國家衛生研究院 NHRI:Item 3990099045/6715
English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 12145/12927 (94%)
造訪人次 : 866022      線上人數 : 734
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜尋範圍 查詢小技巧：
  • 您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料
    •  進階搜尋
    主頁 ‧ 登入 ‧ 上傳 ‧ 說明 ‧ 關於NHRI ‧ 管理 到手機版


    請使用永久網址來引用或連結此文件: http://ir.nhri.org.tw/handle/3990099045/6715


    題名: Improved survival for an integrated system of reduced intensive respiratory care for patients requiring prolonged mechanical ventilation
    作者: Lin, MS;Yan, YH;Wang, JD;Lu, HM;Chen, L;Hung, MC;Fan, PS;Chen, CR
    貢獻者: Division of Health Services and Preventive Medicine
    摘要: Background: The introduction of reduced respiratory care may lead to worse long-term outcomes for patients undergoing prolonged mechanical ventilation (PMV) for more than 21 days. The objective of this study is to determine the survival for an integrated system of reduced intensive respiratory care (ISRIRC) by Taiwan National Health Insurance in patients requiring PMV. Methods: A 10-year retrospective study was performed in a 1,000-bed teaching hospital in Taiwan. A total of 633 consecutive PMV patients transferred from the hospital between 1998 and 2007 were enrolled. Medical records were reviewed to collect the clinical data, which were linked to the National Death Certification Database to ascertain patient survival. Kaplan-Meier estimates were performed, and a Cox proportional hazards model was constructed. We further conducted a corroboration study and retrieved a systematically randomized nation-wide sample of PMV patients with combined septicemia and shock and compared the survival functions of those who were treated before and after the integrated system, including 228 and 2,677 patients, respectively. Results: The survival rates at 3 months, 6 months and one year were 60.0%, 44.0% and 30.0%, respectively. The one-year survival rates of the patients before and after ISRIRC were 21.0% and 37.2%, respectively (p<0.05). The factors associated with better survival were younger age, absence of cirrhosis and establishment of ISRIRC. A comparison of the 4-year survival in the larger random sample of PMV patients with combined septicemia and shock before and after ISRIRC also showed a significant improvement. Conclusions: With the improvement of PMV technology in the early 2000s, the establishment of ISRIRC seems to be associated with an improved survival rate for patients under PMV.
    日期: 2013-03
    關聯: Respiratory Care. 2013 Mar;58(3):517-524.
    Link to: http://dx.doi.org/10.4187/respcare.01530
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0020-1324&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000316434700015
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84876234788
    顯示於類別:[陳麗光] 期刊論文

    文件中的檔案:

    檔案 描述 大小格式瀏覽次數
    PB2012082205.pdf787KbAdobe PDF443檢視/開啟


    在NHRI中所有的資料項目都受到原著作權保護.

    TAIR相關文章

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回饋