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01-12-2020 | Editorial

Assessing delivery of mechanical ventilation: risks and benefits of large databases

Authors: May Hua, Hayley B. Gershengorn, Hannah Wunsch

Published in: Intensive Care Medicine | Issue 12/2020

Excerpt

Invasive mechanical ventilation is a key component of critical care medicine. Resource-intensive and expensive, it is an essential intervention to support many patients through critical illness. Examining and estimating system-wide capacity for mechanical ventilation, whether the system in question is a country, a region, or a group of hospitals, is often accomplished using population-level data. These data may be used to assess whether capabilities match current or projected needs, and may be used to evaluate differences in use and outcomes across a system or systems [1‐3]. …

Zilberberg MD, de Wit M, Pirone JR, Shorr AF (2008) Growth in adult prolonged acute mechanical ventilation: implications for healthcare delivery. Crit Care Med 36:1451–1455CrossRef

Borjaille CZ, Hill AD, Pinto R, Fowler RA, Scales DC, Wunsch H (2019) Rates of mechanical ventilation for patients with dementia in ontario: a population-based cohort study. Anesth Analg 129:e122–e125CrossRef

Zilberberg MD, de Wit M, Shorr AF (2012) Accuracy of previous estimates for adult prolonged acute mechanical ventilation volume in 2020: update using 2000–2008 data. Crit Care Med 40:18–20CrossRef

Wunsch H, Linde-Zwirble WT, Angus DC, Hartman ME, Milbrandt EB, Kahn JM (2010) The epidemiology of mechanical ventilation use in the United States. Crit Care Med 38:1947–1953CrossRef

Kahn JM, Goss CH, Heagerty PJ, Kramer AA, O'Brien CR, Rubenfeld GD (2006) Hospital volume and the outcomes of mechanical ventilation. N Engl J Med 355:41–50CrossRef

Kahn JM, Ten Have TR, Iwashyna TJ (2009) The relationship between hospital volume and mortality in mechanical ventilation: an instrumental variable analysis. Health Serv Res 44:862–879CrossRef

Carson SS, Cox CE, Holmes GM, Howard A, Carey TS (2006) The changing epidemiology of mechanical ventilation: a population-based study. J Intensive Care Med 21:173–182CrossRef

Mehta AB, Syeda SN, Bajpayee L, Cooke CR, Walkey AJ, Wiener RS (2015) Trends in tracheostomy for mechanically ventilated patients in the United States, 1993–2012. Am J Respir Crit Care Med 192:446–454CrossRef

Wunsch H, Guerra C, Barnato AE, Angus DC, Li G, Linde-Zwirble WT (2010) Three-year outcomes for medicare beneficiaries who survive intensive care. JAMA 303:849–856CrossRef

10.

Wunsch H, Christiansen CF, Johansen MB, Olsen M, Ali N, Angus DC, Sorensen HT (2014) Psychiatric diagnoses and psychoactive medication use among nonsurgical critically ill patients receiving mechanical ventilation. JAMA 311:1133–1142CrossRef

11.

Hill AD, Fowler RA, Burns KEA, Rose L, Pinto RL, Scales DC (2017) Long-term outcomes and health care utilization after prolonged mechanical ventilation. Ann Am Thorac Soci 14:355–362CrossRef

12.

Shih C-Y, Hung M-C, Lu H-M, Chen L, Huang S-J, Wang J-D (2013) Incidence, life expectancy and prognostic factors in cancer patients under prolonged mechanical ventilation: a nationwide analysis of 5,138 cases during 1998–2007. Crit Care 17:R144CrossRef

13.

Teno JM, Gozalo P, Khandelwal N, Curtis JR, Meltzer D, Engelberg R, Mor V (2016) Association of increasing use of mechanical ventilation among nursing home residents with advanced dementia and intensive care unit beds. JAMA Intern Med 176:1809–1816CrossRef

14.

Quan H, Parsons GA, Ghali WA (2004) Validity of procedure codes in International Classification of Diseases, 9th revision, clinical modification administrative data. Med Care 42:801–809CrossRef

15.

Garland A, Marrie RA, Wunsch H, Yogendran M, Chateau D (2020) Accuracy of administrative hospital data to identify use of life support modalities. A Canadian study. Ann Am Thorac Soc 17:229–235CrossRef

16.

Blichert-Hansen L, Nielsson MS, Nielsen RB, Christiansen CF, Nørgaard M (2013) Validity of the coding for intensive care admission, mechanical ventilation, and acute dialysis in the Danish National Patient Registry: a short report. Clin Epidemiol 5:9–12PubMedPubMedCentral

17.

Wunsch H, Kramer A, Gershengorn HB (2017) Validation of intensive care and mechanical ventilation codes in medicare data*. Crit Care Med 45:e711–e714CrossRef

18.

Kerlin MP, Weissman GE, Wonneberger KA, Kent S, Madden V, Liu VX, Halpern SD (2016) Validation of administrative definitions of invasive mechanical ventilation across 30 intensive care units. Am J Respir Crit Care Med 194:1548–1552CrossRef

19.

Rojas JC, Carey KA, Edelson DP, Venable LR, Howell MD, Churpek MM (2018) Predicting intensive care unit readmission with machine learning using electronic health record data. Ann Am Thorac Soc 15:846–853CrossRef

20.

Cosgriff CV, Celi LA, Stone DJ (2019) Critical care, critical data. Biomed Eng Comput Biol 10:1179597219856564CrossRef

Title: Assessing delivery of mechanical ventilation: risks and benefits of large databases
Authors: May Hua
Hayley B. Gershengorn
Hannah Wunsch
Publication date: 01-12-2020
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 12/2020
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-020-06214-z

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