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Clinical Demographics and Outcomes in Mechanically Ventilated Patients in Korean Intensive Care Units

Authors
Jeong, Byeong-HoSuh, Gee YoungAn, Jin YoungPark, Moo SukLee, Jin HwaLee, Myung-GooKim, Je HyeongKim, Yun SeongChoi, Hye SookKim, Kyung ChanLee, Won-YeonKoh, Younsuck
Issue Date
6월-2014
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Respiration, Artificial; Epidemiology; Data collection; Outcome; Korea
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.29, no.6, pp.864 - 870
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
29
Number
6
Start Page
864
End Page
870
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/98318
DOI
10.3346/jkms.2014.29.6.864
ISSN
1011-8934
Abstract
Knowledge of clinical demographics and outcomes of mechanically ventilated patients is important but there are few prospectively collected data in Korea. The objective of the present study was to describe the current status of mechanically ventilated patients in Korea as of 2010. We analyzed the data of Korean patients (275 patients in 12 Korean intensive care units [ICU]) participating in a multinational prospective cohort study on mechanical ventilation. The most common indication for mechanical ventilation was pneumonia (23%). Pressure-limited ventilation modes were preferred over volume-cycled ventilation modes. Non-invasive positive pressure ventilation was used in only seven (2%) patients as the initial ventilatory support. Median duration of mechanical ventilation was 7 days and ICU mortality was 36%. The multiple logistic regression model revealed that the Simplified Acute Physiology Score II (SAPS II) score at ICU admission (odds ratio [OR], 1.034; 95% confidence interval [CI], 1.001-1.036; P=0.033), peak pressure (OR, 1.054; 95% CI, 1.016-1.095; P=0.006), and the number of failed organs (OR, 2.132; 95% CI, 1.634-2.781; P<0.001) were independently associated with ICU mortality. This study provides a snapshot of current practice of mechanical ventilation in Korea.
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