Agitation During Prolonged Mechanical Ventilation at a Long-Term Acute Care Hospital
@article{OConnor2014AgitationDP,
title={Agitation During Prolonged Mechanical Ventilation at a Long-Term Acute Care Hospital},
author={Heidi H O'Connor and Nada S. Al-Qadheeb and Alexander White and Vishal Thaker and John W. Devlin},
journal={Journal of Intensive Care Medicine},
year={2014},
volume={29},
pages={218 - 224}
}Introduction: The prevalence, risk factors, treatment practices, and outcomes of agitation in patients undergoing prolonged mechanical ventilation (PMV) in the long-term acute care hospital (LTACH) setting are not well understood. We compared agitation risk factors, management strategies, and outcomes between patients who developed agitation and those who did not, in LTACH patients undergoing PMV. Methods: Patients admitted to an LTACH for PMV over a 1-year period were categorized into agitated…Â
7 Citations
Adapting the ABCDEF Bundle to Meet the Needs of Patients Requiring Prolonged Mechanical Ventilation in the Long-Term Acute Care Hospital Setting: Historical Perspectives and Practical Implications.
- MedicineSeminars in respiratory and critical care medicine
- 2016
Developing new and better ways of addressing both the science and organizational aspects of managing the common and distressing symptoms associated with chronic critical illness and prolonged mechanical ventilation will ultimately improve the quality of life for the many patients and families admitted to LTACHs annually.
Trend Analysis and Outcome Prediction in Mechanically Ventilated Patients: A Nationwide Population-Based Study in Taiwan
- MedicinePloS one
- 2015
These population-based data revealed increases in the percentages of MV patients treated at medical centers and by high-volume physicians, especially in younger patients, and Notably, although LOS for MV patients decreased, hospital treatment costs increased.
[Weaning ward-different from the ICU?]
- MedicineMedizinische Klinik, Intensivmedizin und Notfallmedizin
- 2018
The aim of this weaning "road map" is ventilator independence, decannulation and regaining of muscular strength, which needs a well-educated team of physicians, nurses, respiratory/physical therapists, logopedists and pychologists.
An Analysis of Psychoactive Medications Initiated in the ICU but Continued Beyond Discharge: A Pilot Study of Stewardship
- MedicineJournal of pharmacy practice
- 2019
PM are frequently continued during transitions of care and often without knowledge of the initial indication in patients with ICU-initiated PM, suggesting interventions focused on preventing their continuation after the acute phase of illness are needed.
Early ICU Standardized Rehabilitation Therapy for the Critically Injured Burn Patient
- Medicine
- 2013
Functional testing with Short Physical Performance Battery (SPPB) and Health Related Quality of Life (HRQoL) testing will determine if standardized early rehab improves functional performance, quality of life and employment status.
Systematic review of cognitive impairment and brain insult after mechanical ventilation
- Psychology, BiologyCritical Care
- 2021
No clinical study was found that demonstrated a causal link between mechanical ventilation, cognitive dysfunction, and brain insult; more studies should be designed to investigate ventilation-induced brain injury pathways as well as any causative linkage between MV, cognitive impairment, andbrain insult.
Caring for patients displaying agitated behaviours in the intensive care unit - A mixed-methods systematic review.
- MedicineAustralian critical care : official journal of the Confederation of Australian Critical Care Nurses
- 2021
References
SHOWING 1-10 OF 44 REFERENCES
Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit.
- Medicine, PsychologyJAMA
- 2004
Delirium was an independent predictor of higher 6-month mortality and longer hospital stay even after adjusting for relevant covariates including coma, sedatives, and analgesics in patients receiving mechanical ventilation.
Ventilator-dependent survivors of catastrophic illness transferred to 23 long-term care hospitals for weaning from prolonged mechanical ventilation.
- MedicineChest
- 2007
The findings suggest that ventilator-dependent patients admitted to LTCHs for weaning will continue to require considerable medical interventions and treatments, owing to the burden of acute-on-chronic diseases resulting in PMV.
Delirium duration and mortality in lightly sedated, mechanically ventilated intensive care patients*
- Medicine, PsychologyCritical care medicine
- 2010
In ventilated and lightly sedatedintensive care unit patients, the duration of delirium was the strongest independent predictor of death, ventilation time, and intensive care unit stay after adjusting for relevant covariates.
Incidence, risk factors and consequences of ICU delirium
- Medicine, PsychologyIntensive Care Medicine
- 2006
Delirium is associated with a history of hypertension and alcoholism, higher APACHE II score, and with clinical effects of sedative and analgesic drugs.
The impact of delirium in the intensive care unit on hospital length of stay
- Medicine, PsychologyIntensive Care Medicine
- 2001
In this patient cohort, the majority of patients developedDelirium in the ICU, and delirium was the strongest independent determinant of length of stay in the hospital.
Prospective evaluation of self-extubations in a medical intensive care unit
- MedicineIntensive Care Medicine
- 2005
Deliberate self-extubation, the most frequent type of incident could possibly be reduced by better sedation of agitated patients and accidental self- Extubation by better training of the nursing staff.
Depressive disorders during weaning from prolonged mechanical ventilation
- Medicine, PsychologyIntensive Care Medicine
- 2010
Depressive disorders were diagnosed in 42% of patients who were being weaned from prolonged ventilation, and patients with depressive disorders were more likely to experience weaning failure and death.
Days of delirium are associated with 1-year mortality in an older intensive care unit population.
- Medicine, PsychologyAmerican journal of respiratory and critical care medicine
- 2009
Investigations should be undertaken to reduce the number of days of ICU delirium and to study the impact of this reduction on important health outcomes, including mortality and functional and cognitive status.
Characteristics and outcomes of patients who self-extubate from ventilatory support: a case-control study.
- MedicineChest
- 1997
The results underscore the need for clinical guidelines for weaning and for monitoring patients at risk of self-extubation.
Delirium in patients admitted to a step-down unit: analysis of incidence and risk factors.
- Medicine, PsychologyJournal of critical care
- 2010




