Respiratory Care: Respiratory Care |

Weaning From Mechanical Ventilation in Skilled Nursing Facility: A Multicenter Study FREE TO VIEW

Gustavo Ferrer, MD; Ivan Vallejo, RT; Martin Casper
Author and Funding Information

Intensive Care Experts, Weston, FL

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;149(4_S):A536. doi:10.1016/j.chest.2016.02.559
Text Size: A A A
Published online

SESSION TITLE: Respiratory Care

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: To determined the impact of weaning from Mechanical Ventilation in Skilled Nursing Facilities.

METHODS: A retrospective analysis of patients admitted with respiratory failure on mechanical ventilation via trach between 2011 and 2012 to the Avante Group. In 2011 a total of 1,127 patients treated in seven Florida locations—Boca Raton (187), Jacksonville (117), Lake Worth (200), Ocala (225), Orlando (108), Ormond (183), St. Cloud (107). In 2012 a total of 1,144 patients—Boca Raton (212), Jacksonville (90), Lake Worth (208), Ocala (112), Orlando (134), Ormond (183), St. Cloud (152).

RESULTS: A total of 2, 271 patients were admitted treated a seven locations. 155 patients were discharge home (6.8%), 76 patients expired (3.3%), 4 patients went to hospice (.17%), 639 patients returned to the acute care hospital (28.1%). 1, 338 patients remained in the skilled units (58.9%). 92 patients were discharge on trach off the ventilator (4.05%) and 29 patients were discharge on the vent (1.27%).

CONCLUSIONS: Our study shows that a significant number of patients can be weaned from mechanical ventilation in skilled nursing facilities even when theses patients were deemed unweanable in the acute care and/or LTAC’s. The data also shows that discharge home on trach or vent is achievable. We recommend a specific study to answer the question of weaning and reasons for return to acute care for the patients treated at skilled nursing facilities.

CLINICAL IMPLICATIONS: Weaning of chronically ill mechanically ventilated patients can be accomplished in Skilled Nursing Facilities with excellent results.

DISCLOSURE: The following authors have nothing to disclose: Gustavo Ferrer, Ivan Vallejo, Martin Casper

No Product/Research Disclosure Information




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543