From: Outcome of acute respiratory distress syndrome in university and non-university hospitals in Germany
University hospital (n = 87) | Non-university hospital (n = 111) | p value | |
---|---|---|---|
Tracheostomy | 0.16 | ||
Tracheostomy after ARDS onset/nontracheostomized patients until ARDS onset | 33/76 (43.4) | 20/102 (19.6) | 0.001 |
Tracheostomy, percutaneous /surgical/not specified | 29 (87.9)/3 (9.1)/1 (3.0) | 11 (55.0)/8 (40.0)/1 (5.0) | 0.01 |
Days to tracheostomy after ARDS onset | 10 (4–13) | 4 (2–11) | 0.10 |
Main weaning method | 0.16 | ||
Daily spontaneous weaning trial | 12 (19.7) | 25 (34.7) | |
Gradual reduction of ventilatory support | 45 (73.8) | 43 (59.7) | |
Not specified | 4 (6.6) | 4 (5.6) | |
Extubation | |||
Extubation | 42/86 (48.8) | 63/107 (58.9) | 0.16 |
Reintubation within 48 h | 17/42 (40.5) | 16/53 (25.4) | 0.10 |
Non-invasive ventilation after extubation; reintubation thereafter | 23/42 (54.8); 10 (43.5) | 27/63 (42.9); 12 (44.4) | 0.23; 0.95 |
Duration of mechanical ventilation (days) | 16 (9–29) | 8 (3–16) | <0.001 |
After ARDS onset | 13 (6–23) | 6 (3–14) | <0.001 |
Survivors | 14 (9–25) | 7 (3–14) | <0.001 |
Length of ICU stay (days) | 19 (12–34) | 10 (5–23) | <0.001 |
After initiation of mechanical ventilation | 19 (11–34) | 10 (5–24) | <0.001 |
After ARDS onset | 15 (9–31) | 8 (4–18) | <0.001 |
Survivors | 19 (13–35) | 13 (5–24) | 0.003 |
Length of hospital stay (days) | 31 (17–46) | 21 (9–41) | 0.007 |
After initiation of mechanical ventilation | 26 (14–42) | 15 (6–34) | 0.002 |
After ARDS onset | 23 (11–37) | 14 (4–28) | 0.005 |
Survivors | 32 (19–53) | 24 (14–41) | 0.077 |