English  |  正體中文  |  简体中文  |  Items with full text/Total items : 6024/14565 (41%)
Visitors : 13745476      Online Users : 282
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    Please use this identifier to cite or link to this item: https://ir.fy.edu.tw:8080/ir/handle/987654321/15609


    Title: Clinical characteristics, hospital outcome and prognostic factors of patients with ventilator-related pneumothorax
    Authors: Hsu, CW;Sun, SF;Lee, DL;Chu, KA;Lin, HS
    Contributors: 輔英科技大學 健康事業管理系
    Keywords: Barotrauma;Critical care;Respiration;Pneumothorax;Prognosis
    Date: 2014-01-01
    Issue Date: 2014-08-11 10:44:56 (UTC+8)
    Abstract: Background. Mechanical ventilation is a common cause of iatrogenic pneumothorax in intensive care units (ICU). Most of the patients with ventilator-related pneumothorax (VRP) have underlying lung diseases and is associated with increased morbidity and mortality. The prognostic factors of VRP are not clear. The objective of this study was to find the possible prognostic factors.Methods. Analysis of retrospectively collected data of patients with pneumothorax induced by mechanical ventilation. Data were obtained concerning demographics, acute physiology and chronic health evaluation (APACHE) II score, organ failure, underlying diseases, interval between the start of mechanical ventilation and pneumothorax, arterial blood gas, respiratory parameters and patient outcomes.Results. One hundred and twenty-four patients with VRP were included for analysis. The incidence rate of VRP was 0.4% (124/31,660), and the mortality rate was 77.4%. The patients with VRP had higher hospital mortality rate than that of mechanically ventilated patients without pneumothorax (77.4% vs. 13.7%, P<0.001) or patient with procedure-related pneumothorax (77.4% vs. 29.4%, P<0.001). Most cases of VRP occurred in the early phase of mechanical ventilation, and 8.9% of the patients had a later episode of pneumothorax on the opposite lung. The interval between two episodes of VRP was short, at a median time of 2 days. Cox regression analysis showed that tension pneumothorax (P=0.001), PaO2/FiO(2)<200 (P=0.002), and APACHE II score (P=0.008) were significantly associated with death.Conclusion. VRP patients with tension pneumothorax or PaO2/FiO(2)<200 had a higher risk of death. APACHE II scores were associated with mortality in the VRP patients with PaO2/FiO(2)>= 200 mmHg.
    Relation: Minerva Anestesiologica 80(1), 29-38
    Appears in Collections:[健康事業管理系] 期刊論文

    Files in This Item:

    There are no files associated with this item.



    All items in FYIR are protected by copyright, with all rights reserved.


    本網站典藏內容為學術研究目的之提供,請尊重著作權人之權益合理使用,請勿任意重製、轉貼、改作及散佈。

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback