Abstract:
BACKGROUND:The prevalence of sleep-disordered breathing (SDB) in patients with prolonged mechanical ventilation (PMV) is unknown. The aim of this study was to assess the frequency of SDB in patients admitted to a long-term acute care (LTAC) hospital who weaned from PMV. METHODS:Retrospective chart review was conducted of all PMV patients who had in-patient polysomnography (PSG) between January 2007 and May 2010. Main outcome measures included the frequency of SDB and tracheostomy decannulation. RESULTS:Nineteen patients were studied, age 53.4 ± 13.4 years, 11 males (57.9%), with mean body mass index of 44.0 ± 12.7 kg/m(2) (range 27.3-75.7). Eighteen patients (94.7%) demonstrated SDB as evidenced by obstructive sleep apnea (OSA), with a median respiratory disturbance index (RDI) of 24.2 events/h (range 5.9-82.0 events/h). Fourteen patients underwent successful positive airway pressure titration, with improvement in the median RDI to 0.9 events/h (range 0.0-9.1 events/h) (P < .001). Seventeen patients (89.5%) were decannulated without adverse event. CONCLUSIONS:There may be a high prevalence of unrecognized SDB in patients who are candidates for decannulation after weaning from PMV.
journal_name
Respir Carejournal_title
Respiratory careauthors
Diaz-Abad M,Verceles AC,Brown JE,Scharf SMdoi
10.4187/respcare.01260subject
Has Abstractpub_date
2012-02-01 00:00:00pages
229-37issue
2eissn
0020-1324issn
1943-3654pii
rc01260r1diazabadjournal_volume
57pub_type
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