Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2007;11(1):120.
doi: 10.1186/cc5701.

The long and difficult road to better evaluation of outcomes of prolonged mechanical ventilation: not yet a highway to heaven

Alain Combes  1
Affiliations
Comment

The long and difficult road to better evaluation of outcomes of prolonged mechanical ventilation: not yet a highway to heaven

Alain Combes. Crit Care. 2007.

Abstract

The study conducted by Cox and coworkers included in this issue of Critical Care demonstrates that prolonged mechanical ventilation (MV; defined as MV for 21 days or longer) is more specific than Diagnosis Related Group 541/542 as a marker of resource utilization, hospital costs and potentially ineffective care. These patients also had greater 1-year mortality and lower functional ability than patients who had received MV for 48 to 96 hours, despite having better baseline functional status. However, predictors of mortality and long-term functional outcomes that are reliable and accurate at the level of the individual patient remain to be identified.

PubMed Disclaimer

Comment on

Similar articles

See all similar articles

Cited by

References

    1. Cox CE, Carson SS, Hoff Lindquist JA, Olson MK, Govert JA, Chelluri L. Differences in one-year health outcomes and resource utilization by definition of prolonged mechanical ventilation: a prospective cohort study. Crit Care. 2007;11:R9. doi: 10.1186/cc5667. - DOI - PMC - PubMed
    1. Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J., Jr Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA. 2000;284:2762–2770. doi: 10.1001/jama.284.21.2762. - DOI - PubMed
    1. Carson SS, Cox CE, Holmes GM, Howard A, Carey TS. The changing epidemiology of mechanical ventilation: a population-based study. J Intensive Care Med. 2006;21:173–182. doi: 10.1177/0885066605282784. - DOI - PubMed
    1. Combes A, Costa MA, Trouillet JL, Baudot J, Mokhtari M, Gibert C, Chastre J. Morbidity, mortality, and quality-of-life outcomes of patients requiring >= 14 days of mechanical ventilation. Crit Care Med. 2003;31:1373–1381. doi: 10.1097/01.CCM.0000065188.87029.C3. - DOI - PubMed
    1. Eddleston JM, White P, Guthrie E. Survival, morbidity, and quality of life after discharge from intensive care. Crit Care Med. 2000;28:2293–2299. doi: 10.1097/00003246-200007000-00018. - DOI - PubMed

LinkOut - more resources