OUTCOME OF PROTOCOLIZED WEANING FOR PROLONGED MECHANICAL VENTILATION IN A RESPIRATORY CARE CENTER: IMPLICATION TO THE REAL-WORLD PRACTICE OF THE INTEGRATED DELIVERY SYSTEM IN TAIWAN

Respirology ◽  
2017 ◽  
Vol 22 ◽  
pp. 125-125
Keyword(s):  
Mechanical Ventilation ◽  
Delivery System ◽  
Real World ◽  
Prolonged Mechanical Ventilation ◽  
Care Center ◽  
Respiratory Care ◽  
The Real ◽  
Integrated Delivery System ◽  
Integrated Delivery

A tracheostomy shared decision making program in respiratory care center patients in Taiwan

2020 ◽  
Author(s):  
Chienhsiu Huang ◽  
Ihung Chen
Keyword(s):  
Decision Making ◽  
Mechanical Ventilation ◽  
Survival Rate ◽  
Shared Decision Making ◽  
Prolonged Mechanical Ventilation ◽  
Care Center ◽  
Optimal Decision ◽  
Respiratory Care ◽  
Shared Decision ◽  
Methods Of Treatment

Abstract Background: Tracheostomy is recommended for respiratory care center prolonged mechanical ventilation patients who cannot be liberated from the ventilator in the short term. However, most patients or their families oppose having this procedure. We applied [If my family is difficulty liberated from the ventilator, do he/she need to undergo tracheostomy?] tracheostomy shared decision making program for respiratory care center prolonged mechanical ventilation patients. The program is expected to enable patients to undergo tracheostomy, improving patients’ medical care and outcomes. Methods: We apply tracheostomy shared decision making program to patients who were admitted to a respiratory care center. Data of patients in the respiratory care center who participated in tracheostomy shared decision making program were collected and analyzed. The survival of patients and the optimal decision marking of tracheostomy shared decision making program were tracked. Results: A total of 57 patients participated in tracheostomy shared decision making program. Of these, 39 patients (68.4%) were men, and 18 (31.6%) were women. The mean age was 69.6 years. At the end of the study, 37 patients underwent tracheostomy (64.9%), and 20 patients maintained endotracheal tube intubation (35.1%). There was no significant difference in the factors of concern and the degree of concern about the methods of treatment in the two group patients. Patients or their families of the two groups have a good understanding of the two methods of treatment. The survival rate of patients undergoing tracheostomy was 86.5%, but only 86.5% of participants believed that they made an optimal decision based on the result of the tracheostomy shared decision making program. Conversely, the survival rate of patients who maintained endotracheal tube intubation was 40%, but the all of participants believed that they made an optimal decision based on the result of the tracheostomy shared decision making program. The overall 91.2% of participants made an optimal decision marking of the tracheostomy shared decision making program. Conclusions: The clinical application of tracheostomy shared decision making program has achieved excellent results. Patients who underwent tracheostomy will have a longer survival time.

scholarly journals The Outcomes and Prognostic Factors of the Very Elderly Requiring Prolonged Mechanical Ventilation in a Single Respiratory Care Center

Medicine ◽  
2016 ◽  
Vol 95 (2) ◽  
pp. e2479 ◽  
Author(s):  
Chih-Cheng Lai ◽  
Shian-Chin Ko ◽  
Chin-Ming Chen ◽  
Shih-Feng Weng ◽  
Kuei-Ling Tseng ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Prognostic Factors ◽  
Prolonged Mechanical Ventilation ◽  
Care Center ◽  
Respiratory Care ◽  
Very Elderly

Practice and Outcomes of the Perioperative Surgical Home in a California Integrated Delivery System

2016 ◽  
Vol 123 (3) ◽  
pp. 597-606 ◽  
Author(s):  
Chunyuan Qiu ◽  
Maxime Cannesson ◽  
Atef Morkos ◽  
Vu T. Nguyen ◽  
Diana LaPlace ◽  
...  
Keyword(s):  
Delivery System ◽  
Perioperative Surgical Home ◽  
Integrated Delivery System ◽  
Integrated Delivery

Cost Burden of Chronic Pain Patients in a Large Integrated Delivery System in the United States

Pain Practice ◽  
2015 ◽  
Vol 16 (8) ◽  
pp. 1001-1011 ◽  
Author(s):  
Peter W. Park ◽  
Richard D. Dryer ◽  
Rozelle Hegeman-Dingle ◽  
Jack Mardekian ◽  
Gergana Zlateva ◽  
...  
Keyword(s):  
United States ◽  
Chronic Pain ◽  
Delivery System ◽  
The United States ◽  
Cost Burden ◽  
Integrated Delivery System ◽  
Chronic Pain Patients ◽  
Integrated Delivery ◽  
Pain Patients
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