Risk Factors for Prolonged Ventilation in Patient with COPD in ICU

Purpose: To identify a patient with COPD on a mechanical ventilator in the ICU who is at risk for needing prolonged ventilation based on the study of Gursel.

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Evaluation

Are you evaluating a patient with COPD on a mechanical ventilator in the ICU?

Yes

Age of the patient

years

APACHE II score on admission to the ICU

Serum albumin in g/dL on admission to the ICU

Has the patient developed ventilator associated pneumonia?

Yes

Has the patient developed sepsis?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors associated with the need for prolonged mechanical ventilation

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Changes of Emphysema in Plain Chest Radiograph (Chest X-Ray)
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags

Therapy

Options
Selection
Administration
- Indicators for COPD Patient Being Admitted to Hospital from ED
Referral And Transfer
- Indications for Referral of Patient with COPD to Pulmonologist

Monitoring

Disease Progression
Complication Detection
- Model of Murata et al for Predicting Relapse Following Outpatient Treatment for Decompensated Chronic Obstructive Pulmonary Disease (COPD)

Specialty

Pulmonology

Objective

risk factors

ICD-10

J44 - Other chronic obstructive pulmonary disease
Z99.1 - Dependence on respirator

Info

Purpose: To identify a patient with COPD on a mechanical ventilator in the ICU who is at risk for needing prolonged ventilation based on the study of Gursel.

Specialty: Pulmonology

Objective: risk factors

ICD-10: J44, Z99.1,

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