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Relationship between Ventilator-Associated Events and Timing of Rehabilitation in Subjects with Emergency Tracheal Intubation at Early Mobilization Facility

Bibliographic Data

ID15464280
AuthorsTaku Shinoda (Kobe City Medical Center General Hospital), Hiromasa Nishihara (Kobe City Medical Center General Hospital), Takayuki Shimogai (0000-0003-0472-9053, Kobe City Medical Center General Hospital), Tsubasa Ito (0000-0002-3524-6452, Kobe City Medical Center General Hospital), Ryuya Takimoto (Kobe City Medical Center General Hospital), Ryutaro Seo (0000-0002-9190-2434, Kobe City Medical Center General Hospital), Masashi Kanai (0000-0002-0362-405X, Kobe University), Kazuhiro P Izawa (0000-0001-7262-8903, Kobe University, corresponding author), Kentaro Iwata (0000-0003-2148-3016, Kobe City Medical Center General Hospital)
Year2018
Volume15
Issue12
Pages2892-2892
Publication date2018-12-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph15122892
PMID30562993
OpenAlexW2905367184
LanguageEN
References cited25

The present study aimed to investigate the relationship between the occurrence of ventilator-associated events (VAE) in the intensive care unit and the timing of rehabilitation intervention. We included subjects who underwent emergency tracheal intubation and received rehabilitation. We performed rehabilitation according to our hospital's protocol. We assessed the mechanical ventilation parameters of inspired oxygen fraction and positive-end expiratory pressure, and a VAE was identified if these parameters stabilized or decreased for ≥2 days and then had to be increased for ≥2 days. We defined time in hours from tracheal intubation to the first rehabilitation intervention as Timing 1 and that to first sitting on the edge of the bed as Timing 2. Data were analyzed by the t -test and χ2 tests. We finally analyzed 294 subjects. VAE occurred in 9.9% and high mortality at 48.3%. Median values of Timing 1 and Timing 2 in the non-VAE and VAE groups were 30.3 ± 24.0 and 30.0 ± 20.7 h, and 125.7 ± 136.6 and 127.9 ± 111.4 h, respectively, and the differences were not significant ( p = 0.95 and p = 0.93, respectively). We found no significant relationship between the occurrence of VAE leading to high mortality and timing of rehabilitation intervention

Anesthesia · Intensive care medicine · Intensive care unit · Intubation · Mechanical ventilation · Physical therapy · Sitting · Tracheal intubation · Ventilation (architecture · Intensive Care Unit Cognitive Disorders · Medicine · Nosocomial Infections in ICU · Respiratory Support and Mechanisms · Emergency Medicine · Rehabilitation

  • Apache Ii

    William A Knaus, Elizabeth A Draper et al.•Critical Care Medicine•1985

Citation velocityhistorical
Highly citedNo

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