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The Association Between the Mechanical Ventilator Pressures and Outcomes in a Cohort of Patients with Acute Respiratory Failure by Hawa Edriss; Shengping Yang; Edna Juarez; Joshua Crane; Michelle Lear; Asley Sanchez; Kenneth Nugent is a Medicine article available to read on EtoBox.

What is The Association Between the Mechanical Ventilator Pressures and Outcomes in a Cohort of Patients with Acute Respiratory Failure about?

## Background: Pressures measured during mechanical ventilation provide important information about the respiratory system mechanics and can help predict outcomes. ## Methods: The electronic medical records of patients hospitalized between 2010 and 2016 with sepsis who required mechanical ventilation were reviewed to collect demographic information, clinical information, management requirements, and outcomes, such as mortality, ICU length of stay, and hospital length of stay. Mechanical ventilation pressures were recorded on the second full day of hospitalization. ## Results: This study included 312 adult patients. The mean age is 59.1 ± 16.3 years; 57.4% were men. The mean BMI was 29.3 ± 10.7. Some patients had pulmonary infections (46.2%), and some patients had extrapulmonary infections (34.9%). The overall mortality was 42.6%. In a multi-variable model that included age, gender, number of comorbidities, APACHE 2 score, and PaO~2~/FiO~2~ ratio, peak pressure, plateau pressure, driving pressure, and PEEP all predicted mortality when entered into the model separately. There was an increase in peak pressure, plateau pressure, and driving pressure across BMI categories ranging from u

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Author

Hawa Edriss; Shengping Yang; Edna Juarez; Joshua Crane; Michelle Lear; Asley Sanchez; Kenneth Nugent

Published

2020

Language

EN

Field

Medicine (Health Sciences)