Clinical outcomes of neurological patients with and without prolonged mechanical ventilation
DOI:
https://doi.org/10.17267/2238-2704rpf.v11i4.4025Keywords:
Artificial Respiration. , Intensive Care Units. , Respirator., Weaning.Abstract
INTRODUCTION: Patients with neurological diseases on mechanical ventilation (MV) are at increased risk of prolonged MV (PMV) due to lowered level of consciousness, abnormal breathing patterns, and inability to protect the airways caused by neurological damage. OBJECTIVE: To compare clinical outcomes of neurological patients with or without PVM. MATERIALS AND METHODS: This was a retrospective observational documentary study carried out in the neurological ICU of a teaching hospital. The following were collected: age, gender, the pathology that led to hospitalization, presence of comorbidities, simplified acute physiology score (SAPS III), the incidence of PMV, length of stay on MV, length of stay in the ICU, and outcome discharge or death in the unit. Patients were divided into two groups according to the duration of MV, the PMV group and the non-PMV group. RESULTS: A total of 212 patients were included, the most prevalent diagnosis in the PMV group was brain tumor resection (27.5%), and in the group without PMV, it was traumatic brain injury (18%). It was found that 10% of these evolved to PMV. There was a prevalence of males in both groups. The PMV group had a significantly higher SAPS III score (p=0.003) than the group without PMV. The PMV group remained significantly longer (p<0.0001) in MV and ICU stay in days than the group without PMV. There was no significant difference (p=1.00) in the ICU outcome of discharge or death between the groups with and without PMV. CONCLUSION: The group of patients under PMV spent more time on invasive ventilatory support and remained in the ICU longer than those without PMV. There were no statistical differences in the ICU mortality outcome.
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Copyright (c) 2021 Lucas Lima Ferreira, Anna Carolina Macedo Sousa, Lilian Cristina Ascencio Sanchez
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
