Mechanical ventilation in Ontario, 1992-2000: incidence, survival, and hospital bed utilization of noncardiac surgery adult patients

Critical Care Medicine
Dale M NeedhamAndreas Laupacis

Abstract

Mechanical ventilation is a common therapy used in caring for critically ill patients, but its epidemiology is poorly understood. We describe population-based, temporal trends in the incidence, survival, and hospital bed utilization of mechanically ventilated, noncardiac surgery adult patients. Retrospective, observational cohort study using linked administrative databases. Province of Ontario, Canada. Subjects were 150,755 unique patients who received mechanical ventilation between 1992 and 2000. None. Annual measures of mechanical ventilation incidence, 30-day patient mortality rate, and number of mechanical ventilation days and inpatient days for mechanically ventilated patients as a proportion of total adult inpatient bed days. From 1992 to 2000, the crude and age- and gender-adjusted incidence of mechanical ventilation increased 9% (p <.001) and 2% (p <.027), respectively, to 217 per 100,000 adults. Crude mortality rate 30 days after initiation of mechanical ventilation increased from 27% to 32% (p <.001). Significant predictors of 30-day mortality rate (adjusted hazard ratio, 95% confidence interval) were calendar year (1.03, 1.02-1.03), age >80 yrs (2.3, 2.2-2.3), Charlson score 3+ (2.0, 2.0-2.1), and specific diagnosis....Continue Reading

Associated Clinical Trials

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Nov 1, 1990·Critical Care Medicine·P Jacobs, T W Noseworthy
Jan 1, 1989·Social Science & Medicine·L L RoosA Wajda
Mar 1, 1987·Archives of Internal Medicine·J E Spicher, D P White
Dec 1, 1994·Critical Care Medicine·N A HalpernR Greenstein
Aug 1, 1995·Aging : Clinical and Experimental Research·V DardaineG Giniès
Jul 1, 1996·Journal of Clinical Epidemiology·R M PosesW E Scott
Sep 18, 1996·JAMA : the Journal of the American Medical Association·A F ConnorsW A Knaus
Jul 28, 1999·JAMA : the Journal of the American Medical Association·L L LeapeD W Bates
Jul 21, 2000·American Journal of Respiratory and Critical Care Medicine·M HughesF N MacKirdy
Jan 16, 2002·JAMA : the Journal of the American Medical Association·Andrés EstebanUNKNOWN Mechanical Ventilation International Study Group
May 15, 2002·Chest·Jean-Louis VincentUNKNOWN SOFA Working Group. Sequntial organ failure assessment
May 31, 2002·The New England Journal of Medicine·Jack NeedlemanKatya Zelevinsky
Sep 26, 2002·Journal of Critical Care·Daren K HeylandPeter M Dodek
Nov 7, 2002·JAMA : the Journal of the American Medical Association·Peter J PronovostTammy L Young
Nov 28, 2002·JAMA : the Journal of the American Medical Association·Ravindra L MehtaUNKNOWN PICARD Study Group

❮ Previous
Next ❯

Citations

Sep 28, 2010·Intensive Care Medicine·Lise PiquilloudDidier Tassaux
Oct 12, 2010·Lancet·Neill K J AdhikariGordon D Rubenfeld
Mar 9, 2005·Critical Care Medicine·Greg L SchumakerDaniel Teres
Jun 9, 2005·Critical Care Medicine·Dale M Needham, Peter J Pronovost
Jan 24, 2007·Critical Care Medicine·Nicholas S Ward, Mitchell M Levy
Dec 20, 2007·Critical Care Medicine·John L MoranUNKNOWN Australian and New Zealand Intensive Care Society Database Management Committee (ADMC)
Aug 6, 2008·Critical Care Medicine·Damon C ScalesDonald A Redelmeier
Sep 25, 2008·Critical Care Medicine·Eddy Fan, Niall D Ferguson
Apr 19, 2012·Critical Care Medicine·Colin R CookeGreg S Martin
Apr 5, 2011·Critical Care : the Official Journal of the Critical Care Forum·Mei-Chuan HungJung-Der Wang
Nov 16, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Robert A FowlerClaudio M Martin
May 20, 2009·Best Practice & Research. Clinical Anaesthesiology·François Lellouche, Laurent Brochard
Mar 25, 2008·Journal of Critical Care·John G MuscedereDaren K Heyland
Jan 22, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Mihaela S StefanPeter K Lindenauer
Oct 30, 2012·Journal of Critical Care·Moshe HerschSharon Einav
Dec 30, 2016·Annals of the American Thoracic Society·Andrea D HillDamon C Scales
May 14, 2005·Critical Care Medicine·Lewis J Kaplan
May 5, 2006·Journal of Intensive Care Medicine·Greg Schumaker, Nicholas S Hill
May 5, 2006·Journal of Intensive Care Medicine·Shannon S CarsonTimothy S Carey
Jan 4, 2018·Annals of the American Thoracic Society·Nathan E Brummel, Lauren E Ferrante
Oct 5, 2018·The Laryngoscope·Anthony YangAlfred Iloreta
Jun 17, 2008·Critical Care Medicine·Gavin G Lavery, Brian V McCloskey
Jul 20, 2010·Critical Care Medicine·Hannah WunschJeremy M Kahn
Feb 22, 2012·Annals of Intensive Care·Maité Garrouste-OrgeasB Misset
Feb 4, 2009·Current Opinion in Critical Care·Ewan Goligher, Niall D Ferguson
Aug 7, 2009·Current Opinion in Critical Care·Robert A FowlerMichelle Hladunewich
Aug 13, 2005·Critical Care Medicine·Dale M NeedhamPeter J Pronovost
Nov 18, 2005·Current Opinion in Critical Care·Nicholas S Ward
May 23, 2012·Journal of Clinical Monitoring and Computing·Yael HavivAlexander Izakson
Jun 4, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Takeru ShimizuMakoto Tanaka
Jan 19, 2013·Critical Care Medicine·Akira NishisakiUNKNOWN Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network
Mar 12, 2016·Critical Care Medicine·Michael W SjodingColin R Cooke
Nov 10, 2011·Current Opinion in Critical Care·Neill K J Adhikari, Gordon D Rubenfeld
Nov 9, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Akira NishisakiUNKNOWN National Emergency Airway Registry for kids (NEAR4KIDS) Investigators
Jul 2, 2020·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Orla M SmithJan O Friedrich
Dec 16, 2004·Critical Care Medicine·Robert E Moss

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.