中华医学杂志（英文版）2007，Vol.120Issue(4)：287-293,7.
Analysis of risk factors for hospital mortality in patients with chronic obstructive pulmonary diseases requiring invasive mechanical ventilation
Analysis of risk factors for hospital mortality in patients with chronic obstructive pulmonary diseases requiring invasive mechanical ventilation
LIU Hui 1ZHANG Tian-tuo 1YE Jin2
作者信息
- 1. Department of Internal Medicine, Division of Pulmonary and Critical Care Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
- 2. Department of Otolaryngology Head and Neck Surgery Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
- 折叠
摘要
Abstract
Background Accurate prediction for prognosis is important for hospitalized patients with chronic obstructive pulmonary disease (COPD) requiring invasive mechanic ventilation (IMV) and for their family members to make end-of-life decisions. The response to therapy in such a patient population has rarely been investigated. The aim of the study was to evaluate the risk factors in these patients and investigate their response to IMV and the relationship between their responses and prognosis.Methods A cohort of 138 patients with COPD requiring IMV≥12 hours for acute respiratory failure of diverse etiological factors during a 4-year period were retrospectively studied using prospectively gathered data. All variables potentially related to hospital mortality were evaluated by univariate and multiple stepwise logistic regression analysis.Results The mean age of all patients investigated was (65.7±11.6) years and the hospital mortality was 39.9%(31.1% with COPD exacerbation). Correction of acidosis (pH≥7.30) was seen in 58 patients (69.9%) in survivors but only 12 patients (21.8%) in nonsurvivors (P＜0.05) after ventilation. Using multivariate logistic analysis, the variables independently associated with hospital mortality were a higher acute physiology score before intubation, lower pH value measured 24 hours after the onset of ventilation and development of multiorgan dysfunction syndrome (MODS).Conclusions In COPD patients requiring IMV, the postintubation pH value can not only reflect patients' response to treatment, but also serve as an independent determinant of hospital mortality apart from other risk factors such as a higher preintubation APACHE II score and development of MODS. A close correlation between the response to IMV and prognosis was proved in these patients.关键词
chronic obstructive pulmonary disease/ invasive mechanical ventilation/ mortality/ respiratory failureKey words
chronic obstructive pulmonary disease/ invasive mechanical ventilation/ mortality/ respiratory failure分类
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LIU Hui,ZHANG Tian-tuo,YE Jin..Analysis of risk factors for hospital mortality in patients with chronic obstructive pulmonary diseases requiring invasive mechanical ventilation[J].中华医学杂志（英文版）,2007,120(4):287-293,7.
