1. Risk factors for long-term invasive mechanical ventilation: a longitudinal study using German health claims data
- Author
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Franziska C. Trudzinski, Julia D. Michels-Zetsche, Benjamin Neetz, Jan Meis, Michael Müller, Axel Kempa, Claus Neurohr, Armin Schneider, Felix J. F. Herth, Joachim Szecsenyi, Elena Biehler, Thomas Fleischauer, Michel Wensing, Simone Britsch, Janina Schubert-Haack, Thomas Grobe, Timm Frerk, and The PRiVENT-study group
- Subjects
Long-term invasive mechanical ventilation ,Invasive home mechanical ventilation ,Weaning ,Weaning failure ,Prolonged weaning ,Prognostic factors ,Diseases of the respiratory system ,RC705-779 - Abstract
Abstract Background Long-term invasive mechanical ventilation (IMV) is a major burden for those affected and causes high costs for the health care system. Early risk assessment is a prerequisite for the best possible support of high-risk patients during the weaning process. We aimed to identify risk factors for long-term IMV within 96 h (h) after the onset of IMV. Methods The analysis was based on data from one of Germany's largest statutory health insurance funds; patients who received IMV ≥ 96 h and were admitted in January 2015 at the earliest and discharged in December 2017 at the latest were analysed. OPS and ICD codes of IMV patients were considered, including the 365 days before intubation and 30 days after discharge. Long-term IMV was defined as evidence of invasive home mechanical ventilation (HMV), IMV ≥ 500 h, or readmission with (re)prolonged ventilation. Results In the analysis of 7758 hospitalisations, criteria for long-term IMV were met in 38.3% of cases, of which 13.9% had evidence of HMV, 73.1% received IMV ≥ 500 h and/or 40.3% were re-hospitalised with IMV. Several independent risk factors were identified (p
- Published
- 2024
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