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首页> 外文期刊>Journal of Natural Science Biology and Medicine >The duration of mechanical ventilation in patients with chronic obstructive pulmonary disease and acute respiratory distress syndrome admitted to the intensive care unit: Epidemiological findings from a tertiary hospital
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The duration of mechanical ventilation in patients with chronic obstructive pulmonary disease and acute respiratory distress syndrome admitted to the intensive care unit: Epidemiological findings from a tertiary hospital

机译：慢性阻塞性肺病患者机械通气持续时间和急性呼吸窘迫综合征录取为重症监护单位：第三节医院的流行病学发现

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Context: Data for examining the duration and risk factors associated with the length of hospital stay with mechanical ventilation (MV) in patients with acute respiratory distress syndrome (ARDS) and chronic obstructive pulmonary disease (COPD) are scarce. Aims: The aim of the study was to examine the hospital stay duration with MV in such patients in the intensive care unit (ICU). Settings and Design: This cross-sectional study was conducted at King Abdulaziz Medical City in Riyadh between 2016 and 2018. Subjects and Methods: Adult patients with ARDS or COPD admitted to the ICU and receiving MV were included in the study. Their medical records were reviewed for information regarding the length of hospital stay, demographic profile, and comorbidity. Results: In total, 136 and 95 patients with ARDS and COPD, respectively, were admitted and received MV. The mean (standard deviation) age of patients with ARDS and COPD was 53 (19) and 68 (12) years, respectively. The patients with COPD had a higher obesity rate (61% in the obese category), higher mean Acute Physiology, Age, Chronic Health Evaluation (APACHE) II score (23.5 vs. 22.7), and preexisting chronic respiratory disease than those with ARDS. The median (interquartile range) MV duration in patients with ARDS was 7 (2–13) days, which was higher than that in patients with COPD (4 [1–9] days). Conclusions: Age, APACHE II score, and preexisting comorbidity contributed to the increase in the length of hospital stay with MV among patients with ARDS. Clinicians must consider such factors before using MV to improve patient outcomes.
机译：背景信息：用于检查与急性呼吸窘迫综合征（ARDS）和慢性阻塞性肺病（COPD）患者的机械通气（MV）与医院保持相关的持续时间和风险因素的数据是稀缺的。目的：该研究的目的是在重症监护单元（ICU）中的这种患者中使用MV检查医院保持持续时间。设置和设计：在2016年和2018年间利雅得王的Abdulaziz医学城市横断面研究。主题和方法：参加ICU和接受MV的ARDS或COPD的成年患者被纳入该研究。他们的医疗记录被审查了关于住院住院，人口统计学概况和合并症的长度。结果：共有136岁及95例患有ARDS和COPD的患者，均被录取和接受MV。 ARDS和COPD患者的平均值（标准偏差）年龄分别为53（19）和68（12）年。 COPD患者具有较高的肥胖率（肥胖类别61％），平均急性生理学，年龄，慢性健康评估（Apache）II分数（23.5与22.7），并且预先存在于慢性呼吸道疾病，而不是ARDS。 ARDS患者的中位数（四分位数）MV持续时间为7（2-13）天，高于COPD患者（4 [1-9天）。结论：年龄，Apache II评分和预先存在的合并症促进了ARDS患者患者的医院住院时间长度的增加。临床医生必须在使用MV之前考虑这些因素，以改善患者结果。

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