The Epidemiology of Respiratory Failure in the United States 2002-2017: A Serial Cross-Sectional Study.

Critical Care Explorations
Jordan A KempkerGreg S Martin

Abstract

Respiratory failure with mechanical ventilation is a limited labor-intensive resource that is associated with high mortality. Understanding the longitudinal national epidemiology is essential for the organization of healthcare resources. Serial cross-sectional study. The 2002-2017 Healthcare Utilization Project's National Inpatient Sample datasets. None. We use six diagnosis codes and five procedural codes from International Classification of Diseases, 9th Revision, Clinical Modification, and 19 diagnosis codes and 15 procedures codes from International Classification of Diseases, 10th Revision, Clinical Modification to examine national epidemiology of different case definitions for respiratory failure. In the United States in 2017, there were an estimated 1,146,195 discharges with a diagnosis of respiratory failure and procedural code for mechanical ventilation, with an average length of stay of 10.5 days and hospital charge of $158,443. Over the study period, there was an 83% increase in incidence from 249 to 455 cases per 100,000 adults with a 48% decrease in hospital mortality from 34% to 23%. Exploring a case definition that captures only diagnosis codes for respiratory failure, there was a 197% increase in annual incidenc...Continue Reading

References

Jul 20, 2010·Critical Care Medicine·Hannah WunschJeremy M Kahn
Jan 22, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Mihaela S StefanPeter K Lindenauer
Mar 20, 2013·Annals of the American Thoracic Society·Allan J Walkey, Renda Soylemez Wiener
May 2, 2013·American Journal of Respiratory and Critical Care Medicine·Andrés EstebanAntonio Anzueto
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Oct 27, 2016·Critical Care : the Official Journal of the Critical Care Forum·Mohamed D HashemMichelle N Eakin
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