Risk factors associated with ventilatory weaning failure in patients in the Intensive Care Unit

Objective: To analyze the risk factors associated with the failure of ventilatory weaning in adult patients who are in the Intensive Care unit of the Saludesa Hospital, during the period from January to December 2019. Methods: Cross-sectional, observational study of patients with ages greater than o...

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Authors: Sánchez Bone, Karla J., Ortiz Díaz, Marcos D.
Format: article
Status:Published version
Publication Date:2022
Country:Ecuador
Institution:Pontificia Universidad Católica del Ecuador - Sede Esmeraldas
Repository:Revista Pontificia Universidad Católica del Ecuador - Sede Esmeraldas
Language:Spanish
OAI Identifier:oai:ojs.pkp.sfu.ca:article/570
Online Access:https://revistas.pucese.edu.ec/hallazgos21/article/view/570
Access Level:Open access
Keyword:Ventilación mecánica;
desconexión del ventilador;
respiración artificial;
retiro del ventilador;
terapia respiratoria
Ventilator weaning;
respirator disconnection;
artificial respiration;
ventilator removal;
respiratory therapy.
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spelling Risk factors associated with ventilatory weaning failure in patients in the Intensive Care UnitFactores de Riesgo Asociados al Fracaso en el Destete Ventilatorio en Pacientes de la Unidad de Cuidados IntensivosSánchez Bone, Karla J.Ortiz Díaz, Marcos D. Ventilación mecánica;desconexión del ventilador;respiración artificial;retiro del ventilador;terapia respiratoriaVentilator weaning;respirator disconnection;artificial respiration;ventilator removal;respiratory therapy.Objective: To analyze the risk factors associated with the failure of ventilatory weaning in adult patients who are in the Intensive Care unit of the Saludesa Hospital, during the period from January to December 2019. Methods: Cross-sectional, observational study of patients with ages greater than or equal to 35 years who were under mechanical ventilatory support for more than 48 hours. Results: 60% of patients had unsuccessful weaning, mortality was 21%, with 91% having the highest percentage of unsuccessful weaning; furthermore, men had an 83% failure. Likewise, a high failure was noted in those suffering from Chronic Obstructive Pulmonary Disease (COPD) with 75%. Patients with a hospital stay of 14 or more days had 80% failure at weaning; patients with prolonged weaning presented a failure equivalent to 71%. Conclusions: The risk factors associated with weaning failure were age, sex, personal pathological history, type of weaning and intubation time.Objetivo: Analizar los factores de riesgo asociados al fracaso del destete ventilatorio en pacientes adultos que se encuentran en la Unidad de Cuidados de Intensivos del Hospital Saludesa, durante el periodo de enero a diciembre del año 2019. Método: Estudio transversal observacional, de pacientes con edades mayores o iguales a 35 años que estuvieron bajo soporte ventilatorio mecánico mayor a 48 horas. Resultados: el 60% de los pacientes tuvieron un destete fallido, la mortalidad fue del 21%, siendo el de mayor porcentaje de destete fallido los mayores de 75 años con el 91%; además, los hombres tuvieron un fracaso del 83%. Así mismo, se notó un elevado fracaso en aquellos que padecen Enfermedad Pulmonar Obstructiva Crónica (EPOC) con un 75%. Los pacientes con una duración de 14 o más días presentaron un 80% de fracaso en el destete. Los pacientes con destete prolongado mostraron un fracaso equivalente al 71%. Conclusiones: Los factores de riesgo asociados al fracaso del destete encontrados fueron la edad, el sexo, los antecedentes patológicos personales, el tipo de destete y el tiempo de intubación.Pontifica Universidad Católica del Ecuador Sede Esmeraldas2022-07-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/htmlhttps://revistas.pucese.edu.ec/hallazgos21/article/view/570Revista Científica Hallazgos21; Vol. 7 Núm. 2 (2022): REVISTA CIENTÍFICA HALLAZGOS21; 123-1322528-79152528-7915reponame:Revista Pontificia Universidad Católica del Ecuador - Sede Esmeraldasinstname:Pontificia Universidad Católica del Ecuador - Sede Esmeraldasinstacron:PUCESEspahttps://revistas.pucese.edu.ec/hallazgos21/article/view/570/529https://revistas.pucese.edu.ec/hallazgos21/article/view/570/530info:eu-repo/semantics/openAccess2022-07-19T13:59:54Zoai:ojs.pkp.sfu.ca:article/570Institucionalhttps://revistas.pucese.edu.ec/Universidad públicahttps://www.pucese.edu.ec/..Ecuador.2550-665X1390-9800opendoar:02025-04-20T07:36:37.367539Revista Pontificia Universidad Católica del Ecuador - Sede Esmeraldas - Pontificia Universidad Católica del Ecuador - Sede Esmeraldastrue
dc.title.none.fl_str_mv Risk factors associated with ventilatory weaning failure in patients in the Intensive Care Unit
Factores de Riesgo Asociados al Fracaso en el Destete Ventilatorio en Pacientes de la Unidad de Cuidados Intensivos
title Risk factors associated with ventilatory weaning failure in patients in the Intensive Care Unit
spellingShingle Risk factors associated with ventilatory weaning failure in patients in the Intensive Care Unit
Sánchez Bone, Karla J.
Ventilación mecánica;
desconexión del ventilador;
respiración artificial;
retiro del ventilador;
terapia respiratoria
Ventilator weaning;
respirator disconnection;
artificial respiration;
ventilator removal;
respiratory therapy.
title_short Risk factors associated with ventilatory weaning failure in patients in the Intensive Care Unit
title_full Risk factors associated with ventilatory weaning failure in patients in the Intensive Care Unit
title_fullStr Risk factors associated with ventilatory weaning failure in patients in the Intensive Care Unit
title_full_unstemmed Risk factors associated with ventilatory weaning failure in patients in the Intensive Care Unit
title_sort Risk factors associated with ventilatory weaning failure in patients in the Intensive Care Unit
dc.creator.none.fl_str_mv Sánchez Bone, Karla J.
Ortiz Díaz, Marcos D.
author Sánchez Bone, Karla J.
author_facet Sánchez Bone, Karla J.
Ortiz Díaz, Marcos D.
author_role author
author2 Ortiz Díaz, Marcos D.
author2_role author
dc.subject.none.fl_str_mv Ventilación mecánica;
desconexión del ventilador;
respiración artificial;
retiro del ventilador;
terapia respiratoria
Ventilator weaning;
respirator disconnection;
artificial respiration;
ventilator removal;
respiratory therapy.
topic Ventilación mecánica;
desconexión del ventilador;
respiración artificial;
retiro del ventilador;
terapia respiratoria
Ventilator weaning;
respirator disconnection;
artificial respiration;
ventilator removal;
respiratory therapy.
description Objective: To analyze the risk factors associated with the failure of ventilatory weaning in adult patients who are in the Intensive Care unit of the Saludesa Hospital, during the period from January to December 2019. Methods: Cross-sectional, observational study of patients with ages greater than or equal to 35 years who were under mechanical ventilatory support for more than 48 hours. Results: 60% of patients had unsuccessful weaning, mortality was 21%, with 91% having the highest percentage of unsuccessful weaning; furthermore, men had an 83% failure. Likewise, a high failure was noted in those suffering from Chronic Obstructive Pulmonary Disease (COPD) with 75%. Patients with a hospital stay of 14 or more days had 80% failure at weaning; patients with prolonged weaning presented a failure equivalent to 71%. Conclusions: The risk factors associated with weaning failure were age, sex, personal pathological history, type of weaning and intubation time.
publishDate 2022
dc.date.none.fl_str_mv 2022-07-19
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://revistas.pucese.edu.ec/hallazgos21/article/view/570
url https://revistas.pucese.edu.ec/hallazgos21/article/view/570
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://revistas.pucese.edu.ec/hallazgos21/article/view/570/529
https://revistas.pucese.edu.ec/hallazgos21/article/view/570/530
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
text/html
dc.publisher.none.fl_str_mv Pontifica Universidad Católica del Ecuador Sede Esmeraldas
publisher.none.fl_str_mv Pontifica Universidad Católica del Ecuador Sede Esmeraldas
dc.source.none.fl_str_mv Revista Científica Hallazgos21; Vol. 7 Núm. 2 (2022): REVISTA CIENTÍFICA HALLAZGOS21; 123-132
2528-7915
2528-7915
reponame:Revista Pontificia Universidad Católica del Ecuador - Sede Esmeraldas
instname:Pontificia Universidad Católica del Ecuador - Sede Esmeraldas
instacron:PUCESE
instname_str Pontificia Universidad Católica del Ecuador - Sede Esmeraldas
instacron_str PUCESE
institution PUCESE
reponame_str Revista Pontificia Universidad Católica del Ecuador - Sede Esmeraldas
collection Revista Pontificia Universidad Católica del Ecuador - Sede Esmeraldas
repository.name.fl_str_mv Revista Pontificia Universidad Católica del Ecuador - Sede Esmeraldas - Pontificia Universidad Católica del Ecuador - Sede Esmeraldas
repository.mail.fl_str_mv .
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