Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

Medical and economic implications of prolonged mechanical ventilation and expedited post-acute care.

Publication ,  Journal Article
Cox, CE; Carson, SS
Published in: Semin Respir Crit Care Med
August 2012

This article describes the increasingly common phenomenon of prolonged mechanical ventilation in the context of the transition between the acute care hospital and post-acute care. Prolonged mechanical ventilation or chronic critical illness is associated with hospital mortality in the range of 20 to 40%, with median hospital length of stay ranging from 14 to 60 days. Fewer than 10% of patients are discharged home, and most hospital survivors require institutionalized post-acute care in the form of long-term acute care, skilled nursing facilities, or inpatient rehabilitation. Acute hospital readmission is common. Because of prolonged functional disabilities and multiple underlying comorbid conditions, overall 1 year mortality for prolonged mechanical ventilation patients ranges from 50 to 60%. Survivors experience significant functional limitations. The prolonged institutional care and poor long-term outcomes of these patients bring into question the cost-effectiveness of prolonged mechanical ventilation after acute illness, especially for patients with poor long-term prognoses. New measures to facilitate assessments of long-term prognosis and improve communication with surrogate decision makers may reduce the amount of ineffective care for some patients requiring prolonged mechanical ventilation.

Duke Scholars

Published In

Semin Respir Crit Care Med

DOI

EISSN

1098-9048

Publication Date

August 2012

Volume

33

Issue

4

Start / End Page

357 / 361

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Survivors
  • Respiratory System
  • Respiration, Artificial
  • Prognosis
  • Patient Readmission
  • Long-Term Care
  • Length of Stay
  • Intensive Care Units
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cox, C. E., & Carson, S. S. (2012). Medical and economic implications of prolonged mechanical ventilation and expedited post-acute care. Semin Respir Crit Care Med, 33(4), 357–361. https://doi.org/10.1055/s-0032-1321985
Cox, Christopher E., and Shannon S. Carson. “Medical and economic implications of prolonged mechanical ventilation and expedited post-acute care.Semin Respir Crit Care Med 33, no. 4 (August 2012): 357–61. https://doi.org/10.1055/s-0032-1321985.
Cox CE, Carson SS. Medical and economic implications of prolonged mechanical ventilation and expedited post-acute care. Semin Respir Crit Care Med. 2012 Aug;33(4):357–61.
Cox, Christopher E., and Shannon S. Carson. “Medical and economic implications of prolonged mechanical ventilation and expedited post-acute care.Semin Respir Crit Care Med, vol. 33, no. 4, Aug. 2012, pp. 357–61. Pubmed, doi:10.1055/s-0032-1321985.
Cox CE, Carson SS. Medical and economic implications of prolonged mechanical ventilation and expedited post-acute care. Semin Respir Crit Care Med. 2012 Aug;33(4):357–361.
Journal cover image

Published In

Semin Respir Crit Care Med

DOI

EISSN

1098-9048

Publication Date

August 2012

Volume

33

Issue

4

Start / End Page

357 / 361

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Survivors
  • Respiratory System
  • Respiration, Artificial
  • Prognosis
  • Patient Readmission
  • Long-Term Care
  • Length of Stay
  • Intensive Care Units
  • Humans