Abstract
The survival of patients who were artificially ventilated in an intensive therapy unit (ITU) of a district general hospital was studied. The first 100 such patients admitted were followed up for at least four years. Of these, 67 survived treatment in the ITU, 47 were discharged from hospital, and 30 survived four years. (Survival in the ITU of patients who did not require ventilation was 89%.) The effects of age, duration of ventilation, and disease were studied, and a higher survival was found in children, in patients ventilated for under 24 hours, and in patients admitted with drug overdosage. Survival was poor in patients aged over 75 and in those who required ventilation after cardiac arrest or myocardial infarction or for chronic obstructive lung disease. The cost of a bed in an ITUs to be used to the greatest effect it is important to define those patients who are most likely to benefit from the facilities they offer.
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- Rogers R. M., Weiler C., Ruppenthal B. Impact of the respiratory intensive care unit on survival of patients with acute respiratory failure. Chest. 1972 Jul;62(1):94–97. doi: 10.1378/chest.62.1.94. [DOI] [PubMed] [Google Scholar]
- Safar P., Grenvik A. Critical care medicine. Organizing and staffing intensive care units. Chest. 1971 May;59(5):535–547. doi: 10.1378/chest.59.5.535. [DOI] [PubMed] [Google Scholar]
- Steiner D. F. Editorial: Errors in insulin biosynthesis. N Engl J Med. 1976 Apr 22;294(17):952–953. doi: 10.1056/NEJM197604222941713. [DOI] [PubMed] [Google Scholar]
- Tanser A. R., Wetten B. G. Multipurpose intensive care unit in a district general hospital. Br Med J. 1973 Jul 28;3(5873):227–229. doi: 10.1136/bmj.3.5873.227. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Young R. K., Campbell D., Reid J. M., Telfer A. B. Respiratory intensive care: a 10-year survey. Br Med J. 1974 Feb 23;1(5903):307–310. doi: 10.1136/bmj.1.5903.307. [DOI] [PMC free article] [PubMed] [Google Scholar]