Respiratory Failure
Conditions
Keywords
Neuromuscular Diseases, Muscular dystrophy, Amyotrophic Lateral Sclerosis, Acute respiratory failure, respiratory care, mechanical ventilation, weaning, Intensive Care Unit, Critical Care, Survival
Brief summary
Retrospective multicentric observational study exploring the population of adult neuromuscular patients presenting a respiratory distress requiring their admission in an Intensive Care Unit (ICU) for ventilatory support. Research of markers associated with long term mortality and ventilatory status.
Interventions
Initiation of mechanical ventilatory support, invasive or non-invasive, Or modification of mechanical ventilatory support (modification of the parameters of the device, change of material, switch from non-invasive to invasive)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient \> 18 years old * First stay in a ICU ward * Inclusion period : Admission in ICU between 01/01/2007 and 31/12/2015 * Presenting an acute respiratory distress at admission or during ICU stay * Diagnosis of neuromuscular disease confirmed before Hospital discharge
Exclusion criteria
* Absence of respiratory failure during ICU stay (ICU stay for monitoring or for a specialized invasive procedure in the absence of respiratory failure, for example) * Neuromuscular disease not proven or uncertain diagnosis * Anterior admission in ICU ward for vital organ failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | until 2016.12.31 | number of death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Definitive long term invasive ventilatory support | until 2016.12.31 | Date of tracheotomy for definitive long term invasive ventilatory support |
| Mortality attributable to a respiratory issue | until 2016.12.31 | For patients for which this information is available, cause of death described as reliable to a respiratory issue in any medical document available. |
| Re-hospitalization in a ICU-Ward | until 2016.12.31 | clinical deterioration requiring a new hospitalization in a ICU ward, after first hospitalization discharge. |
Countries
France