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. 2015 Mar;70(3):294-6.
doi: 10.1136/thoraxjnl-2014-205248. Epub 2014 May 14.

What happens to patients with COPD with long-term oxygen treatment who receive mechanical ventilation for COPD exacerbation? A 1-year retrospective follow-up study

Negin Hajizadeh  1 , Keith Goldfeld  2 , Kristina Crothers  3
Affiliations

What happens to patients with COPD with long-term oxygen treatment who receive mechanical ventilation for COPD exacerbation? A 1-year retrospective follow-up study

Negin Hajizadeh et al. Thorax. 2015 Mar.

Abstract

We performed a retrospective cohort study of patients with chronic obstructive lung disease (COPD) on long-term oxygen treatment (LTOT) who received invasive mechanical ventilation for COPD exacerbation. Of the 4791 patients, 23% died in the hospital, and 45% died in the subsequent 12 months. 67% of patients were readmitted at least once in the subsequent 12 months, and 26.8% were discharged to a nursing home or skilled nursing facility within 30 days. We conclude that these patients have high mortality rates, both in-hospital and in the 12 months postdischarge. If patients survive, many will be readmitted to the hospital and discharged to nursing home. These potential outcomes may support informed critical care decision making and more preference congruent care.

Keywords: COPD Exacerbations; Long Term Oxygen Therapy (LTOT).

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Figures

Figure 1
Figure 1
Outcomes over 12 months for patients with COPD-LTOT treated with invasive mechanical ventilation (with 95% CIs). COPD-LTOT, chronic obstructive lung disease–long-term oxygen treatment.
See this image and copyright information in PMC

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