An economic evaluation of prolonged mechanical ventilation*

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An economic evaluation of prolonged mechanical ventilation.

OBJECTIVE Patients who receive prolonged mechanical ventilation have high resource utilization and relatively poor outcomes, especially the elderly, and are increasing in number. The economic implications of prolonged mechanical ventilation provision, however, are uncertain and would be helpful to providers and policymakers. Therefore, we aimed to determine the lifetime societal value of prolon...

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An economic evaluation of prolonged mechanical ventilation

Modelling A Markov model was used to model the costs and benefits of the two approaches under examination. The timeframe of the analysis was lifetime, with weekly cycles. The structure of the model, the health states and details on transition patterns were described and represented graphically. Long-tem survival curves were created using the declining exponential approximation of life expectanc...

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[Prolonged mechanical ventilation probability model].

OBJECTIVE To design a probability model for prolonged mechanical ventilation (PMV) using variables obtained during the first 24 hours of the start of MV. DESIGN An observational, prospective, multicenter cohort study. SCOPE Thirteen Spanish medical-surgical intensive care units. PATIENTS Adult patients requiring mechanical ventilation for more than 24 hours. INTERVENTIONS None. STUDY ...

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Obstructive sleep apnea and prolonged mechanical ventilation.

Patients with prolonged mechanical ventilation have a high one year mortality, with recognized contributing factors including COPD, cardiac failure, renal failure, and respiratory muscle weakness.1 The study by Diaz-Abad et al2 shows that obstructive sleep apnea (OSA) is very common among selected obese patients who have weaned from prolonged mechanical ventilation. The study raises as many que...

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Bilateral Scapulohumeral Ankylosis after Prolonged Mechanical Ventilation

This case demonstrates a rarely reported bilateral scapulohumeral bony ankylosis. A young woman developed extensive heterotopic ossifications (HOs) in both shoulder joints after being mechanically ventilated for several months at the intensive care unit in a comatose status. She presented with a severe movement restriction of both shoulder joints. Surgical resection of the bony bridges was perf...

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ژورنال

عنوان ژورنال: Critical Care Medicine

سال: 2007

ISSN: 0090-3493

DOI: 10.1097/01.ccm.0000275391.35834.10