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Chest, Vol 96, 1120-1124, Copyright © 1989 by American College of Chest Physicians

ARTICLES

Long-term outcomes for elderly survivors of prolonged ventilator assistance

EH Elpern, R Larson, P Douglass, RL Rosen and RC Bone
Department of Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago.

Care of ventilator-dependent patients requires considerable resources, yet the long-term outcomes of this type of care have rarely been described. We retrospectively investigated the posthospital course of elderly patients who survived an episode of prolonged ventilator dependency to describe survival rates, subsequent use of health care resources, and functional abilities. Our data suggest that the use of prolonged mechanical ventilation in the elderly produces few survivors at considerable expense. Poor overall outcomes occurred despite considerable consumption of medical and nursing resources by the survivors.


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