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Risk Factors for Prolonged Ventilation in Patient with COPD in ICU

Purpose: To identify a patient with COPD on a mechanical ventilator in the ICU who is at risk for needing prolonged ventilation based on the study of Gursel.

Description

Gursel et al identified a number of risk factors associated with prolonged mechanical ventilation for a patient with chronic obstructive pulmonary disease (COPD) in the intensive care unit (ICU). These can help identify a patient who may require closer monitoring and more aggressive management. The author is from Gazi University School of Medicine in Anakara, Turkey.


 

General risk factors for prolonged mechanical ventilation:

(1) age >= 69 years of age

(2) admission APACHE II >= 19 (measure of disease severity on admission)

(3) serum albumin on admission <= 3.0 g/dL

(4) development of ventilator-associated pneumonia (VAP)

(5) development of sepsis

 

where:

• The cutoffs for the first 3 items are guestimates from the date in Table 5.

 

Risk factors for mechanical ventilation > 7 days:

(1) ventilator-associated pneumonia

(2) sepsis

 

Risk factors for mechanical ventilation > 15 days:

(1) ventilator-associated pneumonia

 

Risk factors for mechanical ventilation > 21 days:

(1) age

(2) admission APACHE II score

(3) hypoalbuminemia

 


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Specialty

Objective

ICD-10