Change in management and outcome of mechanical ventilation in Korea: a prospective observational study
DC Field | Value | Language |
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dc.contributor.author | Sim, Jae Kyeom | - |
dc.contributor.author | Lee, Sang-Min | - |
dc.contributor.author | Kang, Hyung Koo | - |
dc.contributor.author | Kim, Kyung Chan | - |
dc.contributor.author | Kim, Young Sam | - |
dc.contributor.author | Kim, Yun Seong | - |
dc.contributor.author | Lee, Won-Yeon | - |
dc.contributor.author | Park, Sunghoon | - |
dc.contributor.author | Choi, Wonil | - |
dc.contributor.author | Suh, Gee Young | - |
dc.date.accessioned | 2023-08-16T07:50:22Z | - |
dc.date.available | 2023-08-16T07:50:22Z | - |
dc.date.created | 2023-07-21 | - |
dc.date.issued | 2022-05 | - |
dc.identifier.issn | 1226-3303 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/189150 | - |
dc.description.abstract | Background/Aims: There are few studies describing contemporary status of mechanical ventilation in Korea. We investigated changes in management and outcome of mechani-cal ventilation in Korea. Methods: International, prospective observational cohort studies have been conducted every 6 years since 1998. Korean intensive care units (ICUs) participated in 2010 and 2016 cohorts. We compared 2016 and 2010 Korean data. Results: Two hundred and twenty-six patients from 18 ICUs and 275 patients from 12 ICUs enrolled in 2016 and 2010, respectively. In 2016 compared to 2010, use of non-inva-sive ventilation outside ICU increased (10.2% vs. 2.5%, p = 0.001). Pressure-control venti-lation was the most common mode in both groups. Initial tidal volume (7.1 mL/kg vs. 7.4 mL/kg, p = 0.372) and positive end-expiratory pressure (6 cmH(2)O vs. 6 cmH(2)O, p = 0.141) were similar, but peak pressure (22 cmH(2)O vs. 24 cmH(2)O, p = 0.011) was lower in 2016. More patients received sedatives (70.7% vs. 57.0%, p = 0.002) and analgesics (86.5% vs. 51.1%, p < 0.001) in 2016. The awakening (48.4% vs. 31.0%, p = 0.002) was more frequently attempted in 2016. The accidental extubation rate decreased to one tenth of what it was in 2010 (1.1% vs. 10.2%, p < 0.001). The ICU mortality did not change (31.4% vs. 35.6%, p = 0.343) but ICU length of stay showed a decreasing trend (9 days vs. 10 days, p = 0.054) in 2016. Conclusions: There were temporal changes in care of patients on mechanical ventilation including better control of pain and agitation, and active attempt of awakening. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | KOREAN ASSOC INTERNAL MEDICINE | - |
dc.title | Change in management and outcome of mechanical ventilation in Korea: a prospective observational study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Wonil | - |
dc.identifier.doi | 10.3904/kjim.2020.285 | - |
dc.identifier.scopusid | 2-s2.0-85129859970 | - |
dc.identifier.wosid | 000761291000001 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF INTERNAL MEDICINE, v.37, no.3, pp.618 - 630 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF INTERNAL MEDICINE | - |
dc.citation.title | KOREAN JOURNAL OF INTERNAL MEDICINE | - |
dc.citation.volume | 37 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 618 | - |
dc.citation.endPage | 630 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.identifier.kciid | ART002832926 | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | INTENSIVE-CARE-UNIT | - |
dc.subject.keywordPlus | CLINICAL-PRACTICE GUIDELINE | - |
dc.subject.keywordPlus | NONINVASIVE VENTILATION | - |
dc.subject.keywordPlus | CONTROLLED-TRIAL | - |
dc.subject.keywordPlus | ADULT PATIENTS | - |
dc.subject.keywordPlus | NASAL CANNULA | - |
dc.subject.keywordPlus | ORGAN FAILURE | - |
dc.subject.keywordPlus | DEFINITIONS | - |
dc.subject.keywordPlus | SEDATION | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordAuthor | Correspondence to | - |
dc.subject.keywordAuthor | Respiration | - |
dc.subject.keywordAuthor | artificial | - |
dc.subject.keywordAuthor | Pain | - |
dc.subject.keywordAuthor | Agitation | - |
dc.subject.keywordAuthor | Ventilator weaning | - |
dc.identifier.url | https://kjim.org/journal/view.php?doi=10.3904/kjim.2020.285 | - |
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