Clinical Demographics and Outcomes in Mechanically Ventilated Patients in Korean Intensive Care Units.
10.3346/jkms.2014.29.6.864
- Author:
Byeong Ho JEONG
1
;
Gee Young SUH
;
Jin Young AN
;
Moo Suk PARK
;
Jin Hwa LEE
;
Myung Goo LEE
;
Je Hyeong KIM
;
Yun Seong KIM
;
Hye Sook CHOI
;
Kyung Chan KIM
;
Won Yeon LEE
;
Younsuck KOH
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. suhgy@skku.edu
- Publication Type:Original Article
- Keywords:
Respiration, Artificial;
Epidemiology;
Data collection;
Outcome;
Korea
- MeSH:
Acute Disease;
Aged;
Cohort Studies;
Demography;
Female;
Hospital Mortality;
Humans;
Intensive Care Units/*statistics & numerical data;
Length of Stay;
Male;
Middle Aged;
Odds Ratio;
Prognosis;
Prospective Studies;
Republic of Korea;
*Respiration, Artificial;
Respiratory Insufficiency/*diagnosis/epidemiology/mortality;
Sepsis/etiology;
Severity of Illness Index
- From:Journal of Korean Medical Science
2014;29(6):864-870
- CountryRepublic of Korea
- Language:English
-
Abstract:
Knowledge of clinical demographics and outcomes of mechanically ventilated patients is important but there are few prospectively collected data in Korea. The objective of the present study was to describe the current status of mechanically ventilated patients in Korea as of 2010. We analyzed the data of Korean patients (275 patients in 12 Korean intensive care units [ICU]) participating in a multinational prospective cohort study on mechanical ventilation. The most common indication for mechanical ventilation was pneumonia (23%). Pressure-limited ventilation modes were preferred over volume-cycled ventilation modes. Non-invasive positive pressure ventilation was used in only seven (2%) patients as the initial ventilatory support. Median duration of mechanical ventilation was 7 days and ICU mortality was 36%. The multiple logistic regression model revealed that the Simplified Acute Physiology Score II (SAPS II) score at ICU admission (odds ratio [OR], 1.034; 95% confidence interval [CI], 1.001-1.036; P=0.033), peak pressure (OR, 1.054; 95% CI, 1.016-1.095; P=0.006), and the number of failed organs (OR, 2.132; 95% CI, 1.634-2.781; P<0.001) were independently associated with ICU mortality. This study provides a snapshot of current practice of mechanical ventilation in Korea.
