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Colegio de Medicina Interna de México.

2024, Number 1

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Med Int Mex 2024; 40 (1)

Mechanical power as a predictor of mortality in respiratory distress syndrome

Chirinos MS, Ibañez VBR, Ortega MRA

Language: Spanish
References: 21
Page: 3-11
PDF size: 218.01 Kb.


ABSTRACT

Objective: To determine the relationship among days on mechanical ventilation, days in the intensive care unit, and mortality beyond 24 hours on outcome.
Materials and Methods: Observational, analytical and prospective cohort study of two groups, living and deceased, performed in patients admitted to the Intensive Care Unit of the Central Military Hospital of La Paz, Bolivia, in the years 2021 to 2022.
Results: One hundred twenty-two patients were included with a mean age of 63.7 ± 14.7 years; majority male 59.8% (n = 73). The mean APACHE II score was 16.11 ± 5.8 and SOFA 7.19 ± 1.59; 79.5% (n = 97) of patients were diagnosed with SARS-CoV-2 infection and 74.2% (n = 72) died. These data were significantly correlated between ICU days and mechanical power equation values (p ≤ 0.000) and between ICU days and invasive mechanical ventilation days (p ≤ 0.000).
Conclusions: Mechanical performance equation was the best predictor of poor outcome. Continuous monitoring of mechanical ventilation favors safe management in the intensive care unit, where it is a fundamental part of prognosis and prevention of ventilator-induced lung injury.


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