Cited 4 times in
Change in management and outcome of mechanical ventilation in Korea: a prospective observational study
DC Field | Value | Language |
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dc.contributor.author | 김영삼 | - |
dc.date.accessioned | 2023-03-21T07:34:13Z | - |
dc.date.available | 2023-03-21T07:34:13Z | - |
dc.date.issued | 2022-05 | - |
dc.identifier.issn | 1226-3303 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/193444 | - |
dc.description.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% 35.6%, p = 0.343) but ICU length of stay showed a decreasing trend (9 days vs. 10 days, p = 0.054) in 2016. Conclusion: There were temporal changes in care of patients on mechanical ventilation including better control of pain and agitation, and active attempt of awakening. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Korean Association of Internal Medicine | - |
dc.relation.isPartOf | KOREAN JOURNAL OF INTERNAL MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hypnotics and Sedatives | - |
dc.subject.MESH | Intensive Care Units | - |
dc.subject.MESH | Noninvasive Ventilation* / adverse effects | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Respiration, Artificial* | - |
dc.title | Change in management and outcome of mechanical ventilation in Korea: a prospective observational study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Jae Kyeom Sim | - |
dc.contributor.googleauthor | Sang-Min Lee | - |
dc.contributor.googleauthor | Hyung Koo Kang | - |
dc.contributor.googleauthor | Kyung Chan Kim | - |
dc.contributor.googleauthor | Young Sam Kim | - |
dc.contributor.googleauthor | Yun Seong Kim | - |
dc.contributor.googleauthor | Won-Yeon Lee | - |
dc.contributor.googleauthor | Sunghoon Park | - |
dc.contributor.googleauthor | So Young Park | - |
dc.contributor.googleauthor | Ju-Hee Park | - |
dc.contributor.googleauthor | Yun Su Sim | - |
dc.contributor.googleauthor | Kwangha Lee | - |
dc.contributor.googleauthor | Yeon Joo Lee | - |
dc.contributor.googleauthor | Jin Hwa Lee | - |
dc.contributor.googleauthor | Heung Bum Lee | - |
dc.contributor.googleauthor | Chae-Man Lim | - |
dc.contributor.googleauthor | Won-Il Choi | - |
dc.contributor.googleauthor | Ji Young Hong | - |
dc.contributor.googleauthor | Won Jun Song | - |
dc.contributor.googleauthor | Gee Young Suh | - |
dc.identifier.doi | 10.3904/kjim.2020.285 | - |
dc.contributor.localId | A00707 | - |
dc.relation.journalcode | J02883 | - |
dc.identifier.eissn | 2005-6648 | - |
dc.identifier.pmid | 32872728 | - |
dc.subject.keyword | Agitation | - |
dc.subject.keyword | Pain | - |
dc.subject.keyword | Respiration, artificial | - |
dc.subject.keyword | Ventilator weaning | - |
dc.contributor.alternativeName | Kim, Young Sam | - |
dc.contributor.affiliatedAuthor | 김영삼 | - |
dc.citation.volume | 37 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 618 | - |
dc.citation.endPage | 630 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF INTERNAL MEDICINE, Vol.37(3) : 618-630, 2022-05 | - |
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