Factors associated with short- and long-term outcomes in lung cancer patients requiring unplanned invasive mechanical ventilation.
Cáncer de pulmón
Destete ventilatorio
Intubación
Intubation
Long-term prognosis
Lung cancer
Mechanical ventilation
Pronóstico a largo plazo
Ventilación mecánica
Ventilator weaning
Journal
Medicina intensiva
ISSN: 2173-5727
Titre abrégé: Med Intensiva (Engl Ed)
Pays: Spain
ID NLM: 101717568
Informations de publication
Date de publication:
06 Oct 2023
06 Oct 2023
Historique:
received:
29
03
2023
accepted:
07
07
2023
medline:
9
10
2023
pubmed:
9
10
2023
entrez:
8
10
2023
Statut:
aheadofprint
Résumé
Unplanned invasive mechanical ventilation (IMV) is associated with high mortality in lung cancer patients. We aimed to identify factors associated with weaning from IMV, intensive care unit (ICU) survival and 1-year survival in lung cancer patients requiring unplanned IMV. Retrospective observational study (2007-2017). University-affiliated ICU. Lung cancer patients requiring unplanned IMV. None. Weaning from IMV, ICU and 1-year survival. Of the 136 patients included in the analysis (age 64 (9) years, male 110 (81%), metastatic disease 97 (62%)), 52 (38%) were weaned from IMV, 51 (38%) were discharged from ICU and 22 (16%) were alive at 1year. The main indication for intubation was acute respiratory failure. In multivariate analysis, PaO A significant proportion of patients with lung cancer treated with unplanned IMV could be weaned from IMV and survived to ICU discharge, especially in the absence of severe hypoxemia at ICU admission. The low one-year survival was mostly driven by metastatic status.
Identifiants
pubmed: 37806828
pii: S2173-5727(23)00137-6
doi: 10.1016/j.medine.2023.07.014
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.