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Clinical Demographics and Outcomes in Mechanically Ventilated Patients in Korean Intensive Care Units
Authors:Byeong-Ho Jeong  Gee Young Suh  Jin Young An  Moo Suk Park  Jin Hwa Lee  Myung-Goo Lee  Je Hyeong Kim  Yun Seong Kim  Hye Sook Choi  Kyung Chan Kim  Won-Yeon Lee  Younsuck Koh
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.

Graphical Abstract

Keywords:Respiration, Artificial   Epidemiology   Data collection   Outcome   Korea
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