Tuberc Respir Dis.  2007 May;62(5):398-405.

The 3 years Prognosis of Patients with Long Term Mechanical Ventilation in Medical Intensive Care Unit at a University Hospital

• Chon GR
• Choi IS
• Lim CM
• Koh Y
• Oh YM
• Shim TS
• Lee SD
• Kim WS
• Kim DS
• Kim WD
• Hong SB

Abstract

BACKGROUND: There is little data on the 3 year prognosis and quality of life of patients on long-term (>72 hour) mechanical ventilation in a medical intensive care unit (MICU).
METHODS
Patients with long-term mechanical ventilation from May 2003 through July 2003 in MICU of Asan Medical Center, Seoul were enrolled in this studay. The survival rates were observed prospectively at 1, 3, 6, 12, 24, 36 months, and the quality of life of survivor was measured at 12 months by using Short Form 36 (SF-36).
RESULTS
The survival rate at 1, 3, 6, 12, 24 and 36 months was 54.8% (40/73), 39.7% (29/73), 30.1% (22/73), 20.5% (15/73), 18.3% (13/71) and 16.9% (12/71), respectively. There was a similar survival rate regardless of the diseases that required mechanical ventilation. A neoplasm or chronic liver disease had a worse survival rate than chronic lung or kidney disease (p>0.05). Each SF-36 domain except for the Role-emotional was inferior to the general population.
CONCLUSIONS
The survival rate of patients with mechanical ventilation more than 72 hours is decreases continuously until 12 months but is relatively constant from 12 to 36 months. In these patients quality of life is also decrased.

Keyword

Long term mechanical ventilation; Intensive care unit; Survival rate; Quality of life

MeSH Terms

Chungcheongnam-do
Humans
Intensive Care Units*
Critical Care*
Kidney Diseases
Liver Diseases
Lung
Prognosis*
Prospective Studies
Quality of Life
Respiration, Artificial*
Seoul
Survival Rate
Survivors

Figure

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  Figure 1 Survival rates according to major disease that needed mechanical ventilation during observation period. There was no difference in survival rate among diseases that needs mechanical ventilation at 1, 3, 6, 12, 24, 36 month(p>0.05).

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  Figure 2 Survival rates according to underlying disease during observation period. Neoplasm or chronic liver disease were worse than chronic lung or kidney disease in survival rate at 3, 6, 12, 24, 36 month(p<0.05).

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