Part 1

The conditional probabilities of survival and of MV-dependent status, for patients under MV for at least 21 days and for subgroups stratified by conscious status, selected morbid conditions and age.

Part 2

The conditional probabilities of survival and of MV-dependent status, for patients under MV for at least 3 days and for subgroups stratified by age, gender or selected morbid conditions.

Part 3

The conditional cumulative probabilities of weaning success and of death, for patients under MV for at least 2 days and for subgroups stratified by age, gender or selected morbid conditions.

Part 4

The conditional cumulative probabilities of weaning success and the mortality levels since the 2nd day of MV use, for patients under MV for at least 2 days and for subgroups stratified by age, gender or selected morbid conditions.

Disclaimer

"The Taiwan Mechanical Ventilation Performance Database System" of the National Health Research Institutes(NHRI) does not endorse or recommend any commercial products, processes, or services.

"The Taiwan Mechanical Ventilation Performance Database System" of NHRI, for research use only, does not intend to provide specific medical advice. Specific medical advice will not be provided, and we urge you to consult with qualified physicians for diagnosis and answers to your personal questions.

The conditional cumulative probabilities of weaning success and of death, for patients under MV for at least 2 days and for subgroups stratified by age, gender or selected morbid conditions.

This part displays information on the prognosis in patients using mechanical ventilation (MV) for at least 2 days, and contains data for the period from the 2nd day to the 120th day of continuous MV use. For each specific day, it provides information on prognosis which was addressed by the cumulative probabilities of weaning success and of death for 90 days of follow-up since the specific day during a session of MV use. Data are available for various patient groups stratified by gender, age or selected morbid conditions.

Ten morbid conditions are selected for investigation: (1) out-of-hospital cardiac arrest (OHCA),(2) in-hospital cardiac arrest (IHCA), (3) acute kidney injury that requires dialysis (AKI-dialysis), (4) end-stage renal disease (ESRD), (5) liver cancer, (6) liver cirrhosis, (7) lung cancer, (8) dementia, and (9) pre-existing stroke with intensive-care-unit (ICU) care.

Sample Size

0

The cumulative probability of weaning success for 90 days of follow-up since the specific day

0%
Mean
0%
Lower bound of 95% CI
0%
Upper bound of 95% CI

The cumulative probability of death for 90 days of follow-up since the specific day

0%
Mean
0%
Lower bound of 95% CI
0%
Upper bound of 95% CI

Abbreviations:

AKI, acute kidney injury
ESRD, end stage renal disease
ICU, intensive care unit
IHCA, in-hospital cardiac arrest
MV, mechanical ventilation
OHCA, out-of-hospital cardiac arrest

The conditional cumulative probabilities of weaning success and the mortality levels since the 2nd day of MV use, for patients under MV for at least 2 days and for subgroups stratified by age, gender or selected morbid conditions.

This part displays information on the prognosis in patients using mechanical ventilation (MV) for at least 2 days, and contains data for the period from the 2nd day to the 120th day of continuous MV use. For each specific day, it provides information on prognosis which was addressed by the cumulative probabilities of weaning success for 90 days of follow-up since the specific day during a session of MV use and the mortality levels since the 2nd day of MV use. Data are available for various patient groups stratified by gender, age or selected morbid conditions. As mentioned on part3, ten morbid conditions are selected.

“The conditional cumulative probabilities of death” is replaced by “the mortality levels since the 2nd day of MV use” , which can provide different viewpoint.

Sample Size

0

The cumulative probability of weaning success for 90 days of follow-up since the specific day

0%
Mean
0%
Lower bound of 95% CI
0%
Upper bound of 95% CI

Sample Size

0

The mortality levels since the second day of MV use

0%
Mean
0%
Lower bound of 95% CI
0%
Upper bound of 95% CI

Abbreviations:

AKI, acute kidney injury
ESRD, end stage renal disease
ICU, intensive care unit
IHCA, in-hospital cardiac arrest
MV, mechanical ventilation
OHCA, out-of-hospital cardiac arrest

The conditional probabilities of survival and of MV-dependent status, for patients under MV for at least 3 days and for subgroups stratified by age, gender or selected morbid conditions.

This part displays information on the prognosis in patients using mechanical ventilation (MV) for at least 3 days. Prognosis was addressed by conditional probabilities of survival and of MV-dependent status for a specific day after initiation of a session of MV use under the condition that the patient was MV-dependent on a specific earlier day. Each day during the period from the 3rd day to the 180th day of continuous MV use can be selected as a starting day of observation. The range of the ending day of observation is from the 3rd day to the 762nd day of MV use. It provides information for various patient groups stratified by gender, age or selected morbid conditions.

Ten morbid conditions are selected for investigation: (1) out-of-hospital cardiac arrest (OHCA),(2) in-hospital cardiac arrest (IHCA), (3) acute kidney injury that requires dialysis (AKI-dialysis), (4) end-stage renal disease (ESRD), (5) liver cancer, (6) liver cirrhosis, (7) lung cancer, (8) dementia, and (9) pre-existing stroke with intensive-care-unit (ICU) care.

Sample Size:

0

Result:

0%

Abbreviations:

AKI, acute kidney injury
ESRD, end stage renal disease
ICU, intensive care unit
IHCA, in-hospital cardiac arrest
MV, mechanical ventilation
OHCA, out-of-hospital cardiac arrest

The conditional probabilities of survival and of MV-dependent status, for patients under MV for at least 21 days and for subgroups stratified by conscious status, selected morbid conditions and age.

This part displays information on the prognosis in aging patients using mechanical ventilation (MV) for at least 21 days (it means prolong mechanical ventilation, PMV). Prognosis was addressed by conditional probabilities of survival and of MV-dependent status for a specific day after initiation of a session of MV use under the condition that the patient was MV-dependent on a specific earlier day. Each day during the period from the 21st day to the 180th day of continuous MV use can be selected as a starting day of observation. The range of the ending day of observation is from the 21st day to the 762nd day of MV use. It provides information for various patient groups stratified by conscious status, ESRD status and age.

Sample Size:

0

Result:

0%

Abbreviations:

ESRD, end stage renal disease
MV, mechanical ventilation

Abbreviations:

AKI, acute kidney injury
ESRD, end stage renal disease
ICU, intensive care unit
IHCA, in-hospital cardiac arrest
MV, mechanical ventilation
OHCA, out-of-hospital cardiac arrest

Abbreviations:

ESRD, end stage renal disease
MV, mechanical ventilation

背景

人的一生難免有身體病痛,大多數人最後將步入病危的狀況。當生命即將走到告別階段時,用盡一切醫療方式來維持身體存活是否是您想要的生命最終一段旅程呢?有些人可能希望最後一段旅程仍然能有基本的的生活品質,他們希望選擇自然及有尊嚴的生命結束。在生命最後旅途,人仍可為自己作出選擇。

預立醫療指示指的有關醫療方式的選擇,一般以書面表示,讓一個人在還有決定能力時,明確指示當自己一旦無能力做決定的時候所希望接受的醫療照護方式,讓自己若面臨失去決定能力的情況,仍可藉由事先做出的決定來得到自己喜歡的人生旅途最後照護。另外有一種更廣義的概念叫做預立照護計畫,指的是讓一個人與家人還有醫護人員經過溝通後,為自己未來的醫療照護方式預先做出決定,或是表達相關意願,也可任命代理人,以確保一個人若面臨失去決定能力的情況,仍可藉由事先的表達讓其意願能被尊重與遵循。這些做法可以增進一個人和家人以及醫護人員之間的了解和信任,保障一個人選擇人生方式的自由,也可降低家人、醫護人員面臨決定他人生命方式時的困惑與壓力,以及減少他們在代做決定後產生後悔與內疚的可能性。所以,預立照護計畫不僅可以增進自己的生命品質,也有助於提升親近之家人、朋友與醫護人員的生活品質。

不管是預立醫療指示或是預立照護計畫,我們都會需要良好的資訊幫助自己預先做出指示或決定,也會希望有讓自己覺得舒服、幸福的環境與過程。我們希望這一套「呼吸器使用預後情況查詢系統」所提供的資料可以幫助每一個想要為自己未來的醫療照護預先做指示或選擇的人,以及每一個必須代表親近家人、朋友或病人選擇適切醫療照護的人。不管您是將要為自己做選擇,或是要做為摯愛親朋好友的選擇代理人,希望這些資料能幫助您在抉擇時有更自信與安寧的心情。祝福您!