Outcomes of Very Elderly Patients Admitted to a Respiratory Care Center in Taiwan
Background: The study was undertaken to report the outcomes of very elderly patients who survived the critical illness in intensive care unit and were transferred to the respiratory care center (RCC) for weaning attempts. Methods: A retrospective medical records analysis of post-intensive care unit...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2007-12-01
|
| Series: | International Journal of Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959808700401 |
| _version_ | 1818152605834018816 |
|---|---|
| author | Kuang-Hua Cheng Ming Jen Peng Chien-Liang Wu |
| author_facet | Kuang-Hua Cheng Ming Jen Peng Chien-Liang Wu |
| author_sort | Kuang-Hua Cheng |
| collection | DOAJ |
| description | Background: The study was undertaken to report the outcomes of very elderly patients who survived the critical illness in intensive care unit and were transferred to the respiratory care center (RCC) for weaning attempts.
Methods: A retrospective medical records analysis of post-intensive care unit weaning in the RCC of a tertiary teaching hospital.
Results: A total of 101 patients aged 80 years and older were admitted to the RCC from October 1, 2005 to March 31, 2007. The mean age of the patients was 86.0 ±4.9 years. The mortality rate was 25.7%; 45.5% of the patients were successfully weaned from the mechanical ventilator, and 28.7% were eventually dependent on ventilatory support. Pneumonia was the leading cause of the respiratory failure. The median days in the RCC was 25 days (range, 2–63 days). The median time to tracheostomy was 28 days (range, 12–114 days). The most frequent complication in the unit was urinary tract infection. The severity of illness at admission to the unit, but not the age of patients, was the determinant of weaning success. The average cost of each patient in the RCC was US$6,667.50.
Conclusion: Nearly half of the very elderly patients admitted to the RCC were able to be liberated from mechanical ventilation in the setting of the RCC. The daily cost of the RCC stay was less than that in the intensive care unit. |
| first_indexed | 2024-12-11T13:57:23Z |
| format | Article |
| id | doaj.art-ab65228111654d909a3f65f4e358d874 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-12-11T13:57:23Z |
| publishDate | 2007-12-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-ab65228111654d909a3f65f4e358d8742022-12-22T01:03:59ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982007-12-011415716310.1016/S1873-9598(08)70040-1Outcomes of Very Elderly Patients Admitted to a Respiratory Care Center in TaiwanKuang-Hua Cheng0Ming Jen Peng1Chien-Liang Wu2Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, TaiwanBackground: The study was undertaken to report the outcomes of very elderly patients who survived the critical illness in intensive care unit and were transferred to the respiratory care center (RCC) for weaning attempts. Methods: A retrospective medical records analysis of post-intensive care unit weaning in the RCC of a tertiary teaching hospital. Results: A total of 101 patients aged 80 years and older were admitted to the RCC from October 1, 2005 to March 31, 2007. The mean age of the patients was 86.0 ±4.9 years. The mortality rate was 25.7%; 45.5% of the patients were successfully weaned from the mechanical ventilator, and 28.7% were eventually dependent on ventilatory support. Pneumonia was the leading cause of the respiratory failure. The median days in the RCC was 25 days (range, 2–63 days). The median time to tracheostomy was 28 days (range, 12–114 days). The most frequent complication in the unit was urinary tract infection. The severity of illness at admission to the unit, but not the age of patients, was the determinant of weaning success. The average cost of each patient in the RCC was US$6,667.50. Conclusion: Nearly half of the very elderly patients admitted to the RCC were able to be liberated from mechanical ventilation in the setting of the RCC. The daily cost of the RCC stay was less than that in the intensive care unit.http://www.sciencedirect.com/science/article/pii/S1873959808700401adrenal insufficiencyelderlymechanical ventilatoroutcomesweaning |
| spellingShingle | Kuang-Hua Cheng Ming Jen Peng Chien-Liang Wu Outcomes of Very Elderly Patients Admitted to a Respiratory Care Center in Taiwan International Journal of Gerontology adrenal insufficiency elderly mechanical ventilator outcomes weaning |
| title | Outcomes of Very Elderly Patients Admitted to a Respiratory Care Center in Taiwan |
| title_full | Outcomes of Very Elderly Patients Admitted to a Respiratory Care Center in Taiwan |
| title_fullStr | Outcomes of Very Elderly Patients Admitted to a Respiratory Care Center in Taiwan |
| title_full_unstemmed | Outcomes of Very Elderly Patients Admitted to a Respiratory Care Center in Taiwan |
| title_short | Outcomes of Very Elderly Patients Admitted to a Respiratory Care Center in Taiwan |
| title_sort | outcomes of very elderly patients admitted to a respiratory care center in taiwan |
| topic | adrenal insufficiency elderly mechanical ventilator outcomes weaning |
| url | http://www.sciencedirect.com/science/article/pii/S1873959808700401 |
| work_keys_str_mv | AT kuanghuacheng outcomesofveryelderlypatientsadmittedtoarespiratorycarecenterintaiwan AT mingjenpeng outcomesofveryelderlypatientsadmittedtoarespiratorycarecenterintaiwan AT chienliangwu outcomesofveryelderlypatientsadmittedtoarespiratorycarecenterintaiwan |