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Change in management and outcome of mechanical ventilation in Korea: a prospective observational study
- Title
- Change in management and outcome of mechanical ventilation in Korea: a prospective observational study
- Authors
- Sim J.K.; Lee S.-M.; Kang H.K.; Kim K.C.; Kim Y.S.; Lee W.-Y.; Park S.; Park S.Y.; Park J.-H.; Sim Y.S.; Lee K.; Lee Y.J.; Lee J.H.; Lee H.B.; Lim C.-M.; Choi W.-I.; Hong J.Y.; Song W.J.; Suh G.Y.
- Ewha Authors
- 이진화
- SCOPUS Author ID
- 이진화
- Issue Date
- 2022
- Journal Title
- Korean Journal of Internal Medicine
- ISSN
- 1226-3303
- Citation
- Korean Journal of Internal Medicine vol. 37, no. 3, pp. 618 - 630
- Keywords
- Agitation; Pain; Respiration, artificial; Ventilator weaning
- Publisher
- Korean Association of Internal Medicine
- Indexed
- SCIE; SCOPUS; KCI
- Document Type
- Article
- Abstract
- Background/Aims: There are few studies describing contemporary status of mechanical ventilation in Korea. We investigated changes in management and outcome of mechanical ventilation in Korea. Methods: International, prospective observational cohort studies have been conducted every 6 years since 1998. Korean intensive care units (ICUs) participated in 2010 and 2016 cohorts. We compared 2016 and 2010 Korean data. Results: Two hundred and twenty-six patients from 18 ICUs and 275 patients from 12 ICUs enrolled in 2016 and 2010, respectively. In 2016 compared to 2010, use of non-invasive ventilation outside ICU increased (10.2% vs. 2.5%, p = 0.001). Pressure-control ventilation was the most common mode in both groups. Initial tidal volume (7.1 mL/kg vs. 7.4 mL/kg, p = 0.372) and positive end-expiratory pressure (6 cmH2O vs. 6 cmH2O, p = 0.141) were similar, but peak pressure (22 cmH2O vs. 24 cmH2O, p = 0.011) was lower in 2016. More patients received sedatives (70.7% vs. 57.0%, p = 0.002) and analgesics (86.5% vs. 51.1%, p < 0.001) in 2016. The awakening (48.4% vs. 31.0%, p = 0.002) was more frequently attempted in 2016. The accidental extubation rate decreased to one tenth of what it was in 2010 (1.1% vs. 10.2%, p < 0.001). The ICU mortality did not change (31.4% vs. 35.6%, p = 0.343) but ICU length of stay showed a decreasing trend (9 days vs. 10 days, p = 0.054) in 2016. Conclusions: There were temporal changes in care of patients on mechanical ventilation including better control of pain and agitation, and active attempt of awakening. © 2022 The Korean Association of Internal Medicine.
- DOI
- 10.3904/kjim.2020.285
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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