RT Journal Article
SR Electronic
T1 Survival of mechanically ventilated patients admitted to intensive care units
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 781
OP 788
DO 10.15537/smj.2019.8.24447
VO 40
IS 8
A1 Ismaeil, Taha
A1 Almutairi, Jawaher
A1 Alshaikh, Rema
A1 Althobaiti, Zahrah
A1 Ismaiel, Yassin
A1 Othman, Fatmah
YR 2019
UL http://smj.org.sa/content/40/8/781.abstract
AB Objectives: To estimate the survival of adult and pediatric patients receiving mechanical ventilation and determine the associated risk factorsMethods: A retrospective cohort study was carried out in the intensive care unit (ICU) at King Abdulaziz Medical City (KAMC) and King Abdullah Children’s Specialist Hospital (KACSH), Riyadh, Saudi Arabia. The analysis includes data from medical records of all patients admitted to ICUs who received mechanical ventilation between 2016-2018. For each patient, potential risk factors were collected. The main outcome of this study was the mortality during the stay in ICU after receiving mechanical ventilationResults: A total of 262 adults and 175 pediatric patients were admitted to ICUs and received mechanical ventilation during the study period. For adult patients, the overall mortality was 37%, with a median survival time of 11 days (interquartile range [IQR] 6-20 days). The main risk factors independently associated with the increased mortality rate were being aged 51-60 (odds ratio [OR] 2.6, 95% confidence interval [CI] 6.7-1.0) and factors related to ICU admission. For the pediatric population, the mortality rate was 17%, with a median survival time of 16 days (IQR 7-37 days). Prematurity with respiratory problems was the main recorded cause of initiation of mechanical ventilation (50% of patients). Neonates who had mechanical ventilation within one month of their birth and were born extremely preterm had a high mortality rate after the initiation of mechanical ventilation.Conclusion: Both patient age and the causes of the initiation of mechanical ventilation were influencing the survival of patients who required mechanical ventilation.