کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3325283 1590503 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Analysis of Medical Resource Utilization and Outcome of Inhaled Nitric Oxide in Patients Undergoing Mechanical Ventilation
ترجمه فارسی عنوان
تجزیه و تحلیل استفاده از منابع پزشکی و نتیجه اکسید نیتروژن استنشاقی در بیماران مبتلا به تهویه مکانیکی
کلمات کلیدی
مورد مخلوط شاخص، همبودی، وجود همزمان دو بیماری، اکسید نیتریک، بهره برداری، تهویه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب سالمندان و علم پیری شناسی
چکیده انگلیسی

SummaryBackgroundInhaled nitric oxide (iNO) is a potent selective pulmonary vasodilator, which is used in critically ill patients to improve oxygenation. It avoids systemic hypotension and ventilator-induced lung injury in patients using ventilators. This study explored the medical resource utilization and outcome, and predicted risk factors for mortality in patients using ventilators with iNO.MethodsThe database was from the National Health Insurance hospital claims data in Taiwan from 2004 to 2009. The patients using ventilators with iNO were collected and stratified by age to 20–44 years, 45–64 years, 65–74 years, and ≥ 75 years.ResultsSeven hundred and thirty ventilator patients with iNO were enrolled (63.15% male, mean age 60 years). Mechanical ventilation (MV) weaning rate was 18.25%, intensive care unit (ICU) readmission rate was 5.75%, and ICU mortality rate was 74.52%. ICU mortality rate was lower, case-mix index, MV weaning rate, and hospital costs were higher for patients aged 20–44 years and 45–64 years than in those aged 65–74 years and ≥ 75 years (p < 0.05). Sex, case-mix index, Charlson comorbidity index, whether MV weaning (p < 0.001), different age group, and implementation of tracheostomy (p < 0.05) were all significant risk factors in predicting mortality of patients using ventilators with iNO.ConclusionThis study showed that the outcome differed with age in patients using ventilators with iNO.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Gerontology - Volume 9, Issue 1, March 2015, Pages 46–51
نویسندگان
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