Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The long and difficult road to better evaluation of outcomes of prolonged mechanical ventilation: not yet a highway to heaven. | Available online http content 11 1 120 Commentary The long and difficult road to better evaluation of outcomes of prolonged mechanical ventilation not yet a highway to heaven Alain Combes1 2 Service de Réanimation Médicale Hôpital Pitié-Salpêtrière Assistance Publique-Hôpitaux de Paris boulevard de l Hôpital 75651 Paris France 2Université Pierre et Marie Curie Paris France Corresponding author Alain Combes Published 28 February 2007 This article is online at http content 11 1 120 2007 BioMed Central Ltd Critical Care 2007 11 120 doi cc5701 See related research by Cox et al. http content 11 1 R9 Abstract The study conducted by Cox and coworkers included in this issue of Critical Care demonstrates that prolonged mechanical ventilation MV defined as MV for 21 days or longer is more specific than Diagnosis Related Group 541 542 as a marker of resource utilization hospital costs and potentially ineffective care. These patients also had greater 1-year mortality and lower functional ability than patients who had received MV for 48 to 96 hours despite having better baseline functional status. However predictors of mortality and long-term functional outcomes that are reliable and accurate at the level of the individual patient remain to be identified. In this issue of Critical Care Cox and coworkers 1 present interesting information on the outcomes of patients receiving prolonged mechanical ventilation MV in the intensive care unit ICU . A tremendous increase in need for ICU care and associated expenditure is anticipated in the coming decades as the baby boomer generation approach the age of 65 years 2 . This group of individuals is projected to represent one in five 70 million Americans by 2030. Beyond this age the burden of acute and chronic illness rises exponentially as does the need for MV which is an almost absolute indication for ICU admission. In fact the incidence of MV during hospital admission .
