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prolonged mechanical ventilation
Mechanical ventilation for >= 4 days with tracheostomy or ventilation for >=21 days without tracheostomy [1]
Management:
- 1 year prognosis:
- 9% of patients alive with no functional dependency
- 26% of patients alive with moderate dependency
- 21% alive with complete functional dependency
- 44% morptality
- patients with poor outcomes are older, have more comorbities & are more frequently discharged to a postacute care facility
- annual cost of prolonged mechanical ventilation per patient (2010): $306,135 +/- $285,467
- estimated $3.5 million per independently functioning survivor at 1 year
General
mechanical ventilation (assisted ventilation)
References
- Unroe M, Kahn JM, Carson SS, et al
One-year trajectories of care and resource utilization for
recipients of prolonged mechanical ventilation: A cohort study.
Ann Intern Med 2010; 153:167-175.
PMID: 20679561