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Updated: Jul 17, 2026
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Mechanical Ventilation Boot Camp Curriculum
Published on: March 12, 2018
Post-ICU mechanical ventilation at 23 long-term care hospitals: a multicenter outcomes study
David J Scheinhorn1, Meg Stearn Hassenpflug, John J Votto
1Barlow Respiratory Hospital and Research Center, 2000 Stadium Way, Los Angeles, CA 90026, USA.
Chest
|January 16, 2007
Summary
This study characterized elderly, critically ill patients requiring mechanical ventilation in long-term care hospitals (LTCHs). Over half of these patients were successfully weaned from ventilators, demonstrating the effectiveness of LTCH weaning programs.
Area of Science:
- Critical Care Medicine
- Pulmonary Medicine
- Geriatric Medicine
Background:
- Long-term care hospitals (LTCHs) play a crucial role in managing ventilator-dependent patients after intensive care unit (ICU) stays.
- Characterizing this patient population is essential for optimizing care and outcomes.
Purpose of the Study:
- To characterize the population of ventilator-dependent patients admitted to LTCHs for weaning.
- To report on treatments, complications, weaning outcomes, discharge disposition, and survival rates.
Main Methods:
- An observational study with concurrent data collection was conducted across 23 LTCHs in the United States.
- 1,419 consecutive ventilator-dependent patients admitted between March 2002 and February 2003 were enrolled.
Main Results:
- The median patient age was 71.8 years, with a median LTCH stay of 40 days.
- Infections were the most frequent complications (7 of top 10).
- 54.1% of patients were successfully weaned, 20.9% remained ventilator-dependent, and 25.0% died; nearly one-third were alive at 12 months.
Conclusions:
- LTCH patients requiring weaning are elderly with complex chronic conditions, necessitating significant medical interventions.
- Complications observed were consistent with prolonged ICU care.
- LTCHs successfully wean over half of ventilator-dependent survivors transferred from ICUs, highlighting their role in critical care continuity.
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