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Characteristics associated with discharge to home following prolonged mechanical ventilation: A signal detection analysis
Author(s) -
Kim Yookyung,
Hoffman Leslie A.,
Choi JiYeon,
Miller Thomas H.,
Kobayashi Keiko,
Donahoe Michael P.
Publication year - 2006
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.20150
Subject(s) - medicine , comorbidity , mechanical ventilation , emergency medicine , physical therapy , gerontology
The objective of study was to identify characteristics associated with being home at 6 months in 80 patients on prolonged mechanical ventilation (PMV) (≥7 days). At 6 months, 47.5% were home, 13.8% institutionalized, and 38.8% deceased and classified “not home.” Using signal detection methodology (SDM), four mutually exclusive groups at high and low probability of being home were identified. The best outcome (94.4% home) was achieved by patients with an admission Charlson Comorbidity Score ≤3 and an Acute Physiology Score (APS) ≤21 and the worst outcome (23.4% home) by patients with an admission Charlson Comorbidity Score >3 and Health Assessment Questionnaire score >2.7. SDM provided an effective means of identifying subgroups likely to be discharged home using available information. © 2006 Wiley Periodicals, Inc. Res Nurs Health 29: 510–520, 2006