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Does the Mean Arterial Pressure Influence Mortality Rate in Patients with Acute Hypoxemic Respiratory Failure under Mechanical Ventilation? / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 85-91, 2015.
Artigo em Inglês | WPRIM | ID: wpr-78240
ABSTRACT

BACKGROUND:

In sepsis patients, target mean arterial pressures (MAPs) greater than 65 mm Hg are recommended. However, there is no such recommendation for patients receiving mechanical ventilation. We aimed to evaluate the influence of MAP over the first 24 hours after intensive care unit (ICU) admission on the mortality rate at 60 days post-admission in patients showing acute hypoxemic respiratory failure under mechanical ventilation.

METHODS:

This prospective, multicenter study included 22 ICUs and compared the mortality and clinical outcomes in patients showing acute hypoxemic respiratory failure with high (75-90 mm Hg) and low (65-74.9 mm Hg) MAPs over the first 24 hours of admission to the ICU.

RESULTS:

Of the 844 patients with acute hypoxemic respiratory failure, 338 had a sustained MAP of 65-90 mm Hg over the first 24 hours of admission to the ICU. At 60 days, the mortality rates in the low (26.2%) and high (24.5%) MAP groups were not significantly different. The ICU days, hospital days, and 60-day mortality rate did not differ between the groups.

CONCLUSION:

In the first 24 hours of ICU admission, MAP range between 65 and 90 mm Hg in patients with acute hypoxemic respiratory failure under mechanical ventilation may not cause significantly differences in 60-day mortality.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Respiração Artificial / Insuficiência Respiratória / Estudos Prospectivos / Mortalidade / Sepse / Pressão Arterial / Unidades de Terapia Intensiva Tipo de estudo: Ensaio Clínico Controlado / Guia de Prática Clínica / Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Tuberculosis and Respiratory Diseases Ano de publicação: 2015 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Respiração Artificial / Insuficiência Respiratória / Estudos Prospectivos / Mortalidade / Sepse / Pressão Arterial / Unidades de Terapia Intensiva Tipo de estudo: Ensaio Clínico Controlado / Guia de Prática Clínica / Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Tuberculosis and Respiratory Diseases Ano de publicação: 2015 Tipo de documento: Artigo