Copyright
©The Author(s) 2018.
World J Crit Care Med. Feb 4, 2018; 7(1): 24-30
Published online Feb 4, 2018. doi: 10.5492/wjccm.v7.i1.24
Published online Feb 4, 2018. doi: 10.5492/wjccm.v7.i1.24
Table 1 Characteristics of the sample
| Sample characteristics (n = 120) | Results |
| Age (yr) | |
| Mean ± SD | 58.5 ± 19.4 |
| Minimum-maximum | 15-91 |
| Gender n (%) | |
| Male | 69 (57.5) |
| Female | 51 (42.5) |
| APACHE II (score) | |
| Mean ± SD | 27.4 ± 6.7 |
| Minimum–maximum | 8-47 |
| Risk of mortality (%)-APACHE II | |
| Mean ± SD | 61.8 ± 7.3 |
| Admission diagnoses n (%) | |
| Diseases of the circulatory system | 43 (35.8) |
| Diseases of the respiratory system | 15 (12.5) |
| Lesions, poisoning and other consequences of external causes | 14 (11.7) |
| Gastrointestinal diseases | 8 (6.7) |
| Unclassified signs and symptoms | 8 (6.7) |
| Diseases of the genitourinary system | 7 (5.8) |
| Neoplasia | 4 (3.3) |
| Nervous system disorders | 4 (3.3) |
| Infectious and parasitic diseases | 3 (2.5) |
| Endocrine, nutritional and metabolic diseases | 3 (2.5) |
| Other | 11 (9.2) |
| Mechanical ventilators n (%) | |
| 1Servo S | 89 (74.2) |
| 1Servo 900 | 203 (16.7) |
| 1Dixtal | 11 (9.2) |
Table 2 Respiratory mechanics and oxygenation index on the 1st and 5th day
| Oxygenation index | Mean ± SD | Minimum-maximum |
| Respiratory mechanics | ||
| 1st day (n = 120) | ||
| PaO2/FiO2 (mmHg) | 236.0 ± 97.6 | 47.0-465.7 |
| Compliance-VCV (mL/cm H2O) | 40.9 ± 12.8 | 15.0-88.0 |
| Resistance-VCV (cm H2O/L/s) | 13.2 ± 4.9 | 4.1-28.6 |
| Compliance-PCV (mL/cm H2O) | 35.0 ± 10.0 | 15.0-62.0 |
| Resistance-PCV (cm H2O/L/s) | 27.3 ± 16.2 | 9.1-131.1 |
| 5th day (n = 77) | ||
| PaO2/FiO2 (mmHg) | 241.7 ± 88.7 | 58.0-445.0 |
| Compliance-VCV (mL/cm H2O) | 39.7 ± 13.2 | 18.0-83.0 |
| Resistance-VCV (cm H2O/L/s) | 13.8 ± 6.0 | 5.3-43.0 |
| Compliance-PCV (mL/cm H2O) | 32.9 ± 9.3 | 13.5-52.5 |
| Resistance-PCV (cm H2O/L/s) | 26.4 ± 11.8 | 6.2-73.5 |
Table 3 Numeric variables and ventilator-associated pneumonia
| Variables | VAP | P value | |
| Yes | No | ||
| APACHE II1 | 29.2 ± 5.6 | 26.5 ± 7.1 | 0.026 |
| Age (yr) | 57.1 ± 19.1 | 59.2 ± 19.6 | 0.565 |
| 1st day (n = 120) | |||
| PaO2/FiO2 (mmHg)1 | 232.3 ± 79.9 | 237.8 ± 105.2 | 0.756 |
| Compliance-VCV (mL/cmH2O) | 43.1 ± 14.9 | 39.8 ± 11.6 | 0.365 |
| Resistance-VCV (cmH2O/L/s) | 13.7 ± 5.0 | 13.0 ± 4.8 | 0.594 |
| Compliance-PCV (mL/cmH2O)1 | 34.8 ± 10.4 | 35.1 ± 9.8 | 0.879 |
| Resistance-PCV (cmH2O/L/s) | 23.6 ± 10.3 | 29.0 ± 18.1 | 0.114 |
| 5th day (n = 77) | |||
| PaO2/FiO2 (mmHg)1 | 244.1 ± 94.1 | 240.2 ± 86.1 | 0.850 |
| Compliance-VCV (mL/cmH2O) | 43.3 ± 14.0 | 37.6 ± 12.3 | 0.092 |
| Resistance-VCV (cmH2O/L/s) | 13.9 ± 6.8 | 13.8 ± 5.5 | 0.996 |
| Compliance-PCV (mL/cmH2O)1 | 33.6 ± 8.9 | 32.5 ± 9.6 | 0.606 |
| Resistance-PCV (cmH2O/L/s) | 27.1 ± 11.7 | 25.9 ± 12.0 | 0.777 |
| (n = 120) | |||
| Duration of MV (d) | 18.4 ± 14.9 | 10.7 ± 6.8 | 0.001 |
| Length of stay in ICU (d) | 20.4 ± 15.3 | 12.8 ± 7.6 | 0.003 |
Table 4 Numeric variables and death
| Variables | Outcome | P value | |
| High | Death | ||
| APACHE II1 | 27.0 ± 7.6 | 27.7 ± 5.8 | 0.606 |
| Age (yr) | 51.1 ± 19.9 | 65.4 ± 16.1 | < 0.001 |
| 1st day (n = 120) | |||
| PaO2/FiO2 (mmHg)1 | 263.1 ± 100.9 | 210.7 ± 87.8 | 0.003 |
| Compliance-VCV (mL/cm H2O) | 43.5 ± 12.5 | 38.4 ± 12.6 | 0.015 |
| Resistance-VCV (cm H2O/L/s) | 13.3 ± 4.3 | 13.2 ± 5.4 | 0.935 |
| Compliance-PCV (mL/cm H2O)1 | 36.6 ± 9.8 | 33.6 ± 9.9 | 0.103 |
| Resistance-PCV (cm H2O/L/s) | 25.0 ± 10.5 | 29.4 ± 20.0 | 0.416 |
| 5th day (n = 77) | |||
| PaO2/FiO2 (mmHg)1 | 268.8 ± 81.9 | 214.7 ± 87.9 | 0.004 |
| Compliance-VCV (mL/cm H2O) | 40.7 ± 12.7 | 38.7 ± 13.7 | 0.356 |
| Resistance-VCV (cm H2O/L/s) | 14.2 ± 5.0 | 13.5 ± 6.9 | 0.22 |
| Compliance-PCV (mL/cm H2O)1 | 34.1 ± 9.4 | 31.8 ± 9.1 | 0.282 |
| Resistance-PCV (cm H2O/L/s) | 25.7 ± 10.8 | 27.1 ± 12.9 | 0.76 |
| (n = 120) | |||
| Duration of MV (d) | 14.5 ± 12.4 | 11.9 ± 8.6 | 0.212 |
| Length of stay in ICU (d) | 18.3 ± 12.5 | 12.4 ± 8.9 | < 0.001 |
Table 5 Relative risk for ventilator-associated pneumonia and outcomes
| Variables | RR | 95%CI | P value |
| VAP | |||
| APACHE II above the average | 1.62 | 1.03-2.55 | 0.016 |
| Male gender | 1.56 | 1.18-2.08 | 0.004 |
| Resistance worsening-PCV | 1.85 | 1.16-2.94 | 0.01 |
| Outcome: Death | |||
| Age above the average | 2.08 | 1.34-3.23 | 0.001 |
| Compliance-VCV below average on 1st day | 1.49 | 1.00-2.21 | 0.032 |
| ICU stay below the average | 2.05 | 1.28-3.28 | 0.001 |
- Citation: Kock KS, Maurici R. Respiratory mechanics, ventilator-associated pneumonia and outcomes in intensive care unit. World J Crit Care Med 2018; 7(1): 24-30
- URL: https://www.wjgnet.com/2220-3141/full/v7/i1/24.htm
- DOI: https://dx.doi.org/10.5492/wjccm.v7.i1.24
