A RETROSPECTIVE STUDY OF MORTALITY PATTERNS IN PATIENTS WHO RECEIVED MECHANICAL VENTILATION IN A GENERAL ICU

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MOKHTARI M.; SAADAT NIAKI A.; RASHIDI M.F.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2004 | Volume:25 | Issue:45 Page(s): 26-34

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Title

A RETROSPECTIVE STUDY OF MORTALITY PATTERNS IN PATIENTS WHO RECEIVED MECHANICAL VENTILATION IN A GENERAL ICU

Author(s)

MOKHTARI M. | SAADAT NIAKI A. | RASHIDI M.F. | Issue Writer Certificate

Keywords

INTENSIVE CARE UNITQ2

MECHNANICAL VENTILATIONQ2

OUT COMEQ4

Abstract

Mechanical ventilation is one of the most important life sustaining interventions in medicine. Morbidity and mortality in patients who received mechanical ventilation have been studied in different patient groups. We undertook this study to examine the patterns of mortality in mechanically ventilated patients at our INTENSIVE CARE UNIT.In this retrospective analysis the medical records of 173 patients who underwent mechanical ventilation between 1380-1381 SY at the general lCU of a large tertiary referral center were reviewed systematically. Patients demographics, underlying disease, reason for mechanical ventilation, time to mechanical ventilation and outcome data available in the charts were collected for analysis.The mean age of the patients was 50.4± 23 years and 98 (56.6%) were male. The commonest indication for initiation of mechanical ventilation was inadequate mental status to protect airway in patients with multiple trauma and head injury in 76 (46.6%) patients. ICU mortality occurred in 120 (70%) patients. Mortality had significant correlation with age (53.6± 22.7 years vs. 42.2± 22.7 years, p=0.018).Mortality of the ventilated patients has direct and significant correlation with age. The mortality of 70% observed in our lCU patients who underwent mechanical ventilation during the above time period could be attributed to the following reason; 1) The lCU where this study was carried out was an open general lCU where the care was delivered by the admitting teams with insufficient critical care training, 2) Poor proportion of lCU beds in relation with total hospital beds in a tertiary teaching medical center, 3) Patients who got mechanically ventilated due to airway compromise and coma secondary to multiple trauma and head injury with poor prognosis, constituted the main bulk the study population.Future studies are needed when such units are managed in a closed fashion with the care delivery by trained intensivists and improved lCU to hospital bed ratio with resultant decrease in the selection bias.

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APA: Copy

MOKHTARI, M., SAADAT NIAKI, A., & RASHIDI, M.F.. (2004). A RETROSPECTIVE STUDY OF MORTALITY PATTERNS IN PATIENTS WHO RECEIVED MECHANICAL VENTILATION IN A GENERAL ICU. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 25(45), 26-34. SID. https://sid.ir/paper/63276/en

Vancouver: Copy

MOKHTARI M., SAADAT NIAKI A., RASHIDI M.F.. A RETROSPECTIVE STUDY OF MORTALITY PATTERNS IN PATIENTS WHO RECEIVED MECHANICAL VENTILATION IN A GENERAL ICU. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2004;25(45):26-34. Available from: https://sid.ir/paper/63276/en

IEEE: Copy

M. MOKHTARI, A. SAADAT NIAKI, and M.F. RASHIDI, “A RETROSPECTIVE STUDY OF MORTALITY PATTERNS IN PATIENTS WHO RECEIVED MECHANICAL VENTILATION IN A GENERAL ICU,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 25, no. 45, pp. 26–34, 2004, [Online]. Available: https://sid.ir/paper/63276/en

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