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Title: Mechanical ventilation in Spain, 1998-2016: Epidemiology and outcomes.
Other Titles: Ventilación mecánica en España, 1998-2016: epidemiología y desenlaces.
Issue Date: 16-May-2020
Citation: Med Intensiva (Engl Ed).2021;(45)1:3-13
Abstract: To evaluate changes in the epidemiology of mechanical ventilation in Spain from 1998 to 2016. A post hoc analysis of four cohort studies was carried out. A total of 138 Spanish ICUs. A sample of 4293 patients requiring invasive mechanical ventilation for more than 12h or noninvasive ventilation for more than 1h. None. Demographic variables, reason for mechanical ventilation, variables related to ventilatory support (ventilation mode, tidal volume, PEEP, airway pressures), complications during mechanical ventilation, duration of mechanical ventilation, ICU stay and ICU mortality. There was an increase in severity (SAPSII: 43 points in 1998 vs. 47 points in 2016), changes in the reason for mechanical ventilation (decrease in chronic obstructive pulmonary disease and acute respiratory failure secondary to trauma, and increase in neurological disease and post-cardiac arrest). There was an increase in noninvasive mechanical ventilation as the first mode of ventilatory support (p A significant decrease in mortality was observed in patients ventilated in Spanish ICUs. These changes in mortality could be related to modifications in ventilation strategy to minimize ventilator-induced lung injury.
PMID: 32723483
Appears in Collections:Hospitales > H. U. Henares > Artículos

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