Investigating the differences in nutritional status between successfully weaned and unsuccessfully weaned respirator patients

Long-term respirator users admitted to intensive care units need to be transferred to a respiratory care center (RCC) for weaning. It may cause malnutrition in critical care patients, which may manifest as a reduction in respiratory muscle mass, lower ventilatory capacity, and decreased respiratory...

Full description

Saved in:
Bibliographic Details
Published in:Scientific reports 2023-05, Vol.13 (1), p.7144-7144, Article 7144
Main Authors: Chiang, Cheng-Yang, Lan, Chou-Chin, Yang, Chin-Hsuan, Hou, Yi-Cheng
Format: Article
Language:English
Subjects:
692/700
692/700/2814
Albumin
Body composition
Carcinoma, Renal Cell
Hospitals
Humanities and Social Sciences
Humans
Intensive care units
Kidney Neoplasms
Malnutrition
multidisciplinary
Nutritional Status
Patients
Protective equipment
Respiration
Respiration, Artificial
Respirators
Science
Science (multidisciplinary)
Serum Albumin
Ventilators, Mechanical
Weaning
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Long-term respirator users admitted to intensive care units need to be transferred to a respiratory care center (RCC) for weaning. It may cause malnutrition in critical care patients, which may manifest as a reduction in respiratory muscle mass, lower ventilatory capacity, and decreased respiratory tolerance. This study aimed to assess that if the patients’ nutritional status were improved, it could help RCC patients to wean from respirators. All participants were recruited from the RCC of a medical foundation in the city and Taipei Tzu Chi Hospital. The indicators include serum albumin level, respirator detachment index, maximum inspiratory pressure (PImax), rapid shallow breathing index, and body composition measurements. We recorded the length of hospital stay, mortality, and RCW (respiratory care ward) referral rate for these participants and analyzed the differences in relevant research indicators between those who were and weren’t weaned off. 43 of 62 patients were weaned from respirators, while 19 failed. The resuscitation rate was 54.8%. Patients with respirator weaning had a lower number of RCC admission days (23.1 ± 11.1 days) than respirator-dependent patients (35.6 ± 7.8 days, P  
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-023-34432-0