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- Title
Characteristics associated with discharge to home following prolonged mechanical ventilation: A signal detection analysis.
- Authors
Kim, Yookyung; Hoffman, Leslie A.; Choi, JiYeon; Miller, Thomas H.; Kobayashi, Keiko; Donahoe, Michael P.
- Abstract
The objective of study was to identify characteristics associated with being home at 6 months in 80 patients on prolonged mechanical ventilation (PMV) (≥7 days). At 6 months, 47.5% were home, 13.8% institutionalized, and 38.8% deceased and classified “not home.” Using signal detection methodology (SDM), four mutually exclusive groups at high and low probability of being home were identified. The best outcome (94.4% home) was achieved by patients with an admission Charlson Comorbidity Score ≤3 and an Acute Physiology Score (APS) ≤21 and the worst outcome (23.4% home) by patients with an admission Charlson Comorbidity Score >3 and Health Assessment Questionnaire score >2.7. SDM provided an effective means of identifying subgroups likely to be discharged home using available information. © 2006 Wiley Periodicals, Inc. Res Nurs Health 29: 510–520, 2006
- Subjects
RESPIRATORY organs; ARTIFICIAL respiration; BREATHING apparatus; QUALITY of life; SIGNAL detection; HEALTH outcome assessment; COMORBIDITY; HOSPITAL admission &; discharge
- Publication
Research in Nursing & Health, 2006, Vol 29, Issue 6, p510
- ISSN
0160-6891
- Publication type
Article
- DOI
10.1002/nur.20150