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1.
Rev Bras Enferm ; 72(1): 221-230, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30916289

RESUMO

OBJECTIVE: To identify in the literature the defining characteristics and related factors of the nursing diagnosis "ineffective breathing pattern". METHOD: Integrative review with the steps: problem identification, literature search, evaluation and analysis of data and presentation of results. RESULTS: Twenty articles and two dissertations were included. In children, the most prevalent related factor was bronchial secretion, followed by hyperventilation. The main defining characteristics were dyspnea, tachypnea, cough, use of accessory muscles to breathe, orthopnea and adventitious breath sounds. Bronchial secretion, cough and adventitious breath sounds are not included in the NANDA-International (NANDA-I). For adults and older adults, the related factors were fatigue, pain and obesity and the defining characteristics were dyspnea, orthopnea and tachypnea. CONCLUSION: This diagnosis manifests differently according to the patients' age group. It was observed that some defining characteristics and related factors are not included in the NANDA-I. Their inclusion can improve this nursing diagnosis.


Assuntos
Diagnóstico de Enfermagem/classificação , Insuficiência Respiratória/enfermagem , Fatores Etários , Humanos , Diagnóstico de Enfermagem/métodos , Insuficiência Respiratória/classificação
2.
BMC Pulm Med ; 18(1): 190, 2018 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-30522473

RESUMO

BACKGROUND: Home mechanical ventilation is an established treatment for chronic respiratory failure resulting in improved survival and quality of life. Technological advancement, evolving health care reimbursement systems and newly implemented national guidelines result in increased utilization worldwide. Prevalence shows great geographical variations and data on East-Central European practice has been scarce to date. The aim of the current study was to evaluate prevalence and characteristics of home mechanical ventilation in Hungary. METHODS: We conducted a nationwide study using an online survey focusing on patients receiving ventilatory support at home. The survey focused on characterization of the site (affiliation, type), experience with home mechanical ventilation, number of patients treated, indication for home mechanical ventilation (disease type), description of home mechanical ventilation (invasive/noninvasive, ventilation hours, duration of ventilation) and description of the care provided (type of follow up visits, hospitalization need, reimbursement). RESULTS: Our survey uncovered a total of 384 patients amounting to a prevalence of 3.9/100,000 in Hungary. 10.4% of patients received invasive, while 89.6% received noninvasive ventilation. The most frequent diagnosis was central hypopnea syndromes (60%), while pulmonary (20%), neuromuscular (11%) and chest wall disorders (7%) were less frequent indications. Daily ventilation need was less than 8 h in 74.2%, between 8 and 16 h in 15.4% and more than 16 h in 10.4% of patients reported. When comparing sites with a limited (< 50 patients) versus substantial (> 50 patients) case number, we found the former had significantly higher ratio of neuromuscular conditions, were more likely to ventilate invasively, with more than 16 h/day ventilation need and were more likely to provide home visits and readmit patients (p < 0,001). CONCLUSIONS: Our results show a reasonable current estimate and characterization of home mechanical ventilation practice in Hungary. Although a growing practice can be assumed, current prevalence is still markedly reduced compared to international data reported, the duality of current data hinting to a possible gap in diagnosis and care for more dependent patients. This points to the importance of establishing home mechanical ventilation centers, where increased experience will enable state of the art care to more dependent patients as well, increasing overall prevalence.


Assuntos
Assistência ao Convalescente , Serviços de Assistência Domiciliar , Respiração Artificial , Insuficiência Respiratória , Adulto , Assistência ao Convalescente/métodos , Assistência ao Convalescente/estatística & dados numéricos , Idoso , Criança , Doença Crônica , Feminino , Serviços de Assistência Domiciliar/organização & administração , Serviços de Assistência Domiciliar/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Humanos , Hungria/epidemiologia , Masculino , Determinação de Necessidades de Cuidados de Saúde , Prevalência , Melhoria de Qualidade , Respiração Artificial/métodos , Respiração Artificial/estatística & dados numéricos , Insuficiência Respiratória/classificação , Insuficiência Respiratória/epidemiologia , Insuficiência Respiratória/fisiopatologia , Insuficiência Respiratória/terapia , Inquéritos e Questionários
3.
Hosp Pediatr ; 8(7): 426-429, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29880578

RESUMO

OBJECTIVES: Noninvasive positive pressure ventilation (NIPPV) is increasingly used in critically ill pediatric patients, despite limited data on safety and efficacy. Administrative data may be a good resource for observational studies. Therefore, we sought to assess the performance of the International Classification of Diseases, Ninth Revision procedure code for NIPPV. METHODS: Patients admitted to the PICU requiring NIPPV or heated high-flow nasal cannula (HHFNC) over the 11-month study period were identified from the Virtual PICU System database. The gold standard was manual review of the electronic health record to verify the use of NIPPV or HHFNC among the cohort. The presence or absence of a NIPPV procedure code was determined by using administrative data. Test characteristics with 95% confidence intervals (CIs) were generated, comparing administrative data with the gold standard. RESULTS: Among the cohort (n = 562), the majority were younger than 5 years, and the most common primary diagnosis was bronchiolitis. Most (82%) required NIPPV, whereas 18% required only HHFNC. The NIPPV code had a sensitivity of 91.1% (95% CI: 88.2%-93.6%) and a specificity of 57.6% (95% CI: 47.2%-67.5%), with a positive likelihood ratio of 2.15 (95% CI: 1.70-2.71) and negative likelihood ratio of 0.15 (95% CI: 0.11-0.22). CONCLUSIONS: Among our critically ill pediatric cohort, NIPPV procedure codes had high sensitivity but only moderate specificity. On the basis of our study results, there is a risk of misclassification, specifically failure to identify children who require NIPPV, when using administrative data to study the use of NIPPV in this population.


Assuntos
Cânula , Estado Terminal/classificação , Unidades de Terapia Intensiva Pediátrica , Ventilação com Pressão Positiva Intermitente , Classificação Internacional de Doenças , Oxigenoterapia , Insuficiência Respiratória/classificação , Criança , Pré-Escolar , Estado Terminal/terapia , Bases de Dados Factuais , Feminino , Humanos , Lactente , Recém-Nascido , Intubação Intratraqueal , Masculino , Reprodutibilidade dos Testes , Insuficiência Respiratória/terapia
4.
Ulus Travma Acil Cerrahi Derg ; 24(2): 149-155, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29569687

RESUMO

BACKGROUND: Code blue (CB) is an emergency call system developed to respond to cardiac and respiratory arrest in hospitals. However, in literature, no scoring system has been reported that can predict mortality in CB procedures. In this study, we aimed to investigate the effectiveness of estimated APACHE II and PRISM scores in the prediction of mortality in patients assessed using CB to retrospectively analyze CB calls. METHODS: We retrospectively examined 1195 patients who were evaluated by the CB team at our hospital between 2009 and 2013. The demographic data of the patients, diagnosis and relevant de-partments, reasons for CB, cardiopulmonary resuscitation duration, mortality calculated from the APACHE II and PRISM scores, and the actual mortality rates were retrospectively record-ed from CB notification forms and the hospital database. RESULTS: In all age groups, there was a significant difference between actual mortality rate and the expected mortality rate as estimated using APACHE II and PRISM scores in CB calls (p<0.05). The actual mortality rate was significantly lower than the expected mortality. CONCLUSION: APACHE and PRISM scores with the available parameters will not help predict mortality in CB procedures. Therefore, novels scoring systems using different parameters are needed.


Assuntos
Reanimação Cardiopulmonar/mortalidade , Insuficiência Respiratória , APACHE , Mortalidade Hospitalar , Humanos , Insuficiência Respiratória/classificação , Insuficiência Respiratória/epidemiologia , Insuficiência Respiratória/mortalidade , Estudos Retrospectivos
7.
Crit Care Nurs Q ; 39(2): 85-93, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26919670

RESUMO

Respiratory failure is a condition in which the respiratory system fails in one or both of its gas exchange functions. It is a major cause of morbidity and mortality in patients admitted to intensive care units. It is a result of either lung failure, resulting in hypoxemia, or pump failure, resulting in alveolar hypoventilation and hypercapnia. This article covers the basic lung anatomy, pathophysiology, and classification of respiratory failure.


Assuntos
Insuficiência Respiratória/classificação , Insuficiência Respiratória/fisiopatologia , Cuidados Críticos , Humanos , Hipercapnia/complicações , Hipóxia/complicações , Unidades de Terapia Intensiva , Insuficiência Respiratória/etiologia , Fenômenos Fisiológicos Respiratórios
8.
Revenue-cycle Strateg ; 13(5): 6, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29616765

RESUMO

Differences between ICD-9 and ICD-10 don't appear significant until healthcare organizations drill down to the specifics.


Assuntos
Codificação Clínica/normas , Reembolso de Seguro de Saúde/estatística & dados numéricos , Classificação Internacional de Doenças , Insuficiência Respiratória/classificação , Humanos , Estados Unidos
9.
Eur Spine J ; 25(10): 3034-3041, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-25377094

RESUMO

INTRODUCTION: Congenital lordoscoliosis is an uncommon pathology and its management poses formidable challenge especially in the presence of type 2 respiratory failure and intraspinal anomalies. In such patients standard management protocols are not applicable and may require multistage procedure to minimize risk and optimize results. CASE DESCRIPTION: A 15-year-old girl presented in our hospital emergency services with severe breathing difficulty. She had a severe and rapidly progressing deformity in her back, noted since 6 years of age, associated with severe respiratory distress requiring oxygen and BiPAP support. She was diagnosed to have a severe and rigid congenital right thoracolumbar lordoscoliosis (coronal Cobb's angle: 105° and thoracic lordosis -10°) with type 1 split cord malformation with bony septum extending from T11 to L3. This leads to presentation of restrictive lung disease with type 2 respiratory failure. As her lung condition did not allow for any major procedure, we did a staged procedure rather than executing in a single stage. Controlled axial traction by halogravity was applied initially followed by halo-femoral traction. Four weeks later, this was replaced by halo-pelvic distraction device after a posterior release procedure with asymmetric pedicle substraction osteotomies at T7 and T10. Halo-pelvic distraction continued for 4 more weeks to optimize and correct the deformity. Subsequently definitive posterior stabilization and fusion was done. The detrimental effect of diastematomyelia resection in such cases is clearly evident from literature, so it was left unresected. A good scoliotic correction with improved respiratory function was achieved. Three years follow-up showed no loss of deformity correction, no evidence of pseudarthrosis and a good clinical outcome with reasonably balanced spine. CONCLUSION: The management of severe and rigid congenital lordoscoliotic deformities with intraspinal anomalies is challenging. Progressive reduction in respiratory volume in untreated cases can lead to acute respiratory failure. Such patients have a high rate of intraoperative and postoperative morbidity and mortality. Hence a staged procedure is recommended. Initially a less invasive procedure like halo traction helps to improve their respiratory function with simultaneous correction of the deformity, while allowing for monitoring of neurological deficit. Subsequently spinal osteotomies and combined halo traction helps further improve the correction, following which definitive instrumented fusion can be done.


Assuntos
Lordose/cirurgia , Defeitos do Tubo Neural/complicações , Insuficiência Respiratória/etiologia , Escoliose/cirurgia , Adolescente , Feminino , Humanos , Lordose/complicações , Lordose/congênito , Osteotomia , Insuficiência Respiratória/classificação , Insuficiência Respiratória/terapia , Escoliose/complicações , Escoliose/congênito , Fusão Vertebral , Tração/métodos
10.
J Bras Pneumol ; 41(1): 58-64, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25750675

RESUMO

OBJECTIVE: Bedside lung ultrasound (LUS) is a noninvasive, readily available imaging modality that can complement clinical evaluation. The Bedside Lung Ultrasound in Emergency (BLUE) protocol has demonstrated a high diagnostic accuracy in patients with acute respiratory failure (ARF). Recently, bedside LUS has been added to the medical training program of our ICU. The aim of this study was to investigate the accuracy of LUS based on the BLUE protocol, when performed by physicians who are not ultrasound experts, to guide the diagnosis of ARF. METHODS: Over a one-year period, all spontaneously breathing adult patients consecutively admitted to the ICU for ARF were prospectively included. After training, 4 non-ultrasound experts performed LUS within 20 minutes of patient admission. They were blinded to patient medical history. LUS diagnosis was compared with the final clinical diagnosis made by the ICU team before patients were discharged from the ICU (gold standard). RESULTS: Thirty-seven patients were included in the analysis (mean age, 73.2 ± 14.7 years; APACHE II, 19.2 ± 7.3). LUS diagnosis had a good agreement with the final diagnosis in 84% of patients (overall kappa, 0.81). The most common etiologies for ARF were pneumonia (n = 17) and hemodynamic lung edema (n = 15). The sensitivity and specificity of LUS as measured against the final diagnosis were, respectively, 88% and 90% for pneumonia and 86% and 87% for hemodynamic lung edema. CONCLUSIONS: LUS based on the BLUE protocol was reproducible by physicians who are not ultrasound experts and accurate for the diagnosis of pneumonia and hemodynamic lung edema.


Assuntos
Sistemas Automatizados de Assistência Junto ao Leito , Insuficiência Respiratória/diagnóstico por imagem , Ultrassonografia/métodos , APACHE , Doença Aguda , Idoso , Brasil , Feminino , Humanos , Unidades de Terapia Intensiva , Masculino , Pneumonia/complicações , Pneumonia/diagnóstico por imagem , Estudos Prospectivos , Edema Pulmonar/complicações , Edema Pulmonar/diagnóstico por imagem , Insuficiência Respiratória/classificação , Insuficiência Respiratória/etiologia , Sensibilidade e Especificidade
11.
J. bras. pneumol ; 41(1): 58-64, Jan-Feb/2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-741564

RESUMO

Objective: Bedside lung ultrasound (LUS) is a noninvasive, readily available imaging modality that can complement clinical evaluation. The Bedside Lung Ultrasound in Emergency (BLUE) protocol has demonstrated a high diagnostic accuracy in patients with acute respiratory failure (ARF). Recently, bedside LUS has been added to the medical training program of our ICU. The aim of this study was to investigate the accuracy of LUS based on the BLUE protocol, when performed by physicians who are not ultrasound experts, to guide the diagnosis of ARF. Methods: Over a one-year period, all spontaneously breathing adult patients consecutively admitted to the ICU for ARF were prospectively included. After training, 4 non-ultrasound experts performed LUS within 20 minutes of patient admission. They were blinded to patient medical history. LUS diagnosis was compared with the final clinical diagnosis made by the ICU team before patients were discharged from the ICU (gold standard). Results: Thirty-seven patients were included in the analysis (mean age, 73.2 ± 14.7 years; APACHE II, 19.2 ± 7.3). LUS diagnosis had a good agreement with the final diagnosis in 84% of patients (overall kappa, 0.81). The most common etiologies for ARF were pneumonia (n = 17) and hemodynamic lung edema (n = 15). The sensitivity and specificity of LUS as measured against the final diagnosis were, respectively, 88% and 90% for pneumonia and 86% and 87% for hemodynamic lung edema. Conclusions: LUS based on the BLUE protocol was reproducible by physicians who are not ultrasound experts and accurate for the diagnosis of pneumonia and hemodynamic lung edema. .


Objetivo: O ultrassom pulmonar (USP) à beira do leito é uma técnica de imagem não invasiva e prontamente disponível que pode complementar a avaliação clínica. O protocolo Bedside Lung Ultrasound in Emergency (BLUE, ultrassom pulmonar à beira do leito em situações de emergência) demonstrou elevado rendimento diagnóstico em pacientes com insuficiência respiratória aguda (IRpA). Recentemente, um programa de treinamento em USP à beira do leito foi implementado na nossa UTI. O objetivo deste estudo foi avaliar a acurácia do USP baseado no protocolo BLUE, quando realizado por médicos com habilidades básicas em ultrassonografia, para orientar o diagnóstico de IRpA. Métodos: Ao longo de um ano, todos os pacientes adultos consecutivos respirando espontaneamente admitidos na UTI por IRpA foram prospectivamente inclusos. Após treinamento, 4 operadores com habilidades básicas em ultrassonografia realizaram o USP em até 20 minutos após a admissão na UTI, cegados para a história do paciente. Os diagnósticos do USP foram comparados aos diagnósticos da equipe assistente ao final da internação na UTI (padrão-ouro). Resultados: Foram inclusos na análise 37 pacientes (média etária: 73,2 ± 14,7 anos; APACHE II: 19,2 ± 7,3). O diagnóstico do USP demonstrou concordância com o diagnóstico final em 84% dos casos (kappa total: 0,81). As causas mais comuns de IRpA foram pneumonia (n = 17) e edema pulmonar cardiogênico (n = 15). A sensibilidade e a especificidade do USP comparado ao diagnóstico final foram de 88% e 90% para pneumonia e de 86% e 87% para edema pulmonar cardiogênico, respectivamente. Conclusões: O USP baseado no protocolo BLUE foi reproduzível por médicos com habilidades básicas em ultrassonografia e acurado para o diagnóstico de pneumonia e de edema pulmonar cardiogênico. .


Assuntos
Idoso , Feminino , Humanos , Masculino , Sistemas Automatizados de Assistência Junto ao Leito , Insuficiência Respiratória , Ultrassonografia/métodos , Doença Aguda , APACHE , Brasil , Unidades de Terapia Intensiva , Estudos Prospectivos , Pneumonia/complicações , Pneumonia , Edema Pulmonar/complicações , Edema Pulmonar , Insuficiência Respiratória/classificação , Insuficiência Respiratória/etiologia , Sensibilidade e Especificidade
16.
Rev. Soc. Cardiol. Estado de Säo Paulo ; 23(1,supl.A): 14-18, jan.-mar. 2013.
Artigo em Português | LILACS | ID: lil-685750

RESUMO

Introdução: Redução da função pulmonar tem sido associada a eventos coronarianos, contribuindo para o aumento da incidência de morte por doença cardiovascular. Objetivo: Comparar a função pulmonar entre sujeitos aparetemente saudáveis e com comprometimento arterial coronariano. Materiais e Métodos: Participaram de estudo 46 homens de meia idade, com baixo nível de atividade física, os quais foram divididos em quatro grupos: aparetemente saudáveis (GS,n=10); com obstrução do diâmetro luminal coronariano menor que 50% nas artérias comprometidas (GDAC-,n=12); e com infarto agudo do miocárdio (IAM), classificação clínica KIllip 1 (GIAM n=12). Todos foram submetidos à avaliação da função pulmonar por meio da espirometria. Resultados: Tanto para a capacidade vital forçada (CVF) como para o volume expiratório forçado no primeiro segundo (VEF1), o GS apresentou maiores valores quando comparado aos grupos Dac+ e IAM (p<0,05). Na comparação dos resultados entre os grupos com comprometimento arterial coronariano, tanto a CVF com VEF, o GDAC- e o GDAC+ apresentaram maiores valores quando comparados ao GIAM (p<0,05). A análise de regressão linear múltipla mostrou que a variável de maior associação com o VEF, foi o comprometimento arterial coronariano (r2=0,50, p<0,0001), não tendo o tabagismo apresentado significância (p>0,67). Conclusão: redução nos valores de CVF e VEF1 está relacionada ao grau de compropmetimento coronariano neste grupo de pacientes, independentemente do tabagismo, sugerindo que o processo aterogênico pode ter impacto negativo sobre a função pulmonar de pacientes com DAC.


Introduction: Reduction of pulmonary function has been associated with coronary events, contributing to the increased incidence of death by cardiovascular disease. Objective: To compare the pulmonary function among apparently healthy subjects with arterial coronary obstruction. Materials and Methods: A group of 46 middle-aged men with low levels of weekly physical activity, which were divided into: apparently healthy (AH,n=10); with obstruction of coronary luminal diameter less than 50% obstruction arteries (GCAD-,n=10); with coronary obstruction greater than or equal to 50% in at least one artery (DCAD+,n=12); and with acute myocardial infarction (AMI) clinical classification KILLIP I (GAIM,n=12). All were submited for the evaluation of pulmonary function by spirometry. Results: Both for the forced vital capacity (FVC) and forced experiratory volume in one second (FEV1), The AH presented greater values when compared to CAD+ and AMI group (p<0.005). Comparison of results between the groups with arterial coronary obstruction, both for the CVF as to the VEF1, the GCAD- and the larger values when GCAD+ feature compared to the GAIM (p<0.05). Multiple linear regression analysis showed that the largest association with FEV1 was the coronary obstruction (r2=0.50p<0.0001), not having smoking presented significance (p>0.67). Conclusion: The reduction in values of FVC and FEV1 is related to the degree of coronary obstruction in this group of patients, independent of smoking, suggesting that the atherogenic process can have a negative impact on pulmonary function of patients with CAD.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Doença das Coronárias/complicações , Insuficiência Respiratória/classificação , Fumar , Espirometria
17.
Praxis (Bern 1994) ; 101(23): 1481-7, 2012 Nov 14.
Artigo em Alemão | MEDLINE | ID: mdl-23147604

RESUMO

According to the international guidelines of COPD (GOLD) and asthma (GINA) diagnosis and treatment of both diseases necessitate spirometry in the private practice as well as in hospital setting. However today, spirometry is not sufficiently used in Switzerland. This paper intends to give an easy overview how spirometry is performed and spirometric values can be interpreted.


Assuntos
Asma/diagnóstico , Prática Privada , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Espirometria/métodos , Adulto , Asma/classificação , Broncoconstrição , Humanos , Medidas de Volume Pulmonar , Programas de Rastreamento , Valor Preditivo dos Testes , Doença Pulmonar Obstrutiva Crônica/classificação , Insuficiência Respiratória/classificação , Insuficiência Respiratória/diagnóstico , Fumar/efeitos adversos , Suíça
19.
Soins Gerontol ; (96): 31-3, 2012.
Artigo em Francês | MEDLINE | ID: mdl-22852501

RESUMO

Chronic respiratory failure is a complex entity of varied etiology and physio-pathological mechanisms. It is mainly characterised by the respiratory system's difficulty in ensuring correct aeration at rest, resulting initially in insufficient oxygenation of arterial blood. Treatment is adapted to each etiology and aims to compensate for respiratory failure and to ensure the oxygenation of the organism.


Assuntos
Insuficiência Respiratória/diagnóstico , Insuficiência Respiratória/terapia , Idoso , Idoso de 80 Anos ou mais , Doença Crônica , Humanos , Insuficiência Respiratória/classificação , Insuficiência Respiratória/etiologia
20.
J Palliat Med ; 15(11): 1234-9, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22830572

RESUMO

BACKGROUND: In recent years, intensive care for cancer patients has improved and treatment of critically ill cancer patients has become increasingly aggressive over time. However, not all cancer patients would benefit from aggressive care, especially those with late-stage cancer. OBJECTIVE: We aimed to investigate the outcome of late-stage lung cancer patients with sepsis-related respiratory failure and identify predictors of mortality. METHODS: From 2007 to 2008, consecutive stage III and IV lung cancer patients admitted to an intensive care unit (ICU) of a teritiary medical center in Taiwan for sepsis-related respiratory failure were retrospectively enrolled. Data at baseline and upon ICU admission were collected. In-hospital survival was analyzed. Variables of the survivors to hospital discharge and patients who died were compared by uni- and multivariate analyses. RESULTS: Seventy patients were enrolled. During a mean follow-up period of 30.10 days, 29 (41.4%) patients survived to hospital discharge and 41(58.6%) died. Compared with the survivors, the patients who died had poor performance status, lower serum albumin level, higher percentage of disseminated intravascular coagulation, and more severe organ dysfunction as disclosed by higher Sequential Organ Failure Assessment (SOFA) scores. Multivariate analyses revealed that SOFA score (p=0.026) was the only independent predictor of mortality; 44.8 % (13/29) of survivors were weaned from ventilator during hospitalization. CONCLUSION: Among late-stage lung cancer patients with sepsis-related respiratory failure, those with lower SOFA scores seemed to have better survival rate and may benefit from intensive care in the ICU. Early palliative care should be considered for all patients with advanced lung cancer, and hospice care is suggested for those with sepsis-respiratory failure and high SOFA scores.


Assuntos
Unidades de Terapia Intensiva/estatística & dados numéricos , Neoplasias Pulmonares/complicações , Escores de Disfunção Orgânica , Insuficiência Respiratória/etiologia , Sepse/etiologia , APACHE , Idoso , Albuminas/análise , Análise de Variância , Feminino , Previsões/métodos , Cuidados Paliativos na Terminalidade da Vida/normas , Mortalidade Hospitalar , Hospitais de Veteranos , Humanos , Neoplasias Pulmonares/fisiopatologia , Neoplasias Pulmonares/terapia , Masculino , Cuidados Paliativos/normas , Respiração Artificial/normas , Insuficiência Respiratória/classificação , Insuficiência Respiratória/terapia , Estudos Retrospectivos , Sepse/complicações , Sepse/terapia , Análise de Sobrevida , Taiwan
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