Entwöhnung vom Respirator nach Langzeitbeatmung: Outcome langzeitbeatmeter Patienten

In der vorliegenden Arbeit wurden Parameter zu Physiologie und Outcome im Langzeitverlauf bei Patienten mit CVI untersucht. Betrachtet wurden die Langzeitüberlebensrate und die allgemeine sowie krankheitsspezifische Lebensqualität. Das untersuchte Patientenkollektiv (n=438) bestand aus COPD-Patie...

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Bibliographic Details
Main Author: Nietsch, Marco
Contributors: Schönhofer, Bernd (Prof. Dr. med.) (Thesis advisor)
Format: Doctoral Thesis
Language:German
Published: Philipps-Universität Marburg 2010
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Survival and quality of life was measured in patients with chronic ventilatory insufficiency caused by different diseases. Qualitiy of life was measured with the SF-36 and self-developed questionnaires. We found that quality of life is reduced in patients with chronic ventilatory failure, and also sexuality is reduced against normal population. The main predictive factor for survival was the main diseasis. We found the BMI as a predictive factor in patients with COPD and restrictive thoracic failure. pCO2 and pH baseline as well as pCO2 after 3 months ventilation were predictive factors in all groups but patients with neuromuscular diseases. Under long term ventilation quality of life and sexuality were increased, several physical parameters were influenced significantly.