Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2024.65.431
Geriatric rehabilitation center outcomes after successful weaning from extremely prolonged mechanical ventilation in older adults
Igor Kisil
; Medical-Care Hospital, Bat Yam, Israel
*
Yuri Gimelfarb
; AMHC, Bat Yam, affiliated with the Faculty of Medicine, Tel Aviv University, Israel
Arie Soroksky
; 3 WMC, Holon, affiliated with the Faculty of Medicine, Tel Aviv University, Israel
* Dopisni autor.
Sažetak
Aim To determine the rate of and predictive factors for
postacute in-hospital survival of older adults after successful weaning from extremely prolonged mechanical ventilation (e-PMV).
Methods This pilot retrospective study involved patients
who were weaned from e-PMV in Bayit Balev Geriatric and
Rehabilitation Center, Maccabi Health Services, Bat Yam, Israel between January 2010 and May 2022. In-hospital survival was measured.
Results Out of 488 patients (of all ages) treated in our geriatric rehabilitation center (GRC) during the study period,
only 181 patients aged 65 years and older were conscious
and were candidates for weaning from e-PMV. Seventythree patients (40.3%) were weaned and therefore recruited to this study. Six patients (8.2%) were weaned but died
before discharge. Out of the 67 (91.8%) who were alive and
weaned, 18 (24.7%) were decanulated and discharged to
their homes, and the remaining 49 (75.3%) were weaned
and discharged from our GRC with tracheostomy canula
to other long-term care institutions. Univariate analysis
showed that in-hospital survival was significantly dependent on age and the presence of tracheomalacia, both in a
time-independent and time-dependent manner. In a timedependent (adjusted) multivariate analysis, there were no
independent predictive factors for in-hospital mortality.
Conclusions A dedicated GRC team can wean a substantial number of patients after e-PMV and return them to
their community and even homes
Ključne riječi
Hrčak ID:
336577
URI
Datum izdavanja:
15.10.2024.
Posjeta: 360 *