Journal of Critical Care
Volume 24, Issue 3 , Pages 340-346 , September 2009

How do older ventilated patients fare? A survival/functional analysis of 641 ventilations

  • David Lieberman, MD

      Affiliations

    • Pulmonary Unit, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
    • Division of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
    • Corresponding Author InformationCorresponding author. Pulmonary Unit, Soroka University Medical Center, Beer-Sheva 84101, Israel. Tel.: +972 8 6400411; fax: +972 8 6403022.
  • ,
  • Liat Nachshon, MD

      Affiliations

    • Division of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
  • ,
  • Oleg Miloslavsky, MD

      Affiliations

    • Division of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
  • ,
  • Valery Dvorkin, MD

      Affiliations

    • Division of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
  • ,
  • Avi Shimoni, MD

      Affiliations

    • Division of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
  • ,
  • Devora Lieberman, MD

      Affiliations

    • Division of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
    • Department of Geriatric Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

References 

  1. Stauffer JL, Fayter NA, Graves B, et al. Survival following mechanical ventilation for acute respiratory failure in adult men. Chest. 1993;104:1222–1229
  2. Spicher JE, White DP. Outcome and function following prolonged mechanical ventilation. Arch Intern Med. 1987;147:421–425
  3. Chelluri L, Im KA, Belle SH, et al. Long-term mortality and quality of life after prolonged mechanical ventilation. Crit Care Med. 2004;32:61–69
  4. Combes A, Costa MA, Trouillet JL, et al. Morbidity, mortality, and quality-of-life outcomes of patients requiring ≥14 days of mechanical ventilation. Crit Care Med. 2003;31:1373–1381
  5. Douglas SL, Daly BJ, Gordon N, et al. Survival and quality of life: short-term versus long-term ventilator patients. Crit Care Med. 2002;30:2655–2662
  6. Cohen IL, Lambrinos J, Fein IA. Mechanical ventilation for the elderly patient in intensive care. Incremental changes and benefits. JAMA. 1993;269:1025–1029
  7. Endeman H, Heeffer L, Holleman F, et al. Influence of old age on survival after prolonged mechanical ventilation. Eur J Intern Med. 2005;16:116–119
  8. Montuclard L, Garrouste-Orgeas M, Timsit JF, et al. Outcome, functional autonomy, and quality of life of elderly patients with a long-term intensive care unit stay. Crit Care Med. 2000;28:3389–3395
  9. Garland A, Dawson NV, Altmann I, et al. Outcomes up to 5 years after severe, acute respiratory failure. Chest. 2004;126:1897–1904
  10. Van Den Noortgate N, Vogelaers D, Afschrift M, et al. Intensive care for very elderly patients: outcome and risk factors for in-hospital mortality. Age and Ageing. 1999;28:253–256
  11. Ely EW, Evans GW, Haponik EF. Mechanical ventilation in a cohort of elderly patients admitted to an intensive care unit. Ann Intern Med. 1999;131:96–104
  12. Dardaine V, Constans T, Lasfargues G, et al. Outcome of elderly patients requiring ventilatory support in intensive care. Aging (Milano). 1995;7:221–227
  13. Dardaine V, Dequin PF, Ripault H, et al. Outcome of older patients requiring ventilatory support in intensive care: impact of nutritional status. J Am Geriatric Soc. 2001;49:564–570
  14. Searle JF. The outcome of mechanical ventilation: report of a five year study. Ann R Coll Surg Engl. 1985;67:187–189
  15. Schielke E, Busch MA, Hildenhagen T, et al. Functional, cognitive and emotional long-term outcome of patients with ischemic stroke requiring mechanical ventilation. J Neurol. 2005;252:648–654
  16. Gracey DR, Naessens JM, Viggiano RW, et al. Outcome of patients cared for in a ventilator-dependent unit in a general hospital. Chest. 1995;107:494–499
  17. Chang WC, Slaughter S, Cartwright D, et al. Evaluating the FONE FIM: part I. Construct validity. J Outcome Meas. 1997;1:192–218
  18. Keith RA, Granger CV, Hamilton BB, et al. The Functional Independence Measure: a new tool for rehabilitation. Adv Clin Rehabil. 1987;1:6–18
  19. Cohen IL, Lambrinos J. Investigating the impact of age on outcome of mechanical ventilation using a population of 41,848 patients from a statewide database. Chest. 1995;107:1673–1680
  20. Somme D, Maillet JM, Gisselbrecht M, et al. Critically ill old and the oldest-old patients in intensive care: short- and long-term outcomes. Intensive Care Med. 2003;29:2137–2143

 There are no conflicts of interest to declare.

PII: S0883-9441(09)00077-X

doi: 10.1016/j.jcrc.2009.01.015

Journal of Critical Care
Volume 24, Issue 3 , Pages 340-346 , September 2009