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Thorax. 2015 Mar;70(3):294-6. doi: 10.1136/thoraxjnl-2014-205248. Epub 2014 May 14.

What happens to patients with COPD with long-term oxygen treatment who receive mechanical ventilation for COPD exacerbation? A 1-year retrospective follow-up study.

Author information

1
Hofstra North Shore LIJ School of Medicine and North Shore LIJ Health System, Department of Medicine, Manhasset, New York, USA.
2
Department of Population Health, New York University School of Medicine, New York, New York, USA.
3
Division of Pulmonary and Critical Care, University of Washington School of Medicine, Seattle, Washington, USA.

Abstract

We performed a retrospective cohort study of patients with chronic obstructive lung disease (COPD) on long-term oxygen treatment (LTOT) who received invasive mechanical ventilation for COPD exacerbation. Of the 4791 patients, 23% died in the hospital, and 45% died in the subsequent 12 months. 67% of patients were readmitted at least once in the subsequent 12 months, and 26.8% were discharged to a nursing home or skilled nursing facility within 30 days. We conclude that these patients have high mortality rates, both in-hospital and in the 12 months postdischarge. If patients survive, many will be readmitted to the hospital and discharged to nursing home. These potential outcomes may support informed critical care decision making and more preference congruent care.

KEYWORDS:

COPD Exacerbations; Long Term Oxygen Therapy (LTOT)

PMID:
24826845
PMCID:
PMC4345793
DOI:
10.1136/thoraxjnl-2014-205248
[Indexed for MEDLINE]
Free PMC Article

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