Verlauf Und Respiratorische Zwischenfälle Bei Patienten Mit außerklinischer Beatmung
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Indication for Invasive Out-of-hospital Ventilation
- Sponsor
- Wissenschaftliches Institut Bethanien e.V
- Enrollment
- 59
- Locations
- 1
- Primary Endpoint
- Respiratory Incidences
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
The purpose of the study is to determine the frequency and management of respiratory incidence in patients with invasive out-of-hospital ventilation, either living at home for elderly people allay to a weaning centre or at home. Further, the mortality and the frequency of hospital admission will be analyzed.
Detailed Description
Background: There has been arise in a number of patients requiring long term ventilation both in the in-hospital as well as the out-of-hospital setting. Despite this, little is known about the subsequent political course of this patients following hospital discharge. Interventions: This is an observational prospective study over a period of one year in a sample of 50 to 70 invasively ventilated patients living either in a nursing home specialized in the care of ventilated patients or at home. Protocol had been developed containing 20 suspected emergency incidences in respiratory care. The nursing staffs are instructed about the study and how to complete the protocol. The protocol was placed at each patient and every time an emergency occurred, the nursing staff registered the incidence. If an emergency fulfils more than one criterion in the protocol, every applicable criterion was marked. The data will be analyzed using non-parametric descriptive statistics.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age \>=18 years
- •existing out-of-hospital ventilation \>6h in 24h
Exclusion Criteria
- •Age \<18 years
- •absence of declaration of consent
Outcomes
Primary Outcomes
Respiratory Incidences
Time Frame: Over a 12-month period, monthly
Incidences comprise: permanent alarming by the ventilator, malfunction of the ventilator, use of an AMBU bag, dyspnoea, worsening of general condition, desaturation of 5 % or more in relation to average saturation of the patients, disconnection of the ventilator, increase of tracheal secretion, reanimation, replacement of tracheal canula, other emergency, call of emergency doctor, call of pneumologist, unscheduled home visit of the patient by a doctor, use of antibiotics, use ov steroids, use of opiates, changing of the ventilator settings, hospital transfer, death.