Chest
Clinical Investigations in Critical CareSurvival and Long-term Follow-up of Tracheostomized Patients With COPD Treated by Home Mechanical Ventilation: A Multicenter French Study in 259 Patients
Section snippets
Materials and Methods
This French multicenter retrospective study was initiated in 1985 and was completed on January 1, 1990, allowing a minimum observation period of 6 years post-T for all patients, with a follow-up of up to 10 years for some patients.
Results
Two hundred and fifty nine of the 265 eligible patients were considered to satisfy the inclusion requirements after verification of all of the questionnaires returned. All these 259 COPD patients were tracheostomized before January 3, 1984 and followed-up until January 1, 1990.
The general and respiratory characteristics of the COPD patients before tracheostomy are presented in Table 2. The mean age was 63 years with a very marked male predominance. The principal clinical type of COPD consisted
Discussion
Only a few papers published in the international literature have reported the results of HMVT in tracheostomized COPD patients in contrast with the large number of studies in patients with CRRF.3,4,19 Furthermore, the published studies are based generally on small populations,10,13,15 apart from the most recent studies that do not always distinguish between COPD and CRRF for survival analysis.6,11,12,14
A concomitant disease frequently appeared to be associated in advanced COPD patients,
ACKNOWLEDGMENTS
We would like to thank Mrs. L. Mounier and Mrs. A. Ludot (ANTADIR, France) for their statistic and logistic help.
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Mortality outcomes of patients on chronic mechanical ventilation in different care settings: A systematic review
2021, HeliyonCitation Excerpt :Such studies [20, 22, 26, 34, 37, 38, 40, 60, 65, 66] had higher rates of weaning (43.0%–78.2%) compared to studies with weaning as a secondary outcome and with liberal inclusion criteria (10.0%–68.7%) [19, 23, 31, 41, 46, 51, 56]. Ten [21, 39, 49, 54, 55, 61, 62, 63, 71, 73] out of 19 (52%) home care/NH studies reported on hospitalization and complications rates. Chronically mechanically ventilated patients in home care settings requiring at least one hospitalization ranged between 44.1% to 60.0% [49, 61, 63, 73].
Tracheostomy performed in ICU: Professional practice assessment and patient outcome
2018, Revue des Maladies RespiratoiresNon-invasive ventilation era: Is there still a place for long-term tracheostomy?
2012, Revue des Maladies RespiratoiresPhysical training is beneficial to functional status and survival in patients with prolonged mechanical ventilation
2011, Journal of the Formosan Medical AssociationCitation Excerpt :The control patients without this mobilization would become progressively weaker under prolonged bed rest, and might develop comorbid problems that lead to increased mortality. Previous studies have shown that some factors, such as albumin, body mass index, muscle mass, arterial blood oxygen, and certain comorbid conditions, are risk factors for death.27,28 Although the four blood parameters (albumin, hemoglobin, blood urea nitrogen, and creatinine) of our patients at study entry showed no differences, we did not follow those parameters during the 1-year study period.
Noninvasive positive ventilation in the treatment of sleep-related breathing disorders
2011, Handbook of Clinical NeurologyNoninvasive ventilation in palliative care and near the end of life
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French Cooperative Study Group: Hospitals and Associations Régionales d'Aide aux Insuffisants Respiratoires: Rouen (Pr. Muir, Drs. Girault, Stain, and Ben Messaoud), Montpellier (Pr. Bertrand, Dr. Milane), Paris (Pr. Raphaël, Dr. Vercken), Tours (Prs. Ginies and Perrotin), Bordeaux (Pr. Cardinaud, Dr. Mathieu), Nantes (Pr. Chailleux, Dr. Ordronneau), Angers (Prs. Achard and Alquier), Dijon (Pr. Jeannin, Dr. Reybet-Degat), Lille (Prs. Wattel and Voisin, and Drs. Berzin and Mallart), Amiens (Dr. Defouilloy), Caen (Pr. Brun, Dr. Poncey), Grenoble (Pr. Paramelle, Dr. Barjhoux), Nancy (Prs. Sadoul and Polu), Toulouse (Pr. Genestal), Chauny (Dr. Loison), and Clermont-Ferrand (Pr. Molina).
Study sponsored by the Association Nationale pour le Traitement à Domicile de l'Insuffisance Respiratoire (Antadir), Paris, France.
Manuscript revision accepted December 29.