Outcomes after Prolonged Weaning in Chronic Obstructive Pulmonary Disease Patients: Data from the German WeanNet Initiative

Wollsching-Strobel M, Freundt T, Hamalainen N, Suchi S, Windisch W, Schönhofer B (2022)
Respiration : International Journal of Thoracic Medicine .

Zeitschriftenaufsatz | E-Veröff. vor dem Druck | Englisch
 
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Autor*in
Wollsching-Strobel, Maximilian; Freundt, Tobias; Hamalainen, Nina; Suchi, Stefan; Windisch, Wolfram; Schönhofer, BerndUniBi
Abstract / Bemerkung
BACKGROUND: The outcome of prolonged weaning in COPD patients is still unclear.; METHODS: A subgroup analysis of 2,937 COPD patients (median: age 69 years, 5 comorbidities, 43% female) from the entire WeanNet cohort of specialized German weaning centers previously published (N = 11,424) was performed.; RESULTS: Weaning outcomes were as follows: successful weaning without subsequent long-term noninvasive ventilation (NIV): N = 900; 30.6%; successful weaning with subsequent long-term NIV: N = 900; 30.6%; weaning failure with subsequent long-term invasive ventilation: N = 780; 26.6%; and death: N = 357; 12.2%. Most important predictors of mortality and weaning failure were advanced age and duration of mechanical ventilation in the transferring ICU, respectively. On discharge, the tracheostoma was closed in only 53% and 59% of patients with successful weaning not receiving and receiving long-term NIV, respectively. Unsuccessfully weaned patients were predominantly discharged home (20.5%) or to long-term care facilities (57.2%). Successfully weaned patients were predominantly discharged home (22.4%/35.9%: without/with NIV) and to rehabilitation (41.0%/43.1%: without/with NIV), respectively.; CONCLUSION: COPD forms an important subgroup of prolonged weaning patients. Following transfer from the ICU to a specialized weaning center, weaning is successful more than 60%. Importantly, both tracheostomy status and initial destination following discharge are highly dependent on the weaning outcome. © 2022 S. Karger AG, Basel.
Erscheinungsjahr
2022
Zeitschriftentitel
Respiration : International Journal of Thoracic Medicine
ISSN
1423-0356
Page URI
https://pub.uni-bielefeld.de/record/2960860

Zitieren

Wollsching-Strobel M, Freundt T, Hamalainen N, Suchi S, Windisch W, Schönhofer B. Outcomes after Prolonged Weaning in Chronic Obstructive Pulmonary Disease Patients: Data from the German WeanNet Initiative. Respiration : International Journal of Thoracic Medicine . 2022.
Wollsching-Strobel, M., Freundt, T., Hamalainen, N., Suchi, S., Windisch, W., & Schönhofer, B. (2022). Outcomes after Prolonged Weaning in Chronic Obstructive Pulmonary Disease Patients: Data from the German WeanNet Initiative. Respiration : International Journal of Thoracic Medicine . https://doi.org/10.1159/000521681
Wollsching-Strobel, M., Freundt, T., Hamalainen, N., Suchi, S., Windisch, W., and Schönhofer, B. (2022). Outcomes after Prolonged Weaning in Chronic Obstructive Pulmonary Disease Patients: Data from the German WeanNet Initiative. Respiration : International Journal of Thoracic Medicine .
Wollsching-Strobel, M., et al., 2022. Outcomes after Prolonged Weaning in Chronic Obstructive Pulmonary Disease Patients: Data from the German WeanNet Initiative. Respiration : International Journal of Thoracic Medicine .
M. Wollsching-Strobel, et al., “Outcomes after Prolonged Weaning in Chronic Obstructive Pulmonary Disease Patients: Data from the German WeanNet Initiative”, Respiration : International Journal of Thoracic Medicine , 2022.
Wollsching-Strobel, M., Freundt, T., Hamalainen, N., Suchi, S., Windisch, W., Schönhofer, B.: Outcomes after Prolonged Weaning in Chronic Obstructive Pulmonary Disease Patients: Data from the German WeanNet Initiative. Respiration : International Journal of Thoracic Medicine . (2022).
Wollsching-Strobel, Maximilian, Freundt, Tobias, Hamalainen, Nina, Suchi, Stefan, Windisch, Wolfram, and Schönhofer, Bernd. “Outcomes after Prolonged Weaning in Chronic Obstructive Pulmonary Disease Patients: Data from the German WeanNet Initiative”. Respiration : International Journal of Thoracic Medicine (2022).

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