Mortality in patients receiving prolonged invasive mechanical ventilation time in the emergency department: A retrospective cohort study.

Q3 Medicine

International Journal of Critical Illness and Injury Science Pub Date : 2022-04-01 Epub Date: 2022-06-24 DOI:10.4103/ijciis.ijciis_69_21

Sorravit Savatmongkorngul, Chaiyaporn Yuksen, Napathom Sunsuwan, Pungkawa Sricharoen, Chetsadakon Jenpanitpong, Konwachira Maijan, Sorawich Watcharakitpaisan, Parama Kaninworapan

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引用次数: 0

Abstract

Background: Patients waiting for intensive care unit (ICU) admission cause emergency department (ED) crowding and have an increased risk of mortality and length of stay (LOS) in hospital, which increase the hospitalization cost. This study aimed to investigate the correlation between mortality and invasive mechanical ventilation (IMV) time in patients in the ED.

Methods: A retrospective cohort study was conducted in patients who received IMV in the ED of Ramathibodi Hospital. The correlation between mortality at 28 days after intubation and IMV time in the ED was analyzed. The cutoff time was analyzed to determine prolonged and nonprolonged IMV times. ICU ventilation time, length of ICU stay, and LOS in the hospital were also analyzed to determine their correlations between IMV time in the ED.

Results: In this study, 302 patients were enrolled, 71 died, and 231 survived 28 days after receiving IMV in the ED. We found that the duration of >12 h of IMV in the ED increased the 28-day mortality rate by 1.98 times (P = 0.036). No correlations were found between IMV time in the ED and ventilation time in the ICU, length of ICU stay, and LOS in the hospital.

Conclusion: More than 12 h of IMV time in the ED correlated with mortality at 28 days after initiation of IMV. No associations were found between prolonged IMV time in the ED with ventilation time in the ICU, length of ICU stay, and LOS in the hospital.

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急诊接受延长有创机械通气时间患者的死亡率:一项回顾性队列研究。

背景:等待重症监护室(ICU)入院的患者会导致急诊科(ED)拥挤，增加死亡风险和住院时间(LOS)，从而增加住院费用。本研究旨在探讨急诊患者有创机械通气(IMV)时间与死亡率的相关性。方法:对Ramathibodi医院急诊接受有创机械通气(IMV)的患者进行回顾性队列研究。分析急诊插管后28天死亡率与IMV时间的相关性。分析截止时间以确定延长和非延长的IMV时间。结果:本研究纳入302例患者，71例患者死亡，231例患者在ED内接受IMV 28 d后存活。我们发现，ED内IMV持续时间>12 h使ED 28 d死亡率增加1.98倍(P = 0.036)。急诊科IMV时间与ICU通气时间、ICU住院时间和住院LOS之间无相关性。结论:急诊IMV时间超过12 h与IMV发生后28 d死亡率相关。未发现急诊IMV时间延长与ICU通气时间、ICU住院时间和住院LOS之间存在关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Critical Illness and Injury Science Medicine-Emergency Medicine

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： IJCIIS encourages research, education and dissemination of knowledge in the field of Critical Illness and Injury Science across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in the emergency intensive care and promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.