J Korean Crit Care Nurs.  2025 Feb;18(1):13-26. 10.34250/jkccn.2025.18.1.13.

Comparison of Application of Home-use Mechanical Ventilator and Facility-use Mechanical Ventilator for Early Discharge of Patient from Intensive Care Units

• Won SY
• Yi YH

• KMID: 2565099
• DOI: http://doi.org/10.34250/jkccn.2025.18.1.13

Abstract

Purpose
: This study aimed to identify and compare the effects of home-use mechanical ventilator (MV) and facility-use mechanical ventilator on early discharge from the intensive care units (ICUs).
Methods
: This retrospective study used data from the electronic medical records of 290 patients who underwent MV in the ICU of a tertiary general hospital in Seoul.
Results
: Significant differences were observed in the length of ICU stay, total number of days of MV application, and length of hospital stay. The length of ICU stay was 30.00±28.14 days in the home-use MV group and 23.74±18.24 days in the facility-use MV group for facility-use (t=2.25, p=.026). The total number of days of MV application in ICU was 24.44±21.86 days in the home-use MV group and 19.35±14.25 days in the facility-use MV group (t=2.35, p=.020). The length of hospital stay was 101.88± 141.81 days in the home-use MV group and 74.24±71.38 days in the facility-use MV group (t=2.10, p=.037). The readmission rates within 72 hours of discharge from the ICU were 2.1% and 2.1%, respectively.
Conclusion
: A facility-use ventilator shortens the length of ICU stay and the total number of days of MV application in the ICU compared with a home-use mechanical ventilator, and it can be safely used for early discharge of patients from the ICU.

Keyword

Ventilators, mechanical, Patient discharge, Patient outcome assessment, Critical care nursing, Advanced practice nursing; 인공호흡기, 환자 퇴실, 환자 결과, 중환자간호, 전문간호