaving the RCC.
Authors:
Jian Su; Chang-Yi Lin; Pei-Jan Chen; Fung J Lin; Shiow-Kwan Chen; Hsu-Tah Kuo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of critical care     Volume:  21     ISSN:  0883-9441     ISO Abbreviation:  J Crit Care     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-13     Completed Date:  2006-11-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610642     Medline TA:  J Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  156-61     Citation Subset:  IM    
Affiliation:
Chest Division, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, 104 Taiwan.
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MeSH Terms
Descriptor/Qualifier:
APACHE
Adult
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Referral and Consultation
Respiration, Artificial*
Respiratory Center
Respiratory Therapy*
Retrospective Studies
Taiwan
Comments/Corrections
Comment In:
J Crit Care. 2006 Jun;21(2):161-2   [PMID:  16769460 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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