Validation of the Prognosis for Prolonged Ventilation (ProVent) score in patients receiving 14days of mechanical ventilation

Copyright © 2017 Elsevier Inc. All rights reserved..

PURPOSE: To evaluate the performance of the Prognosis for Prolonged Ventilation (ProVent) 14 score in patients requiring prolonged mechanical ventilation (PMV).

MATERIALS AND METHODS: Data were obtained from 366 patients receiving at least 14days of MV between January 2011 and December 2015 at a university-affiliated tertiary care hospital in Korea. ProVent 14 scores were assessed using the six standard variables. Model discrimination was assessed with the area under the receiver operating characteristic curve. Kaplan-Meier estimates were stratified according to the ProVent 14 score to predict 1-year survival.

RESULTS: The median age of the study group was 62years (range, 50-72years); 65% were male, and medical patients comprised 66% of the group. Overall mortality at 1year was 43%. For ProVent 14 scores ranging from 0 to ≥4, 1-year mortality rates were 7%, 22%, 41%, 52%, and 75%, respectively (log-rank test, P<0.001). The area under the receiver operating characteristic curve of the ProVent 14 score predicting 1-year mortality was 0.74 (95% confidence interval, 0.69-0.78).

CONCLUSIONS: The ProVent 14 score accurately identified patients receiving PMV with a high 1-year mortality risk. Further validation in a larger sample is required.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Journal of critical care - 44(2018) vom: 15. Apr., Seite 249-254

Sprache:

Englisch

Beteiligte Personen:

Kim, Won-Young [VerfasserIn]
Jo, Eun-Jung [VerfasserIn]
Eom, Jung Seop [VerfasserIn]
Mok, Jeongha [VerfasserIn]
Kim, Mi-Hyun [VerfasserIn]
Kim, Ki Uk [VerfasserIn]
Park, Hye-Kyung [VerfasserIn]
Lee, Min Ki [VerfasserIn]
Lee, Kwangha [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Mortality
Prognosis
Research Support, Non-U.S. Gov't
Respiration, artificial
Risk
Validation Study

Anmerkungen:

Date Completed 08.03.2019

Date Revised 10.12.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jcrc.2017.11.029

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM278678076