Characteristics associated with discharge to home following prolonged mechanical ventilation: A signal detection analysis†
Article first published online: 27 NOV 2006
Copyright © 2006 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 29, Issue 6, pages 510–520, December 2006
How to Cite
Kim, Y., Hoffman, L. A., Choi, J., Miller, T. H., Kobayashi, K. and Donahoe, M. P. (2006), Characteristics associated with discharge to home following prolonged mechanical ventilation: A signal detection analysis. Res. Nurs. Health, 29: 510–520. doi: 10.1002/nur.20150
The authors wish to thank the nursing and respiratory care staff of the Medical Intensive Care Unit, University of Pittsburgh Medical Center, for their assistance with subject recruitment during this study.
- Issue published online: 27 NOV 2006
- Article first published online: 27 NOV 2006
- Manuscript Accepted: 12 JUN 2006
- National Institute for Nursing Research. Grant Number: RO1 NR05204
- respiratory system;
- quality of life
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