Long-term outcomes for elderly survivors of prolonged ventilator assistance.

Care of ventilator-dependent patients requires considerable resources, yet the long-term outcomes of this type of care have rarely been described. We retrospectively investigated the posthospital course of elderly patients who survived an episode of prolonged ventilator dependency to describe survival rates, subsequent use of health care resources, and functional abilities. Our data suggest that the use of prolonged mechanical ventilation in the elderly produces few survivors at considerable expense. Poor overall outcomes occurred despite considerable consumption of medical and nursing resources by the survivors.

[1]  M. Ali,et al.  Respiratory failure in cancer patients. , 1979, JAMA.

[2]  R. Purtilo Ethical issues in the treatment of chronic ventilator-dependent patients. , 1986, Archives of physical medicine and rehabilitation.

[3]  R. Byrick,et al.  Cost‐effectiveness of intensive care for respiratory failure patients , 1980, Critical care medicine.

[4]  R. L. Rosen,et al.  DRG payment for long-term ventilator patients. Implications and recommendations. , 1987, Chest.

[5]  T. Clemmer,et al.  Prolonged mechanical ventilation for respiratory failure: A cost‐benefit analysis , 1983, Critical care medicine.

[6]  R. Byrick,et al.  Outcome of respiratory intensive care for the elderly , 1985, Critical care medicine.

[7]  G. Beck,et al.  Mechanically Assisted Ventilation in a Community Hospital: Immediate Outcome, Hospital Charges, and Follow-up of Patients , 1985 .

[8]  S. Willatts,et al.  Patient experiences during respirator treatment. , 1990, Critical care medicine.

[9]  R. Bone,et al.  Technology under Medicare diagnosis-related groups prospective payment. Implications for medical intensive care. , 1985, Chest.

[10]  S. Lemeshow,et al.  Hospital charges and long‐term survival of ICU versus non‐ICU patients , 1982, Critical care medicine.

[11]  S. Malt,et al.  Prolonged mechanically assisted ventilation. An analysis of outcome and charges. , 1980, JAMA.

[12]  S. Norwood,et al.  Acute respiratory failure: Mortality associated with underlying disease , 1985, Critical care medicine.

[13]  D. White,et al.  Outcome and function following prolonged mechanical ventilation. , 1987, Archives of internal medicine.

[14]  J. Naessens,et al.  Financial implications of prolonged ventilator care of Medicare patients under the prospective payment system. A multicenter study. , 1987, Chest.

[15]  A. J. Swinburne,et al.  Mechanical Ventilation: Analysis of Increasing Use and Patient Survival , 1988 .

[16]  H. Haljamäe,et al.  Patient experiences during respirator treatment--reason for intermittent positive-pressure ventilation treatment and patient awareness in the intensive care unit. , 1989, Critical care medicine.